Term
A client who has been diagnosed with congestive heart failure reports a weight gain of 8 lb (3.62 kg) in the past month. the nurse should recognize that this weight gain is most likely due to
A) reduced physical activity.
B) overeating.
C) decreased metabolic rate.
D) fluid retention. |
|
Definition
|
|
Term
An insulin-dependent client is given instructions to follow an 1,800-kilocalorie diabetic diet. Which of these dietary instructions should a nurse stress for the client?
A) Carbohydrates need to be minimized in the diet.
B) Meals and snacks must be eaten on a regular schedule.
C) Protein selections should be of high biological value.
D) Food intake should be decreased during times of illness |
|
Definition
| B) Meals and snacks must be eaten on a regular schedule. |
|
|
Term
During the first 24 to 48 hours of hospitalization for a client who sustained second- and third-degree burns over 50% of the body, which of these nutritional needs should take priority?
A) Fluid and electrolyte replacement.
B) High-calorie and high-protein intake.
C) Vitamin and mineral supplementation.
D) Low-residue and nutrient-dense intake. |
|
Definition
| A) Fluid and electrolyte replacement. |
|
|
Term
A nurse is making a home visit to a mother of a 2-month-old baby. The baby has shown signs of failure to thrive. Which of these assessments by the nurse would provide the most useful data?
A) inquire about the family's eating habits.
B) Obtain information about th eroute of the baby's delivery.
C) Ask the mother about her weight gain during pregnancy.
D) Observe the mother feeding the infant. |
|
Definition
| D) Observe the mother feeding the infant |
|
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Term
The major disadvantage of a clear liquid diet is that the
A) diet is nutritionally inadequate.
B) high fluid intake leads to diarrhea.
C) fluids allowed are not palatable.
D) high caloric content results in hyperglycemia. |
|
Definition
| A) diet is nutritionally inadequate. |
|
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Term
When planning care for a client, a nurse should recognize that the characteristic which distinguishes a pureed soft diet from a mechanical soft diet or a regular soft diet is
A) fiber content.
B) nutritive value.
C) texture.
D) cost. |
|
Definition
|
|
Term
Which of these dietary modifications should a nurse indicate to help increase the oral intake of a client who has dysphagia?
A) clear liquids.
B) bland foods.
C) Thickened liquids.
D) Low-residue foods. |
|
Definition
|
|
Term
A nurse should recognize that total parenteral nutrition is the preferred mode of nutritional support for a client who
A) is comatose.
B) has protein-calorie malnutrition
C) has an esophageal stricture.
D) requires complete bowel rest. |
|
Definition
| D) requires complete bowel rest. |
|
|
Term
| When caring for a client who is receiving total parenteral nutrition, a nurse should recognize that the primary purpose of administering lipid emulsions is to provide |
|
Definition
|
|
Term
A client who has dumping syndrome should be instructed to limit intake of
A) starch.
B) protein.
C) artificial sweeteners.
D) simple sugars. |
|
Definition
|
|
Term
A nurse can determine that a client understands the instructions regarding the American Diabetes Association (ADA) food exchange list, if the client selects nuts as part of which of these groups?
A) Meat.
B) Fats.
C) Bread/starch.
D) Vegetable. |
|
Definition
|
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Term
Which of these food selections, if made by a client on a 500 mg-sodium diet, should indicate to a nurse the need for ADDITIONAL instruction?
A) One tablespoon of corn oil.
B) On raw apple.
C) One half cup of boiled rice.
D) One cup of milk. |
|
Definition
|
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Term
As a means of controlling serum cholesterol levels, a nurse should advise a client to increase the intake of foods that are low in
A) saturated fats.
B) plant proteins.
C) polyunsaturated fats.
D) complex carbohydrates. |
|
Definition
|
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Term
A nurse should advise a client that mineral oil should not be used as a laxative because mineral oil
A) decreases absorption of Vitamins A, D, E, and K.
B) increases absorption of Vitamins A, D, E, and K.
