What type of food allergy reactions would the nurse assess prior to administering epi?
- -nausea
-vomiting
-dyspnea
-itching
-dizziness
-headache
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also: gasping for air, clenching throat, severe swelling on the face, etc. -these all indicate severe
anaphylaxis
Diet Management for an older adult with heart failure will include teaching to:
- -limit sodium (Na) to 2000 mg/day or less
-monitor (possibly restrict to 1.5 L/day) fluid intake
-small meals to decrease effort of eating
-electrolytes may be messed up due to diuretics: potassium, sodium, zinc (except spinrolactone=K
sparing)
A person with heart failure should have a daily sodium intake of:
- 2000 mg or less
Foods high in potassium:
- apricots
bananas
potatoes
tomatoes
avocado
fish
spinach
beans
Daily cholesterol intake should be less than:
- 200 mg
DASH diet for HTN: -
-low sodium
-high potassium
-high calcium
A client with diabetes that may be experiencing hypoglycemia should be instructed to:
- eat 15-20 g of carbs such as juice, soda, candies, honey, glucose tablets, etc.
General nutritional guidelines for a client with diabetes:
- Carbs: 130 g/day from grains, fruits, legumes, milk. No simple carbs.
Fats: sat fat less than 7% of total calories, trans fatty acid less than 1% of total daily caloric intake, limit
fried foods.
Cholesterol: 200-300 mg/day
Fiber: 14 g per 1000 calories from beans, oats, veggies, whole grains
Protein: 15-20% total caloric intake from meats, eggs, fish, nuts, beans, & soy products
NO TOBACCO, LIMIT ALCOHOL
Hyperlipidemia? NO ALCOHOL
Artificial sweeteners okay, except preggo! sucrose (table sugar) can be included in diabetic diet as long
as adequate insulin is available
A nurse is reinforcing diet teaching to a client who has type 2 DM. Which of the following should the
nurse include in the teaching? Select all that apply.
A. Carbs should comprise 55% of daily caloric intake
B. Use hydrogenated oils for cooking
C. Table sugar may be added to cereals
D. Drink an alcoholic beverage w/meals
E. Protein foods can be substituted for carb foods
- A, C, D
Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia
Not E-carbs can be exchanged but not w/proteins
A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2 DM.
Which of the following guidelines should the nurse include? Select all that apply.
A. Weight management
B. Lipid profile
C. Cultural needs
D. Sleep patterns
E. Personal preferences
- A, B, C, E
To avoid hypoglycemia, the client should consume alcohol...
- with a meal or immediately after a meal
_______________can be included in a diabetic diet as long as adequate insulin or other agents are
provided to cover the sugar intake. - Sucrose (table sugar)
What food sources are high in protein?
- meats
eggs
fish
nuts
beans
soy products
The nurse should instruct the diabetic client that their intake of carbohydrates should be ___to___% of
total daily caloric intake. - 45-60%
The nurse should instruct the diabetic client that they should limit their total daily cholesterol intake to:
- 200-300 mg/day
A diabetic client should be instructed that sat fats should account for less than __% of total calories. - 7%
The USDA and HSS diet guidelines for fats: - -fats may average 30% of total caloric intake
-less than 10% from sat fats
The USDA and HHS recommend to limit _______and _______foods to prevent occurrence of dental
caries. - sugar and starchy foods
The USDA & HHS recommends less than ________mg (about 1 tsp) of salt per day. - 2300
USDA myplate recommended servings based on a 2000 calorie diet:
Grains=___oz
Veggies=______cups
Fruits=_______cups
Milk=____cups
Protein foods=_____oz
Oils=____tsp - grains=6 oz
veggies= 2 1/2 cups
fruits= 2 cups
milk= 3 cups
protein foods= 5 1/2 oz
oils= 6 tsp
The lacto-ovo vegetarian diet includes: - dairy products and eggs
Healthy heart diet:
Limit saturated fat to __% of calories & cholesterol to ___mg/day
For elevated LDL, increase what?
What type of diet for HTN?
- limit sat fat to 10% of calories & cholesterol to 300 mg/day
For elevated LDL, increase monosaturated fats & soluble fiber.
HTN diet=DASH
Normal bowel functioning depends on adequate fluid intake and ____g/day fiber for women and
___g/day fiber for men.
- women=25 g/day
men=38 g/day
Diet teaching to prevent cancer:
Increase:
Limit: - Increase: high fiber plant based foods, monosaturated fat or omega 3 fatty acids (nuts & fish)
Limit: sodium, alcohol, saturated & polyunsaturated fat
A nurse is teaching a client measures for healthy bones. Which of the following statements by the client
requires additional teaching?
A. "I will eat foods high in calcium."
B. "I will increase my fluid intake."
C. "I should participate in weight bearing exercises."
D. "I should get my vitamin D from the sunlight."
- B. increasing fluid does not promote healthy bones
A nurse is conducting a nutritional class to a group of newly licensed nurses. Which of the following
should be included in the teaching?
A. Limit saturated fat to 10% of total caloric intake.
B. Good bowel function requires 35 g/day of fiber for women.
C. Limit cholesterol consumption to 400 mg/day
D. Normal functioning cardiac systems depends on B-complex vitamins
- A [Show Less]