A nurse is caring for a client who has undergone a radical head and neck resection to
treat cancer and is receiving radiation therapy. The nurse should
... [Show More] monitor for which of
the following potential adverse effects? --------- Correct Answer ---------- Changes in the
production of saliva
A nurse is providing teaching to a client who has dumping syndrome. Which of the
following information should the nurse include? --------- Correct Answer ---------- Apply
pectin to foods.
A nurse in a long-term care facility is monitoring a client during mealtime who has
Parkinson's disease. Which of the following findings should the nurse identify as the
priority? --------- Correct Answer ---------- The client drools while eating.
A nurse is preparing a health promotion seminar for a group of clients about cancer
prevention. Which of the following information should the nurse include? --------- Correct
Answer ---------- Eat at least 2.5 cups of fruits and vegetables each day.
A nurse is caring for a client who is at 8 weeks gestation and has a BMI of 34. The client
asks about weight goals during her pregnancy. The nurse should advise the client to do
which of the following? --------- Correct Answer ---------- Gain approximately 6.8 kg (15
lb).
A nurse is reviewing the laboratory findings of a client who has acute pancreatitis.
Which of the following is an expected finding? --------- Correct Answer ---------- Increased
glucose
A nurse is caring for a client who has a new prescription for parenteral nutrition (PN)
containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the
PN, the nurse should report which of the following food allergies to the provider? ---------
- Correct Answer --------- Eggs
Lipid emulsions are isotonic and are composed of soybean or safflower plus soybean
oil, with egg phospholipid used as an emulsifier. Clients who are allergic to eggs can
have a reaction to the emulsifier. Therefore, the nurse should report this finding to the
provider.
A nurse is reviewing the laboratory findings of a client who has acute pancreatitis.
Which of the following is an expected finding? ---------- Correct Answer --------- Increased
glucose
The nurse should expect an increased glucose level in a client who has acute
pancreatitis due to decreased insulin production by the pancreas.
A nurse is teaching a client who has chronic kidney disease about limiting dietary
calcium intake. Which of the following food choices should the nurse include in the
teaching as having the highest amount of calcium? ---------- Correct Answer --------- 1
cup low-fat yogurt
The nurse should determine that low-fat yogurt contains 314 mg of calcium per cup,
which is the highest amount of calcium; therefore, the client should limit low-fat yogurt in
the diet.
A nurse is providing teaching to a client who has dumping syndrome and is
experiencing weight loss. Which of the following instructions should the nurse include in
the teaching? ---------- Correct Answer --------- Consume liquids between meals.
The nurse should teach the client to drink liquids between meals to slow movement of
food from the stomach.
A nurse is preparing a health promotion seminar for a group of clients about cancer
prevention. Which of the following information should the nurse include? ----------
Correct Answer --------- Eat at least 2.5 cups of fruits and vegetables each day.
The nurse should include in the teaching that clients should eat at least 2.5 cups of
fruits and vegetables daily to help maintain body weight and reduce the risk for cancer
of the lung and gastrointestinal system.
A nurse is assessing a client for dysphagia following a stroke. The nurse should identify
which of the following findings as a manifestation of dysphagia? ---------- Correct Answer
--------- The client's voice changes after eating.
The nurse should identify that hoarseness or a change in voice after eating is a
manifestation of dysphagia because partially swallowed food can alter the client's voice.
A client is experiencing anorexia related to cancer treatment. Which of the following
interventions should the nurse implement to increase the client's nutritional intake? ------
---- Correct Answer --------- Add extra calories and protein to every meal.
Adding extra calories and protein to every meal will increase the client's nutritional
intake.
A home health nurse is providing dietary teaching to the guardians of a 3-year-old child.
Which of the following statements by the guardians should the nurse identify as
understanding of the teaching? ---------- Correct Answer --------- "I will put low-fat milk in
her cup for her to drink."
Whole milk provides necessary fat for neurological development for children up to 2
years of age, after which the child should consume low-fat or skim milk. Therefore, the
nurse should identify this statement as indicating an understanding of the teaching.
Choking hazard to avoid - peanut, pop corn, hard pretzels
A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of
the following statements by the client indicates an understanding of the teaching? --------
-- Correct Answer --------- "I need to eliminate rye from my diet."
Eating sources of gluten, such as barley or rye, increases the manifestations of celiac
disease.
A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to
count carbohydrates. Which of the following statements made by the client indicates an
understanding of the teaching? ---------- Correct Answer --------- "I know the serving size
can affect the number of carbohydrates I eat."
The nurse should instruct the client that generally three to five carbohydrate choices, or
45 g, are allowed per meal, plus one to two carbohydrate choices for each snack.
A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the
following actions should the nurse take to assess for Somogyi phenomenon? ----------
Correct Answer --------- Monitor blood glucose levels during the night.
Somogyi phenomenon is fasting hyperglycemia that occurs in the morning in response
to hypoglycemia during the nighttime. The nurse should assess for this phenomenon by
monitoring blood glucose levels during the night.
A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old
infant. Which of the following statements by the guardian indicates an understanding of
the teaching? --------- Correct Answer ---------- "I will introduce a new solid food every 5
days."
A nurse is evaluating a client who is receiving a continuous enteral feeding and has
diarrhea. Which of the following actions should the nurse take to reduce the client's
diarrhea? --------- Correct Answer ---------- Decrease the rate of the feeding.
A nurse is caring for a client who expressed a desire to lose weight. Which of the
following actions should the nurse take first? --------- Correct Answer ---------- Obtain a
24-hr dietary recall.
A nurse is assessing a client who has diabetes mellitus. Which of the following findings
should the nurse identify as a manifestation of hypoglycemia? --------- Correct Answer --
-------- Diaphoresis
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is
prescribed an oral diet. The client asks the nurse why the TPN is being continued since
he is now eating. Which of the following responses should the nurse make? ---------
Correct Answer ---------- "You should consume at least 60 percent of your calories orally
before the parenteral nutrition can be discontinued."
A nurse is developing an educational program about the glycemic index of foods for
clients who have diabetes mellitus. Which of the following foods should the nurse
identify as having the highest glycemic index? --------- Correct Answer ---------- Baked
potato [Show Less]