Nursing Nutrition

Question 1

RN teaching pt undergoing cancer treatment about interventions to manage stomatitis. Pt indicates understanding?

Accepted Answer

I will avoid toasting my bread

Question 2

RN educator teaching class-culture & food to newly hired RNs. Which statements by new RN shows understanding of teaching

Accepted Answer

Clients who practice orthodox Judaism don't eat meat with dairy products

Question 3

RN conducting-nutrition class to grp of women at community center. Which info should nurse include in teaching?

Accepted Answer

Good bowel function requires 35 g/day of fiber for women

Question 4

RN caring for pt-will receive a level 2 dysphagia diet due to recent stroke. Which dietary selection is most appropriate

Accepted Answer

Poached eggs

Question 5

Pt records say weight gain in abdomen & laboratory findings of elevated blood glucose&triglycerides. These findings are?

Accepted Answer

Metabolic syndrome

Question 6

RN preparing to give lipid emulsion & notes a layer of fat floating in the IV solution bag. Which action should RN take?

Accepted Answer

Return the bag to the pharmacy

Question 7

Which of the following are suggestive of malnutrition

Accepted Answer

Poor wound healing, Dry hair, Weak hand grips, Impaired coordination

Question 8

RN caring for a pt who follows a vegan diet. Which of the following foods should the RN offer the client?

Accepted Answer

Wheat toast with peanut butter

Question 9

RN caring for pt undergoing cancer treatment & reports difficulty eating due to inability to taste food. RN recommends?

Accepted Answer

Use plastic utensils to eat

Question 10

A charge RN is teaching a grp of RNs about medication compatibility w/TPN. Which statements should the charge RN make?

Accepted Answer

Regular insulin may be added to the TPN solution

Question 11

RN providing teaching to pt who does vegan dietary practices. RN instructs pt to ensure consuming which nutrients?

Accepted Answer

Calcium, Vitamin B12, Vitamin D

Question 12

Charge RN give info-fat emulsion added to total parenteral nutrition to grp of RNs. Statements by charge RN correct?SATA

Accepted Answer

Adding lipid emulsion gives the solution a milky appearance, Lipid emulsion prevents essential fatty acid defiency, Check for allergies to soybean oil, Concentration of lipid emulsion can be up to 30%

Question 13

RN discussed use-low profile gastrostomy device w/parent of child-receiving enteral feeding. Appropriate statement by RN

Accepted Answer

Tub bath are allowed with this device

Question 14

What are essential nutrients for normal functioning of nervous system

Accepted Answer

Thiamin, Vitamin B6, Sodium, Calcium

Question 15

Community health RN-assess pt reports numbness hands & feet-past 2 wks. This finding is which nutritional deficiencies?

Accepted Answer

Vitamin B12

Question 16

RN caring for pt-multiple sclerosis & requires liquid w/honey thickness. Which foods can pt consume w/out adding thicken

Accepted Answer

Yogurt

Question 17

RN is assessing a 6 month infant who has lactose intolerance. Which of the following findings should RN except? (SATA)

Accepted Answer

Flatus, Occasional diarrhea, Abdominal distention

Question 18

RN plan care for pt w/new prescription for peripheral parenteral nutrition. Which should RN include in plan of care?SATA

Accepted Answer

Examine trends in weight loss, Add a micron filter to IV tubing, Use an IV infusion pump, Review prealbumin finding

Question 19

School RN is teaching a grp of teens-health snack foods. Which of foods should the RN include in the teaching?(SATA)

Accepted Answer

Cheese and crackers, Unbuttered popcorn, Carrot sticks with low fat dip

Question 20

RN teaching a grp of pregnant clients -iron rich foods. Which of the foods should the nurse include in the teaching?(SAT

Accepted Answer

Beans, Fish, Lean red meats

Question 21

RN is reinforcing dietary teaching to a pt who has type 2 diabetes mellitus. Which should RN include in teaching?(SATA)

Accepted Answer

You can add table sugar to cereals, You can drink one alcoholic beverage with a meal, Carbohydrates should comprise 55% of daily caloric intake, Use the same portion sizes to exchange carbohydrates

Question 22

RN teaching a pt about protein needs when on dialysis. Which of the instructions should RN include in teaching?(SATA)

Accepted Answer

Increase biologic sources of protein, such as eggs, milk, & soy, Increase protein intake by 50% of the recommended dietary allowance (RDA), Consume 35 kcal/kg of body weight to maintain body protein stores, Take phosphate binders when eating protein rich foods

Question 23

RN should recognize which of the following pt BMIs as overweight?

