A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the
following actions should the nurse take to reduce the risk of
... [Show More] aspiration?
a) burp the infant once at the end of the feeding
b) use a bottle that has a two way valve
c) place a low-flow rate nipple on the bottle
d) squeeze the infants cheeks together while feeding Correct Ans ➡ D)
squeeze the infants cheeks together while feeding
* nurse should identify that an infant who has a cleft lip will have difficulty in
obtaining an adequate seal during feeding. nurse should gently squeeze the
infants cheeks together to decrease the width of the cleft allowing the infant
to achieve a better seal, which reduces risk of aspiration
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?
a) consume high-calorie foods and beverages at meal time
b) eat at least 2.5 cups of fruits and vegetables each day
c) plant to perform moderate-intensity exercise for 90 minutes/week
d) limit alcohol consumption to no more than 3 drinks per day Correct Ans
➡ B) 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
risk for cancer of the lungs and gastrointestinal system
A nurse is teaching a client about stress management. Which of the following
statements by the client indicates an understanding of the teaching?
a) I will take a long walk every evening
b) I will keep a daily diet and activity log
c) I will avoid eating 1 hr before each bedtime
d) I will drink a full glass of water with each meal Correct Ans ➡ a) I will
take a long walk every evening
* Exercise has many benefits including reduction of tension, promotion of
relaxation and improved sense of well being. All of these will assist the client
in stress management
A nurse is providing dietary instructions for a client who has a prescription
for warfarin. Which of the following foods should the nurse recommend the
client eat in moderation while taking this medication?
a) leafy green vegetables
b) whole grains
c) fruits with skin
d) nuts and seeds Correct Ans ➡ a) leafy green vegetables
* the nurse should recommend the client eat in moderation and maintain
consistent intake of leafy green veggies which contain a natural form of vit k
that can negate the anticoagulation effects of warfarin
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?
a) the client eats all their cake and a few bites of bread
b) the client drools while eating
c) the clients hand trembles when they hold their spoon
d) the client chooses to sit alone during the meal Correct Ans ➡ b) the
client drools while eating
* drooling while eating can indicate that this client is at greatest risk for
aspiration of food from dysphagia, which can lead to pulmonary
complications: therefore nurse should identify this as a priority problem
A nurse is reviewing the laboratory values of a group of clients. Which of the
following clients should the nurse identify as experiencing dehydration?
a) a client who has a potassium level of 4.4 mEq/L
b) a client who has a hematocrit of 45%
c) a client who has a sodium level of 150 mEq/L
d) a client who has a BUN of 18 mg/dL Correct Ans ➡ c) a client who
has a sodium level of 150 mEq/L
* the nurse should identify that a sodium level of 150 mEq/L is above
expected reference range of 136-145 mEq/L and indicates hypernatremia.
Hypernatremia often called water diuretic is a decrease of sodium
concentration in blood caused by excess of water. Manifestations of
hypernatremia include: confusion, headache, nausea, and fatigue
A nurse is providing teaching to a client who has diabetes mellitus and an
HbA1c of 8.7%. Which of the following statements by the client indicates an
understanding of this laboratory value?
a) I should have gone to my exercise class yesterday
b) This shows that my results is finally within a normal range
c) This shows that I have not been following my diet
d) I should have my blood work done first thing in the morning Correct
Ans ➡ c) This shows that I have not been following my diet
* An HbA1c level of 8.7% is not within the expected reference range. The
HbA1c goal level for a client who has diabetes is between 6.5-7%
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
monitor for which of the following potential adverse effects?
a) bone marrow suppression
b) radiation enteritis
c) malabsorption of nutrients
d) changes in the production of saliva Correct Ans ➡ d) changes in the
production of saliva
* changes in salvation are a potential complication of a head and neck
resection and radiation therapy
A nurse is providing dietary teaching to a client who is postoperative
following a gastric bypass procedure. Which of the following instructions
should the nurse include?
a) eat 6 small meals per day
b) begin each meal with a protein
c) finish each meal even if feeling full
d) plan to eat each meal over 15 min Correct Ans ➡ b) begin each
meal with a protein
* the nurse should instruct the client to begin each meal by eating a protein.
the client should consume 60-120 g of protein each day
A nurse is providing dietary teaching for a client who has osteoporosis. The
nurse should instruct the client that which of the following foods has the
highest amount of calcium?
a) 1 cup avocado
b) 2 tablespoons peanut butter
c) 1/2 cup roasted sunflower seeds
d) 1/2 cup of roasted almonds Correct Ans ➡ d) 1/2 cup of roasted
almonds
* nurse should determine that 1/2 cup roasted almonds is the best food
source to recommend bc 1/2 cup of almonds contains 185 mg of calcium.
Calcium helps to prevent bone loss in clients who have osteoporosis
A nurse is caring for an adolescence who has type 1 diabetes mellitus. Which
of the following actions should the nurse take to assess for Somogyi
phenomenon?
a) monitor blood glucose levels during the night
b) check for urinary ketones at the same time each day for 1 week
c) perform oral glucose tolerance test after administering dose of insulin [Show Less]