Deck 47: Nutrition

Question 1

Unlicensed assistive personnel are assigned the task of feeding breakfast to older clients with alterations in mobility and orientation.What instruction should the nurse include in this delegation?

A)Breakfast should be completed quickly so that baths may begin.
B)Give fluids before and after each bite of solid foods.
C)Stand to the left of right-handed clients during feeding.
D)Engage the client in conversation during the meal.

Answer 1

Engage the client in conversation during the meal.

Question 2

The parents of a 7-month-old child have started offering solid foods to their baby.The baby has enjoyed and tolerated rice cereal,applesauce,and other fruits.Which food should the nurse recommend to be introduced next?

A)Strained beef
B)Green beans
C)Squash
D)Strained chicken

Answer 2

Squash

Question 3

What nursing diagnosis is the most important for the nurse to include in the care plan of a client who has just been started on total parenteral nutrition (TPN)therapy?

A)Risk for Infection
B)Imbalanced Nutrition: Less Than Body Requirements
C)Activity Intolerance
D)Fluid Volume Deficit

Answer 3

Risk for Infection

Question 4

A client who has undergone a gastrointestinal surgery is permitted to have a clear liquid diet on the second postoperative day.Which fluid should the nurse order from the diet kitchen for this client?

A)Apricot nectar
B)Cranberry juice
C)Chicken broth
D)Cherry ice pop

Question 5

The nurse notes that the tube-fed client has shallow breathing and dusky color.The feeding is running at the prescribed rate.What should the nurse do first?

A)Place the client in high Fowler's position.
B)Turn off the tube feeding.
C)Assess the client's lung sounds.
D)Assess the client's bowel sounds.

Question 6

A client reports following the "food pyramid" to guide nutritional intake.How should the nurse evaluate this information?

A)Because this food pyramid is produced by the U.S.Department of Agriculture,the client is likely consuming necessary levels of all essential nutrients.
B)The food pyramid is most useful when applied to the nutritional intake of children.
C)The food pyramid is not very useful because it does not take fluid intake and combination foods into consideration.
D)Following the appropriate food pyramid is helpful,but there are additional factors to consider in a balanced diet.

Question 7

Nitrogen balance testing is planned for a client.What instruction to the staff caring for this client is essential?

A)Remove the client's oxygen cannula 10 minutes prior to the test.
B)Accurate measurement of food intake is very important.
C)All urine output should be collected for 48 hours.
D)Keep the client NPO beginning at midnight before the test.

Question 8

The nurse has delegated administration of tube feeding to a specially trained UAP.What action should be taken by the nurse in regard to this delegation?

A)Order the equipment to give the feeding.
B)Check the tube for placement.
C)Set up the equipment and mix the feeding.
D)Regulate the rate of the feeding.

Question 9

The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep.What instruction should the nurse give this parent?

A)Make the baby wait at least 3 hours between feedings.
B)Continue to feed the baby with this on-demand schedule.
C)When the baby gets sleepy during feeding,use techniques such as moving around and tickling to encourage wakefulness.
D)Offer the baby less formula to prevent waste.

Question 10

The nurse is instructing a client on foods that are considered complete proteins.What will the nurse include in these instructions?
Standard Text: Select all that apply.

A)Meat
B)Gelatin
C)Eggs
D)Chicken
E)Fish

Question 11

During diet teaching with a client diagnosed with diabetes,the nurse should instruct that the most prevalent monosaccharide is

A)fructose.
B)galactose.
C)corn syrup.
D)glucose.

Question 12

The client is weighed each month while residing in the long-term care facility.This month the client weighs 110 lb (50 kg).The nurse compares this weight to the last 3 months' results and discovers the client has lost 22 lb (10 kg).There has been no attempt to lose this weight.How should the nurse interpret this weight loss?

A)No malnutrition
B)Mild malnutrition
C)Moderate malnutrition
D)Severe malnutrition

Question 13

The nurse is preparing to insert a nasogastric tube into a client.In what order will the nurse conduct the following steps?
Standard Text: Click and drag the options below to move them up or down.

A)Ask the client to tilt the head forward.
B)Insert the tube with its natural curve toward the client.
C)Ask the client to hyperextend the neck.
D)Have the client swallow a small amount of liquid.
E)Employ a slight twisting motion on the tube.

Question 14

A client reports that an adolescent family member has started a vegan diet.Which additions to meals should the nurse recommend to help ensure that the adolescent does not become deficient in calcium?
Standard Text: Select all that apply.

A)Tofu
B)Soybeans
C)Brewer's yeast
D)Raisins
E)Okra

Question 15

The nurse notices that the client's continuous open system tube-feeding set is almost empty.What action should the nurse take?

A)Add tube feeding to the set.
B)Discontinue the feeding and hang a closed system bag.
C)Wash out the set and add new feeding.
D)Flush the set with clear carbonated soda and discontinue.

Question 16

As the nasogastric tube is passed into the oropharynx,the client begins to gag and cough.What is the correct nursing action?

A)Remove the tube and attempt reinsertion.
B)Give the client a few sips of water.
C)Use firm pressure to pass the tube through the glottis.
D)Have the client tilt the head back to open the passage.

Question 17

The nurse has advised the client to consume alcohol only in moderation.What guideline should the nurse provide as a "moderate" alcohol intake?