C) increases absorption of B vitamins and Vitamin C.
D) decreases absorption of B vitamins and Vitamin C. |
|
Definition
| A) decreases absorption of Vitamins A, D, E, and K. |
|
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Term
| A 54-year-old client who is in an outclient facility is found to have hypertension, a blood cholesterol level of 225 mg/dL, and a weight that is 37 lb (16.78 kg) above ideal weight. Based on these findings, the primary goal of nutritional counseling is to modify the client's intake of ___. |
|
Definition
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Term
A person who has a protein deficiency is at greater risk for developing which of these problems?
A) infections
B) scurvy
C) elevated blood pressure.
D) malabsorption syndrome. |
|
Definition
|
|
Term
A community-based nurse is discussing calcium intake with a group of senior clients who are at risk for osteoporosis. Which of these statements should the nurse include when explaining why milk products are considered the preferred source of calciium?
A) "Milk products are the most economical source of calcium."
B) "Milk is an important component of the Food Pyramid."
C) "The calcium in milk products is in solution."
D) "The calcium in milk products is well-absorbed and utilized." |
|
Definition
| D) "The calcium in milk products is well-absorbed and utilized." |
|
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Term
| Which method of cooking potatoes should a nurse recommend for a client who must lower potassium intake? |
|
Definition
| Boiling without the skin. |
|
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Term
Which of these diets should a nurse implement for a woman who is recovering from hyperemesis of pregnancy>
A) High-protein liquids every two hours.
B) Frequent meals of soft, bland foods.
C) Frequent small, dry meals, with clear liquids in between.
D) Foods that are high in soluble fiber divided equally throughout the day. |
|
Definition
| C) Frequent small, dry meals, with clear liquids in between. |
|
|
Term
Which of these understandings should a nurse have about the particular nutritional needs of an adolescent who is pregnant?
A) The pregnant adolescent's need for calcium is significantly lower than that of a nonpregnant adolescent.
B) The fetus's nutritional needs stop the growth of the adolescent.
C) The adolescent's need for folic acid is significantly greater than that of an adult gravida.
D) The adolescent's growth needs to compete with those of the fetus. |
|
Definition
| D) The adolescent's growth needs to compete with those of the fetus. |
|
|
Term
An 8-year-old child weighs more than ideal weight. When planning weight management with the child and the mother, a nurse should place most emphasis on which of these interventions?
A) teaching the mother about the risks associated with being overweight.
B) Encouraging the child to increase physical activity.
C) Planning a reduced-calorie meal pattern for the child.
D) Instructing the mother to monitor the child's food intake. |
|
Definition
| B) Encouraging the child to increase physical activity. |
|
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Term
A nurse is providing dietary instruction to the mother of a child who has a diagnosis of phenylketonuria. Which of these foods should be eliminated from the child's diet?
A) Foods seasoned with monosodium glutamate.
B) Foods containing artificial colors.
C) Foods sweetened with aspartame.
D) Foods high in tyramine. |
|
Definition
| C) Foods sweetened with aspartame. |
|
|
Term
When planning nursing care for a child who has been diagnosed with cystic fibrosis, a nurse should recognize that the success of maintaining adequate nutrition depends primarily on the
A) stimulation of sufficient bile production
B) effectiveness of postural drainage
C) maintenance of a normal sodium level
D) replacement of pancreatic enzymes. |
|
Definition
| replacement of pancreatic enzymes. |
|
|
Term
In discussing dietary modifications for a client who was recently diagnosed with a duodenal ulcer, a nurse should make which of these recommendations?
A) eliminate alcohol
B) high-protein diet
C) whole milk with meals
D) eliminate uncooked vegetables. |
|
Definition
|
|
Term
Which of these interventions is essential in the nutritional treatment of renal calculi, regardless of cause?
A) maintaining an acid urine.
B) restriction of sodium.
C) maintaining a dilute urine.
