A nurse is performing a comprehensive nutritional assessment for a client. After
reviewing the client's laboratory results, which of the following
... [Show More] findings should the nurse
report to the provider? ---------- Correct Answer ---------- Prealbumin 8 mg/dL
A nurse is providing teaching to a client who reports nausea during pregnancy. which of
the following statements by the client indicates an understanding of the teaching?
a.) "I should drink liquids with meals."
b.) "I will eat dry cereal before I get out of bed."
c.) "I will increase the fat content in my diet."
d.) "I should drink a cup of hot tea between meals." ---------- Correct Answer ---------- b.)
"I will eat dry cereal before I get out of bed."
*Carbohydrates, such as dry cereal, are absorbed quickly and readily raise blood sugar
levels, which should reduce nausea.
A nurse is caring for a client who develops diarrhea while receiving a continuous enteral
tube feeding. which of the following actions should the nurse take?
a.) Provide a low-protein formula.
b.) Elevate the head of the bed to 30°.
c.) Switch to intermittent feedings.
d.) Warm the formula to room temperature. ---------- Correct Answer ---------- d.) Warm
the formula to room temperature.
*A client can develop diarrhea if the formula being infused is too cold. Therefore, the
nurse should warm the formula to room temperature prior to administration.
A nurse is preparing to administer an influenza vaccine to an adult client who reports
food allergies. which of the following food allergies could place the client at risk for a
reaction.
a.) Peanuts
b.) Milk
c.) Shellfish
d) Eggs ---------- Correct Answer ---------- d) Eggs
*A hypersensitivity to eggs can place a client at risk for allergic reactions when receiving
the influenza vaccine. The vaccine should only be administered by a healthcare
provider who can recognize and respond to severe allergic reactions.
A nurse is teaching a client who is preparing for bowel surgery about low-residue diet.
which of the following food choices by the client indicates an understanding of the
teaching?
a.) Three slices of bacon and oatmeal toast
b.) Granola with raisins and strawberries
c.) Whole wheat French toast with blueberries and maple syrup
d.) Two poached eggs and a banana ---------- Correct Answer ---------- d.) Two poached
eggs and a banana
*A low-residue diet limits the amount of stool traveling through the intestinal tract. The
nurse should teach the client to avoid foods high in fiber. Poached eggs and bananas
are acceptable low-residue menu choices.
A nurse is providing teaching about cancer prevention to a group of clients. which of the
following client statements indicates an understanding of the teaching?
a) "I will eat five servings of fruits and vegetables each day."
b.) "I should limit my alcohol intake to a maximum of three drinks daily."
c.) "I should eat more refined wheat and oat products."
d.) "I will eat processed meats to achieve my required protein intake." ---------- Correct
Answer ---------- a) "I will eat five servings of fruits and vegetables each day."
*The nurse should instruct the clients to consume four to five servings, or about 2.5
cups, of fruits and vegetables daily. Eating various fruits and vegetables assists in
decreasing blood pressure and weight.
A nurse is caring for a client who is receiving intermittent enteral feedings ever 4 hr via
an ng tube. which of the following actions should the nurse take to reduce the risk for
aspiration?
a.) Check placement of the NG tube once per day.
b.) Place the client in a semi-Fowler's position.
c.) Flush the tubing with 20 mL of water prior to each feeding.
d.) Administer the formula chilled. ---------- Correct Answer ---------- b.) Place the client in
a semi-Fowler's position.
*The nurse should maintain the client in a semi-Fowler's position to reduce the risk for
aspiration of stomach contents during the feeding and for at least 30 min after the
completion of the feeding.
A nurse is admitting a client who has diabetic ketoacidosis. which of the following
findings should the nurse expect?
a.) Tremors
b.) Increased urination
c.) Heart palpitations
d.) Sweating ---------- Correct Answer ---------- b.) Increased urination
*The nurse should identify that increased urination is a manifestation of diabetic
ketoacidosis. Other manifestations can include fruity breath, Kussmaul respirations,
excessive thirst, and orthostatic hypotension.
A nurse is reviewing the laboratory date of four clients. The nurse identify that which of
the following clients is experiencing fluid overload?
a. a client who has an albumin level of 5.5 g/dl
b. a client who has a urine specific gravity of 1.035
c. a client who has a Hct of 55%
d. a client who has a sodium level of 130 mEq/L ---------- Correct Answer ---------- d. a
client who has a sodium level of 130 mEq/L
*The nurse should identify that this client's sodium level is lower than the expected
reference range of 136 to 145 mEq/L and indicates hyponatremia. Hyponatremia, often
called water deficit, is a decrease of sodium concentration in the blood caused by an
excess of water. Manifestations of hyponatremia include confusion, headache, nausea,
and fatigue.
A nursing is planning discharge teaching for a client who is postoperative following a
placement of a colostomy. Which of the following information should the nurse include?
A. "resume a regular diet by 4 weeks after surgery"
B. "Add high fiber foods to your diet"
C. "increase your intake of foods containing pectin"
D. "drink 4 to 6 cups of water per day" ---------- Correct Answer ---------- C. "increase
your intake of foods containing pectin"
*the nurse should instruct the client to consume foods that thicken the consistency of
feces, such as foods containing pectin.
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which if
the following findings should indicate to the nurse that the client is at risk for impaired
wound healing?
A) Hgb 15 g/dl
B) Serum Albumin 3.0 g/dl
C) Prothrombin time 11.5 seconds
D) WBC 6,000/mm3 ---------- Correct Answer ---------- B) Serum Albumin 3.0 g/dl
*The nurse should identify that this albumin level is less than the expected reference
range of 3.5 to 5 g/dL. A decreased albumin level is a manifestation of malnutrition and
can increase the risk for poor wound healing and infection.
a nurse is providing teaching to a client who is lactating about increasing her protein
intake. which of the following foods should the nurse recommend as the best source of
protein?
a.) legumes
b.) cottage cheese [Show Less]