NURSING 160 Nutrition Proctored
1. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which
... [Show More] of the following foods or beverages should the nurse recommended to minimize heartburn?
Orange juice
Decaffeinated coffee
Peppermint
Potatoes
2. A nurse is preparing g to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?
Phosphorus
Calcium
Chloride
Zinc
3. A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after nutritional counseling, which of the following evaluation findings indicates the plan of care was followed?
BMI of 25
Weight gain of 1.8kg
BMI of 33
Weight loss of 2.7kg
4. A nurse is caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following meal choices should the nurse request for the client?
Turkey and cheese sandwich
Spaghetti with tomato sauce
Pork chop and applesauce
Scrambled eggs and bacon
5. A nurse is a long-term care facility is developing strategies to promote increased food intake for an older adult client. Which of the following interventions should the nurse implement?
Offer sugar substitutes to increase the client’s appetite.
Provide opportunities to eat three large meals per day.
Provide entertainment while the client is eating.
Offer finger foods at mealtime.
6. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?
A client who is postoperative following a laminectomy and is receiving IV PCA
A client who has dysphagia and does not recognize his family
A client who has COPD and is going home with oxygen
A client who has colon cancer and will undergo a hemicolectomy
7. A nurse is performing a nutritional evaluation for a client who reports paresthesia of the hands and feet. The nurse should identify this manifestation as an indication of which of the following dietary deficiencies?
Iron
Riboflavin
Vitamin C
Vitamin B12
8. A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?
Eat small portions of the high-calorie foods first.
Set a goal and you will be able to attain it.
It is helpful to self-monitor your eating.
Taste food while cooking to help curb your appetite.
9. A nurse is providing discharge teaching about food choices to a client who has hypokalemia. Which of the following foods should the nurse identify as the best source of potassium?
1 cup grapes
1 cup shredded lettuce
1 cup cooked tomatoes
1 cup apple slices
10. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?
This does not mean that my baby will have this disease.
This means that I will have diabetes for the rest of my life.
If I feel dizzy, I should drink six ounces of a non-diet soda.
Being obese might be one reason why I developed diabetes.
11. A nurse is planning care for a client who has ascites secondary to liver disease. Which of the following interventions should the nurse include in the plan of care?
Reduce complex carbohydrates to 30% of total calories.
Restrict protein intake to less than 0.8 g/kg/day.
Decrease daily caloric intake by 20%.
Limit sodium to 2000 mg or less per day.
12. A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?
Encourage the client to eat even if nauseated.
Provide low-fat carbohydrates with meals.
Limit fluid intake between meals.
Serve hot foods at mealtime.
13. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?
Floss dentures as part of daily cleaning.
Wipe dentures before storing them in a dry container at night.
Wrap gloved fingers with gauze to remove dentures.
Use a washcloth to clean the denture surfaces.
14. A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which of the following foods is appropriate for the nurse to offer the toddler?
Plain popcorn
Grapes
Raw carrots
Cheese
15. A nurse is assessing the nutritional status of an infant who is 6 months old. The infant weighed 2.7 kg at birth. Which of the following indicate to the nurse that the infant is within expected range?
5.5 kg
6.4 kg
4.5 kg
3.6 kg
16. A nurse is reinforcing dietary teaching with a client who has vitamin A deficiency. Which of the following food choices should the nurse recommend the best source of vitamin A?
1 small baked sweet potato
1 cup avocado
1 cup green beans
1 large apple
17. A nurse is teaching a client who has chronic kidney disease about dietary needs. Which of the following foods should the nurse identify as being the lowest in phosphorus?
Medium apple
Bran cereal
Scrambled eggs
Ground turkey
18. A nurse is caring for a client who is receiving chemotherapy treatments. The client states, “I feel so nauseated after my treatments.” Which of the following instructions should the nurse provide the client? (Select all that apply.)
Common foods that are served cold.
Limit use of antiemetics until after first emesis.
Sit up for 1 hr after eating meals.
Eat foods low in carbohydrates.
Sip fluids slowly throughout the day.
19. A nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?
Peptic ulcer disease
Gastroesophageal reflux disease
Celiac disease
Crohn’s disease
20. A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?
Eats at least 5 servings of fruits and vegetables daily.
Eats 6 servings of whole grains daily.
Limits alcohol consumption to 2 drinks per day.
Limits red meat intake to 3oz per day.
21. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
Encourage the client to continue current daily caloric intake.
Recommend a total fiber intake of 12g each day.
Advise the client to add 500 calories per day to the diet.
Refer the client to a weight-loss support group.
22. A nurse is teaching a client about complete and incomplete proteins. Which of the following foods should the nurse include in the teaching as an incomplete protein?
4oz chickpeas
2 poached eggs
2oz cheddar cheese
4oz salmon fillet
23. A nurse is teaching a client about strategies to prevent constipation. Which of the following statements by the client indicates an understanding of the teaching?
Drinking four to five glasses of water per day will prevent constipation.
I should consume mineral oil once per day.
Eating foods high in fiber will make elimination easier.
I can skip a meal if I feel bloated.
24. A nurse has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the nurse take to verify tube placement?
Measure the tube length.
Obtain an abdominal x-ray.
Flush the tube with 20 mL of water.
Auscultate the client’s lungs.
25. A nurse is admitting a client who practices Hinduism. The nurse should identify that which of the following foods is prohibited according to Hindu dietary practices?
Pork
Chicken
Beef
Seafood
26. A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?
Encourage the client to participate in developing a system of rewards.
Arrange for someone to remain with the client for 30 min after meals
Offer the client a selection of beverages at each meal.
Inform the client that a weight gain of 2.3 kg per week is expected.
27. A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
50
28. A home health nurse is conducting an initial visit with an older adult client. The client lives alone and has difficulty preparing his own meals. Which of the following actions should the nurse take first?
Discuss nutritional requirements with the client.
Refer the client to a senior citizen center.
Arrange for a home-delivered meal program.
Perform a nutrition screening.
29. A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?
Formula that remains in the bottle should be used for one more feeding.
Formula should be changed to whole milk when the infant is 9 months old.
If the infant is gaining weight too rapidly, dilute the formula.
If the infant turns away after taking most of the feeding, stop the feeding.
30. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?
Baked ham
Processed cheese
Broiled salmon
Canned potato soup
31. A nurse is teaching a client about adding more fiber to his diet. The nurse should teach the client that which of the following foods has the highest fiber content?
1 cup cooked sweet potato
1 slice rye toast
1 cup raw watermelon
1 oz cashews
32. A nurse is evaluating the meal choices of a client who has major depressive disorder and a prescription of Phenelzine. Which of the following selections should the nurse identify as appropriate?
Cheddar cheese
Smoked salmon
Strawberry yogurt
Pepperoni pizza [Show Less]