A)Two drinks per week for women,three for men
B)Two drinks per day for women,three for men
C)One drink per day for women,two for men
D)One drink per week for women,two for men

Question 18

What criteria should the nurse use to evaluate to determine if an infant's regurgitation,or spitting up,should be further investigated?

A)How often the baby spits up
B)How much the baby spits up at a time
C)If the baby is gaining weight adequately
D)The consistency of the regurgitated matter

Question 19

The nurse has instructed an overweight client to follow a 2,000-calorie diet by substituting foods considered low in calories for those higher in calories.How should the client interpret the food label to decide if a food is low in calories?

A)The product label will state "lighter" or "reduced calories."
B)The Nutrition Facts label will have the letter "L" located in the lower right corner.
C)Nutritional labeling on the product will indicate less than 40 calories per serving.
D)The product will contain no more than 11% fat.

Question 20

The nurse completes triceps skinfold measurement on a client.In order to obtain the most meaningful data,how soon should the nurse repeat this measurement?

A)2 days
B)10 days to 2 weeks
C)1 month
D)1 year

Question 21

A client diagnosed with negative nitrogen balance tells the nurse about participating in ritualistic fasts as a part of his culture.The client abstains from all food for several days at a time.What should the nurse discuss with the client regarding this practice?

A)The amount of weight the client will lose during the fasts
B)The need to ingest some carbohydrates for body functions
C)The amount of calories the client will need to ingest after fasting for several days
D)The importance of the practice to the client

Question 22

A client is prescribed a 1600-calorie diet.Of this diet,30% of the intake should be protein,20% fat,and 50% carbohydrates.How many grams of carbohydrates should the client ingest every day?
Standard Text: Calculate to the nearest whole number.

Question 23

The nurse is concerned that an older client is at risk for aspiration.What feeding techniques should the nurse instruct the family to use once the client is discharged?
Standard Text: Select all that apply.

A)Thicken all fluids.
B)Use the chin-tuck method.
C)Place the client in a seated position
D)Focus on food preferences.
E)Keep the head of the bed at a 30-degree angle.

Question 24

The nurse has finished providing a tube feeding to a client.What should the nurse document about this procedure?
Standard Text: Select all that apply.

A)Name of physician prescribing the feedings
B)Solution provided
C)Amount of fluid
D)Duration of the feeding
E)Client tolerance of the feeding

Question 25

The nurse is planning interventions for a client to improve the appetite.What actions would be appropriate for this client?
Standard Text: Select all that apply.

A)Select small portions.
B)Avoid unpleasant treatments immediately before or after a meal.
C)Ensure a clean environment free of unpleasant sights and odors.
D)Encourage oral hygiene before a meal.
E)Provide medication for pain or other symptoms after a meal.

Question 26

A client tells the nurse that fresh fruit should be eaten only on an empty stomach,as it will cause other foods to ferment in the stomach.The nurse realizes this client's nutritional status is influenced by

A)lifestyle.
B)culture.
C)beliefs about food.
D)religious practices.

Question 27

The nurse is preparing to administer a feeding to a client with a gastrostomy tube.What should the nurse do before providing this feeding?

A)Assess tube placement.
B)Measure vital signs.
C)Assist the client to a prone position.
D)Lower the head of the bed.

Question 28

A client is diagnosed with an elevated cholesterol level.What should the nurse instruct the client regarding foods to avoid?
Standard Text: Select all that apply.

A)Fish
B)Milk
C)Liver
D)Chicken
E)Egg yolk

Question 29

The nurse is planning an educational program for community members on ways to improve nutritional intake.What information should the nurse include about carbohydrate digestion and metabolism?
Standard Text: Select all that apply.

A)Enzymes are needed to digest carbohydrates.
B)The breakdown of carbohydrates results in simple sugars.
C)Carbohydrates are a major source of body energy.
D)The simple sugar glucose provides a readily available source of energy.
E)Pancreatic amylase enhances the use of glucose by the body cells.

Question 30

A client asks the nurse for help in selecting foods,as some are "good" and others are "bad." How should the nurse respond to the client?
Standard Text: Select all that apply.

A)"Eat a wide variety of foods to furnish adequate nutrients."
B)"Avoid starchy foods."
C)"Limit foods with high-fructose corn syrup."
D)"Eat three meals a day to reduce calories."
E)"Eat moderately to maintain correct body weight."

Question 31

A client receives several tube feedings each day.After documenting the client's tolerance of the feedings and assessments in the medical record,the nurse should also document the amount of feeding provided on the

A)graphic sheet.
B)dietary consultation notes.
C)vital signs record.
D)intake and output record.

Question 32

The nurse is planning instruction for a client who is underweight.What should be included in this teaching?
Standard Text: Select all that apply.

A)Discuss factors contributing to inadequate nutrition and weight loss.
B)Discuss ways to manage,minimize,or alter the factors contributing to malnourishment.
C)Discuss principles of a well-balanced diet and high- and low-calorie foods.
D)Provide information about community agencies that can assist in providing food.
E)Provide information about ways to increase calorie intake.

Question 33

A client is diagnosed as having a negative nitrogen balance.What should the nurse instruct the client about this finding?

A)Discuss ways to reduce protein in the diet.
B)Review how to limit carbohydrates in the diet.
C)Discuss ways to increase protein in the diet.
D)Analyze reasons why fats should be limited in the diet.