Accepted Answer

BMI of 27

Question 24

RN performing dietary needs assessments for grp of pts. A blenderized liquid diet appropriate for which of the pts?(SATA

Accepted Answer

client who is 24 hr postoperative following temporomandibular joint repair, Client who has difficulty chewing due to oral surgery, A client who has a wired jaw due to motor vehicle crash

Question 25

Which of the following is associated with hypothyroidism disorder?

Accepted Answer

Decreased metabolic demand

Question 26

RN teaching pt starting continuous feedings -various types of enteral nutrition formulas. RN should include in teaching?

Accepted Answer

Standard formula contains whole protein

Question 27

RN assess pt-postoperative from gastric bypass&finished eating a meal. Which are manifestations of dumping syndrome?SATA

Accepted Answer

Diarrhea, Hypotension, Dizziness

Question 28

RN providing info to pt w/new diagnosis of type 1 diabetes mellitus. Which info should the RN include?(SATA)

Accepted Answer

A viral infection can trigger the onset of type 1 diabetes melitus, Type 1 diabetes mellitus usually occurs before age 30, Regular exercise can reduce insulin requirements type 1 diabetes mellitus

Question 29

Charge RN informs class which increases BMR?

Accepted Answer

Puberty, Prolonged stress, Lactation

Question 30

RN providing teaching to pt taking phenelzine. RN informs eating which food w/med could cause a hypertensive crisis?

Accepted Answer

Smoked fish

Question 31

Which is required component of food labels that RN should educate on?

Accepted Answer

Dietary Fiber, Total Fate, Calories, Total carbohydrates

Question 32

RN in assisted living facility caring for older adult pt. RN should know older adults have decreased absorption of?(SATA

Accepted Answer

Calcium, Folic Acid

Question 33

RN is assessing a pt who has hypoglycemia. Which of the following findings should the nurse expect?

Accepted Answer

Diaphoresis

Question 34

School RN teaching high school class-causes of negative nitrogen balance. Which should RN include in teaching?

Accepted Answer

Malnutrition, Illness, Trauma

Question 35

RN educating the parents of toddler-appropriate snack foods. Which of the foods should the RN include in teaching?(SATA)

Accepted Answer

Graham creackers, Cheese cubes, Apple slices

Question 36

RN caring for Asian client w/hypertension. Which traditional Asian dietary pattern places pt at risk for this condition?

Accepted Answer

Preparation of foods using sodium

Question 37

RN caring for pt-transitioning to an oral diet after partial laryngectomy. What should RN do to reduce pt aspiration?

Accepted Answer

Encourage the client to tuck the chin when swallowing

Question 38

When learning about food allergies, RN can teach that infants who react to this usually outgrow it

Accepted Answer

Cow's milk, Soy

Question 39

Older pt receiving treatment for malnutrition. Pt to be discharge home, he lives alone. RN needs to include in care?SATA

Accepted Answer

Recommend drinking a supplement between meals, Consult social services to arrange home meal delivery, Educate the client on how to read nutrition labels, Advise the client to purchase frozen fruits & vegetables

Question 40

S/S of HIV associated muscle wasting.

Accepted Answer

Report of fever for 30 days

Question 41

RN is teaching pt who has constipation about high fiber, low fat diet. Which food choices by pt indicates understanding?

Accepted Answer

Brown rice

Question 42

RN teaching pt w/cancer about ways to increase protein & calories in foods. Which actions should the nurse include?(SATA

Accepted Answer

Use peanut butter as a spread on crackers, Sprinkle cheese on a baked potato, Dip chicken in eggs before cooking, Top fruit with yogurt

Question 43

RN plans to create dietary guideline for pt who has type 2 diabetes mellitus. Which info should RN use in diet plan?SATA

Accepted Answer

Cultural needs, Weight management, Lipid profile, Personal preferences

Question 44

RN is collecting data from pt who has peptic ulcer disease. Which of the following findings should the RN expect?(SATA)

Accepted Answer

Tarry stools, Epigastric pain, Anemia

Question 45

RN assisting pt-prescription for mechanical soft diet w/food selections. Which appropriate selections by

Accepted Answer

Mashed carrots, Cottage Cheese, Ground turkey

Question 46

RN teaching diet restrictions to pt w/acute kidney injury & is on hemodialysis. What should RN include in the teaching?

