NURSING 2362 Module 7 Exam. Questions and Answers. GRADED A.Questions
) 1.ID: 8482583554The nurse is instructing a client with hypertension about
... [Show More] foods
that are low in sodium. Which menu selections by the client indicate to the nurse that the client
understands what has been taught? Select all that apply.
Spaghetti with fresh tomatoes Correct
Boiled lobster with baked potato
Grilled chicken with turnip greens Correct
Instant hot cereal with bacon
Tomato soup with a ham sandwich
) Rationale: Foods that are lower in sodium include fruits and vegetables, which do
not contain physiologic saline. Fresh poultry and pastas are also low in sodium. Highly processed
and refined foods and luncheon meats are high in sodium unless they are specifically labeled
“low sodium.” Saltwater fish and shellfish are higher in sodium.
)
) Test-Taking Strategy: Use the process of elimination and focus on the subject,
selecting low-sodium foods. Begin to answer this question by eliminating boiled lobster with
baked potato, because saltwater fish and shellfish are high in sodium. Next eliminate the options
that contain processed foods and luncheon meats. Review foods that are high and low in sodium
if this question was difficult.
)
) Level of Cognitive Ability: Evaluating
)
) Client Needs: Physiological Integrity
)
) Integrated Process: Nursing Process/Evaluation
)
) Content Area: Nutrition
)
) References: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical
management for positive outcomes (8th ed., pp. 138, 1439). St. Louis: Saunders.
) Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patientcentered collaborative care (6th ed., p. 184). St. Louis: Saunders. Awarded 2.0 points out of 2.0
possible points.
) 2.ID: 8482583566A nurse has provided dietary instructions to a client with a new
diagnosis of gout. Which menu suggestions by the client indicate to the nurse that the client
needs additional instruction? Select all that apply.
Carrots
Tapioca
Scallops Correct
Broccoli
Chicken liver Correct
) Rationale: Organ meats such as liver, as well as certain sea foods, including
scallops, sardines, and herring, should be omitted from the diet of the client who with gout
because of the high purine content. The foods identified in the other options contain negligible
amounts of purines and may be consumed freely by the client with gout.
)
) Test-Taking Strategy: Note the strategic words “needs additional instruction,”
which indicate a negative event query and the need to select foods that are unacceptable for this
client. Recalling foods that are high in purines will direct you to the correct options. Review
these foods if you had difficulty with this question.
)
) Level of Cognitive Ability: Evaluating
)
) Client Needs: Physiological Integrity
)
) Integrated Process: Teaching and Learning
)
) Content Area: Nutrition
)
) Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:
Patient-centered collaborative care (6th ed., p. 354). St. Louis: Saunders. Awarded 2.0 points out
of 2.0 possible points.
) 3.ID: 8482583570A clear liquid diet has been prescribed for client who has just
undergone surgery. Which foods should the nurse offer to the client? Select all that apply.
Custard
Apple juice Correct
Orange juice
Chicken broth Correct
Orange gelatin Correct
Vanilla ice cream
) Rationale: A clear liquid diet consists of foods, such as apple juice, chicken broth,
and gelatin, which are relatively transparent. Custard, orange juice, and vanilla ice cream are
components of a full liquid diet.
)
) Test-Taking Strategy: Remembering that a clear liquid diet consists of foods that
are relatively transparent will direct you to the correct options. Review the foods allowed on
clear liquid and full liquid diets if you had difficulty with this question.
)
) Level of Cognitive Ability: Applying
)
) Client Needs: Physiological Integrity
)
) Integrated Process: Nursing Process/Implementation
)
) Content Area: Nutrition
)
) References: Nix, S. (2009). Williams’ basic nutrition and diet therapy (13th ed., p.
330). St. Louis: Mosby.
) Perry, A., & Potter, P. (2010). Clinical nursing skills & techniques (7th ed., p.
809). St. Louis: Mosby. Awarded 3.0 points out of 3.0 possible points.
) 4.ID: 8482587634Triamterene (Dyrenium) has been prescribed for a client with a
history of hypertension. Which fruits should the nurse tell the client to avoid while taking this
medication? Select all that apply.
Prunes Correct
Apples Incorrect
Peaches
Avocados Correct
Nectarines Correct
Cranberries
) Rationale: Triamterene is a potassium-sparing diuretic, so the client should avoid
foods high in potassium. Fruits that are naturally high in potassium include dried prunes,
avocado, bananas, fresh oranges and mangoes, nectarines, and papayas.
)
) Test-Taking Strategy: Note the strategic word “avoid” in the query of the question.
To answer this question correctly, you need to recall that triamterene is a potassium-sparing
diuretic, then identify the high-potassium foods. This will direct you to the correct options. If you
had difficulty with this question, review this medication and food items high in potassium.
)
) Level of Cognitive Ability: Applying
)
) Client Needs: Physiological Integrity
)
) Integrated Process: Teaching and Learning
)
) Content Area: Nutrition
)
) References: Hodgson, B., & Kizior, R. (2010). Saunders nursing drug handbook
2010 (p. 1151). St. Louis: Saunders.
) Nix, S. (2009). Williams’ basic nutrition and diet therapy (13th ed., p. 480). St.
Louis: Mosby. Awarded 1.0 points out of 3.0 possible points.
) 5.ID: 8482585505Diverticulitis has been diagnosed in a client who has been
experiencing episodes of gastrointestinal cramping. The nurse should tell the client to maintain,
during the asymptomatic period, a soft diet that is:
Low in fat
High in fiber Correct
Low in residue
High in carbohydrates [Show Less]