Deck 61: Nutrition

Question 1

The nurse is caring for a client receiving enteral nutrition through a syringe. Midway through the feeding, the client complains of gas pains. Which is the nurse's best action at this time?

A)Contact the healthcare provider.
B)Clamp the tubing going to the client for a short time to see if symptoms are relieved.
C)Stop the feeding and remove the nasogastric tube.
D)Continue the feeding while reassuring the client that this is a common issue related to enteral feedings.

Answer 1

Clamp the tubing going to the client for a short time to see if symptoms are relieved.

Question 2

The nurse knows that which setting would be most effective in assisting teenagers to eat a more nutritious diet?

A)In a small group of their peers
B)At the hospital cafeteria
C)At a table with parents
D)Served to each teenager privately

Answer 2

In a small group of their peers

Question 3

The nurse has just begun a new enteral feeding on a client using a closed system of formula. The nurse labels the bag with the time and date it was begun (1300 hours on 12/6)knowing that this will mean the feeding tubing set will need to be changed at which time and date?

A)1300 hours on 12/7
B)0100 hours on 12/7
C)1300 hours on 12/8
D)1300 hours on 12/9

Answer 3

1300 hours on 12/7

Question 4

The nurse is working with a group of parents who have children that are extremely picky eaters and tells them that which makes the biggest impact on a child's lifetime eating habits?

A)Peer groups as teenagers
B)Being breastfed as an infant
C)Habits learned as a young child
D)Lessons on nutrition taught in middle school

Question 5

The nurse is completing an anthropometric measurement of an individual and should use which instruments to complete this assessment?

A)Yard stick and scale
B)Yard stick and tape measure
C)Tape measure and ruler
D)Tape measure and skinfold caliper

Question 6

The nurse is completing an admission assessment of a bedridden client and will use which technique to measure the height of this client?

A)Place the client in a bed sling and use a tape measure to measure the client's length.
B)Ask the client to fully extend both arms out to the sides of the body and measure the arm span.
C)Assist the client to a sitting position and measure the length of the client's spine and double the number.
D)Using a tape measure, measure around the client's fist and multiply by 5.

Question 7

The nurse is caring for a client receiving total parenteral nutrition and will instruct the unlicensed assistive person (UAP)to complete which assessment every 4 hours?

A)Blood pressure
B)Pulse
C)Temperature
D)Pain level

Question 8

The nurse is caring for a client who will be receiving continuous enteral feeding through a nasogastric feeding tube. The nurse is aware that which is the most dangerous complication associated with improper nasogastric tube placement?

A)Diarrhea
B)Vomiting
C)Pneumonia
D)Dehydration

Question 9

The nurse is working with a group of parents of toddlers and should know that further instruction is needed when which statement is heard?

A)"I carefully cut up all of my child's food so he can easily eat it."
B)"I put food on my toddler's plate but I don't get upset if he doesn't eat it all."
C)"I promise my toddler that he can have a cookie if he does what I ask him to do."
D)"I allow my child to help me cook even though it gets pretty messy."

Question 10

The nurse is performing a nutritional assessment of an older adult client who has reported a 10-pound weight loss in the last 6 weeks with no history of dieting. If no disease process is found, the nurse is aware that weight loss can result from what issue for this age group?

A)The client attends a daily meal program for senior citizens.
B)The client appears to have loose, ill-fitting dentures.
C)The client lives with a daughter who fixes dinner every night.
D)The client has a regular elimination schedule.

Question 11

The nurse started a lipid infusion on a client approximately 1 hour ago and will observe for which signs and symptoms related to lipid side effects? Select all that apply.

A)Dizziness
B)Peripheral neuropathy
C)Nausea
D)Joint pain
E)Headache
F)Insomnia

Question 12

The nurse has just completed insertion of a nasogastric tube that is needed for gastric lavage of a client. Radiographic confirmation of placement is not possible at this time, so the nurse should use which method to best determine tube placement?

A)Aspirate gastric contents and determine the bilirubin level.
B)Observe for signs of respiratory distress.
C)Determine that the pH of the gastric aspirate is below 4.
D)Detect for carbon dioxide and determine the gastric pH.

Question 13

The nurse is teaching a group of toddler parents about snack foods that are safe for this age group and should include which food in this teaching?

A)Grapes
B)Popcorn
C)Corn chips
D)Applesauce

Question 14

The nurse is caring for a client who is in the midst of a 24-hour urine collection for urinary nitrogen and would know which test will help determine if the client has an adequate intake of what nutrient?

A)Carbohydrates
B)Fats
C)Proteins
D)Sugars

Question 15

The nurse is assisting a client with swallowing difficulties to eat and should encourage the client to put how much food on the spoon at one time?

A)1/4 tsp
B)1 tsp
C)1 tbs
D)3 tbs

Question 16

The nurse is feeding a client with dementia and should assist swallowing with which nursing action?

A)Encourage the client to drink water between each bite.
B)Stroke the client in a downward motion under the chin.
C)Blow softly in the client's face to encourage swallowing.
D)Tell the client to quickly take bites to facilitate swallowing.

Question 17

The nurse is teaching about nutritional requirements of the newborn to his new parents. The nurse should recognize that the parents need further instruction when which statement is made?

A)"I will only feed my baby as much formula as he wants to eat at each feeding."
B)"I will mix rice cereal in my baby's bottle before he goes to bed so he will sleep better."
C)"I will hold my baby while I feed him and for about 15 minutes after he eats."
D)"I will wash my hands before I mix my baby's formula."

Question 18

The nurse is preparing to insert a nasogastric tube into a newborn and plans to use which landmark to ensure that the tube reaches into the infant's stomach?

A)The tip of the xiphoid process
B)Midway between the nipples
C)Midway between the xiphoid and the umbilicus
D)The top of the symphysis pubis

Question 19

The nurse observes a client with dysphagia who is eating and should discourage which activity?

A)Using a straw
B)Using a spoon to eat a milkshake
C)Using a towel under the plate
D)Sitting at a 90-degree angle in bed

Question 20

The nurse has just finished inserting a nasogastric tube into a client that will be used for enteral feeding and knows that prior to starting the feeding, tube placement will best be confirmed using which method?

A)Determining the presence of carbon dioxide
B)Ensuring that the gastric aspirate has a pH higher than 7
C)Obtaining an x-ray to confirm placement
D)Inserting 30 mL of air into the tube and listening over the stomach for the whoosh

Question 21

The nurse is preparing to infuse intravenous lipids on a client and should utilize which safety considerations when completing this action?Select all that apply.

A)Perform hand hygiene prior to touching any of the equipment.
B)Swab the stopper of the IV bottle with alcohol and immediately spike the bottle.
C)Hang the IV bottle of lipids approximately 18 inches above the IV site.
D)Piggyback the lipids into the port closest to the client.
E)Set the pump for 100 mL/hour.