The practical nurse (PN) is caring for a client who was recently diagnosed with type 2 diabetes mellitus (DM). What information is most important for the
... [Show More] PN to reinforce with the client about life-style changes
Portion-controlled, heart healthy diet selectiions
The practical nurse (PN) suspects that a male client is altering his own diabetic journals to please his healthcare provider. Which laboratory test should the PN review to evaluate the clients compliance with self management for type 1 diabetes mellitus (DM)?
Hemoglobin A1c.
The Practical nurse (PN) is evaluating a client for an increased need of B12 after undergoing a subtotal gastrectomy. Which foods should the PN recommend that the client include in the diet.
Cheese, eggs, and fish.
The home health practical nurse (PN) is caring a client with a stage III pressure ulcer. Which food groupthat contains zinc should be added to the client's dietto aide in wound healing?
Meats and shellfish
The practical nurse (PN) receives four new admissions in an assisted living community. After reviewing the clients' medical histories, which client should the PN evaluate for a higher caloric diet?
A client with bacterial pneumonia.
The practical nurse (PN) is assisting and Orthodox Jewish client who has dementia make weekly dinner choices in an assisted living community. Which main course selections should the PN suggest that are suitable for a kosher diet?
Lamb chops with mint jelly.
The practical nurse (PN) is evaluating the client's knowledge of low-sodium menu selections. Which food items listed by the client confirm appropriate choices? (select all that apply.)
A. White rice with steamed vegetables.
B. Cottage cheese with sliced tomatoes.
A client who is lactose intolerant asks the practical nurse (PN) for suggestions about different food sources that are enriched in calcium and vitamin D. Which foods should the PN suggest?
Fortified soy products.
The practical nurse (PN) is reviewing guidelines to manage stress incontinence with a female client. Which dietary change should the PN emphasize that will benefit the client?
Avoid alcohol and caffeine.
The practical nurse (PN) is reviewing the dietary recommendations with the client who had a partial gastrectomy and experienced dumping syndrome. Which statement by the client indicates that the recommendations were understood?
Fluids should be limited to eight ounces with meals.
The practical nurse (PN) is reviewing a list of foods with the family that are recommended for an older client who recently had a total colectomy and colostomy. Which food item should the PN discuss about including in the client's postoperative diet?
Chicken noodle soup.
The practical nurse (PN) interviews a client who had a total colectomy 2 weeks ago. The client claims to be confident in the management of the new colostomy, but is having problems managing the odor. What suggestions should the PN provide the client to help decrease odor in the colostomy bag? (select all that apply)
A. Eat foods containing yogurt.
C. Drink a glass of buttermilk.
D. Eat sprigs of parsley.
The practical nurser (PN) reviews self-care with a male client who is newly diagnosed with cirrhosis. Which vitamin deficit due to liver damage should the PN discuss with the client that increases his susceptibility of bleeding?
Vitamin K.
The practical nurse (PN) is caring for a client with continuous feeding through a nasogastric (NG) tube at a continuous care rehabilitation community. Which position should the PN place the client to prevent aspiration?
Semi-Fowler's
A Chinese male client who moves into an assisted living communityis concerned that the community will not be able to meet his dietary preferences. What should the practical nurse include in the diet for this client based on his cultural group.
Vegetables.
An elderly client is an assisted living community is refusing to eat during meal time. The practical nurse (PN) discovers that the client has several mouth ulcers. What types of food should the PN suggest to promote intake and healing of ulcers?
Poached or scrambled eggs
A client is admitted with right upper quadrant (RUQ) pain after eating. What should the practical nurse ask the client about the meal's content that precipitated the pain?
Saturated fat content
The healthcare provider prescribes an oral glucose tolerance test (GTT) for a male client with polyuria and polydypsia. The client is instructed to be NPO after midnight. What should the client be advised to drink with his morning medications?
Water without flavorings.
The practical nurse (PN) is reviewing the diet with a client with acute cholecystitis. Which food selection demonstrates to the PN that the client understands dietary recommendations?
Baked fish and tomatoes with lettuce.
An older client receives a prescripton for psylium (Metamucil) for constipation. What information should the practical nurse (PN) provide the client about taking this supplement?
Take supplement with 240 ml of liquid and follow with a second glass.
The practical nurse (PN) is caring for a client who is receiving total parnteral which meatbolic change should the PN monitor the client for during administration for TPN
Hyperglycemia.
The practical nurse (PN) reviews the dietary treatment plan with a client who has a ascities secondary to cirrhosis of the liver. Which information should the PN include when reviewing the dietary plan?
Restricted sodium intake.
The practical nurse (PN) is reinforcing diet teaching for a client with a simple goiter. Which foods should the PN recommend that the client eliminate from the diet?
Turnips.
A client develops a vitamin K deficiency due to intestinal malabsorption. What intervention should the practical nurse implement in the plan of care?
Monitor for signs of hematuria, melena. ecchymosis.
During a nutrition consultation for elevated cholesterol, the dietitian recommends that the client replace saturated fats with monounsaturated or polyunsaturated fats. What explanation should the practical nurse reinforce with the client about this change in fat in the diet?
Lowers the amount of low density lipoprotein (LDL) in the blood.
The healthcare provider prescribes a protein supplement for an older client who is recovering after surgery. What information should the practical nurse provide the family about the value of the supplement?
Additional protein promotes tissue healing postoperatively.
The practical nurse reviews the client's medical record that indicates the client has pernicious anemia. Which vitamin deficit is associated with this type of anemia?
Vitamin B12
A client who arrives at the urgent care clinic reporting diarrhea, fever, abdominal pain and nausea and tells the practical nurse (PN) the symptoms began after eating a can of beans. What is the likely cause of this type of foodborne illness?
Clostridium botulinum.
The practical nurse (PN) is visiting a client at home who asks if commercially prepared food products can age or spoil. Which foods should the PN explain have the likelihood of aging and creating a byprodcut that is not healthy?
Jar of peanut butter. [Show Less]