Accepted Answer

Decrease potassium intake to 60 to 70 mEq/kg

Question 47

RN preparing-give intermittent enteral feeding-pt-neuromuscular disorder. Which are appropriate RN interventions?(SATA)

Accepted Answer

Discard feeding equipment after 24 hr, Label the unused portion of the formula

Question 48

RN instructing a pt who has celiac disease about foods to avoid. Which foods should RN include in the teaching?

Accepted Answer

Graham crackers

Question 49

RN teaching pt-dietary recommendations to lower HBP. Which of the following indicates understanding of teaching by pt?

Accepted Answer

I should consume low-fat dairy products

Question 50

RN done discharge teaching about diet & fluid restrictions pt w/calcium oxalate based kidney stone. RN should include?

Accepted Answer

Reduce intake of spinach

Question 51

RN teaching pt w/new diagnosis HBP & prescription for a low sodium diet. Which pt statements shows understanding?(SATA)

Accepted Answer

I need to read food labels when grocery shopping, I know that deli meats are usually high in sodium, I can refer to American Heart Association's website for dietary guidelines, I will stop eating frozen dinners for lunch at work

Question 52

Which of the meds decreases the body's rate of metabolism?

Accepted Answer

Amitriptyline

Question 53

RN providing teaching to a pt w/vitamin B12 deficiency. Which of the foods should RN instruct pt to consume?(SATA)

Accepted Answer

Eggs, Milk, Meat

Question 54

RN is teaching community program on nutritional guidelines for cancer prevention. What should RN include?(SATA)

Accepted Answer

Eat foods high in vitamin A, Add cruciferous vegetables

Question 55

RN is administering bolus enteral feedings to a pt w/malnutrition. Which are appropriate nursing interventions?(SATA)

Accepted Answer

Administer the feeding at room temperature, Inspect the tube insertion site, Verify the presence of bowel sounds, Flush the feeding tube with warm water

Question 56

RN caring for several pts in an extended care facility. Which clients is highest priority to be observed during meals?

Accepted Answer

A client who has Parkinson's disease

Question 57

RN is caring for pt who has diabetes mellitus, is shaky & weak. Which of the following actions should the RN take?

Accepted Answer

Offer the client 120 mL (4oz) fruit juice

Question 58

RN is planning care for a pt who has ESKD. Which of the following should RN include in the plan of care?(SATA)

Accepted Answer

Encourage the client to comply with fluid restrictions, Monitor for constipation, Monitor the client's weight daily, Evaluate intake & output

Question 59

RN caring-pt post appendectomy. Verifies postoperative prescription-"discontinue NPO, diet as tolerated" RN offers?SATA

Accepted Answer

Chicken broth, Cranberry juice

Question 60

RN is teaching a pt who is recovering from pancreatitis about low fat diet. Which of the foods should RN recommend?(SATA

Accepted Answer

Canned peaches, Oatmeal, Pretzels

Question 61

RN teaching a pt about high fiber foods that can assist in lowering LDL. Which foods should RN include in teaching?(SATA

Accepted Answer

Broccoli, Beans, Whole grains

Question 62

RN plan care for client receiving enteral nutrition-continuous infusion. Which should be included in plan of care?(SATA)

Accepted Answer

Flush the feeding tube every 4 hrs, Reinstill the residual feeding into the stomach, Administer with an infusion pump

Question 63

RN teaches pt who has stage 2 chronic kidney disease about dietary management. Which info should RN include in teaching?

Accepted Answer

Restrict protein intake

Question 64

risk factors for developing osteoporosis.?

Accepted Answer

Inactivity, Family history, Cigarette smoking

Nursing Nutrition

Questions 69

Nursing Nutrition

Questions 69