D) restriction of protein. |
|
Definition
| C) maintaining a dilute urine. |
|
|
Term
| When instructing a client who has been diagnosed with fat malabsorption, a nurse should explain that the reason for including medium chain triglyceride (MCT) oil in the diet is that MTC oil is |
|
Definition
| an easily digestible form of fat. |
|
|
Term
A nurse should encourage a client who has a diagnosis of gout to AVOID which of these foods?
A) eggs
B) citrus fruit
C) red meat
D) cereals |
|
Definition
|
|
Term
Which of these nutritional goals should a nurse plan for a client who has been diagnosed with nephrotic syndrome?
A) replace serum electrolytes
B) prevent loss of fatty tissue
C) provide adequate carbs
D) prevent protein malnutrition |
|
Definition
| D) prevent protein malnutrition |
|
|
Term
A 9-year-old child who began taking methylphenidate hydrochloride (Ritalin) one year ago appears to have slowed growth. Which of these assessments would best reveal an explanation for the growth pattern?
A) skinfold measures
B) diet history
C) vitamin assays
D) hair pluckability |
|
Definition
|
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Term
An 18-year-old college freshman who has had diabetes mellitus (Type I) for nine years takes isophane (NPH) and insulin injection (regular Insulin) in the morning and late afternoon. The client reports not having enough time to eat before the first class. Which of these suggestions should the nurse make to the client?
A) store food in your room that can be used in your meal plan
B) eat larger bedtime snacks
C) delay taking morning insulin until after breakfast
D) keep hard candy available if you need it during class. |
|
Definition
| A) store food in your room that can be used in your meal pla |
|
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Term
A nurse is instructing a client who has been diagnosed with diabetes mellitus about food exchanges. The client says that she is unable to eat "the greasy meat" served in the cafeteria. Which of these foods, assuming that they are available, would be a acceptable substitute for her meat exchange?
A) bagels and cream cheese.
B) macaroni and cheese.
C) baked potato and sour cream
D) spaghetti and tomato sauce. |
|
Definition
|
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Term
When instructing a 24-year-old client who eats only a vegetarian diet, a nurse should stress the importance of ingesting adequate
A) calcium
B) protein
C) vitamin B12
D) fats |
|
Definition
|
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Term
The greatest obstacle that a client who has been diagnosed with an infectious liver disease will have to overcome in meeting nutritional needs is
A) pain
B) diarrhea
C) indigestion
D) anorexia |
|
Definition
|
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Term
A client who is on warfarin (Coumadin) sodium therapy should be cautioned to AVOID which of these foods?
A) green, leafy vegetables
B) skim milk
C) whole grain breads
D) poultry |
|
Definition
| A) green, leafy vegetables. |
|
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Term
When planning nursing care for a client who has been diagnosed with renal failure, a nurse should determine the amount of fluid that the client is allowed to consume daily, based on which of these calculations?
A) 10 mL per kg of body weight
B) volume sufficient to maintain normal central venous pressure.
C) 500 mL, plus 250 mL per kilogram of weight loss.
D) Urine output, plus insensible water loss. |
|
Definition
| D) Urine output, plus insensible water loss. |
|
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Term
A client who is newly diagnosed with non-insulin-dependent diabetes mellitus and moderate obesity is started on a regimen of glyburide (Micronase). In conjunction with the medication, which of these diets should a nurse plan for the client?
A) low-carb
B) high-protein, low-fat
C) balanced, kilocalorie-controlled
D) regular, unrestricted |
|
Definition
| C) balanced, kilocalorie-controlled |
|
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Term
A nurse instructs an insulin-dependent diabetic client to have an evening snack that contains a meat or milk exchange. The reason is to
A) control the evening drop in cortisol production.
B) avoid early morning hypoglycemia.
C) prevent the client from experiencing hunger later in the night
D) reduce the requirement for exogenous insulin during the night |
|
Definition
| B) avoid early morning hypoglycemia. |
|
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Term
What lab test is used to evaluate the success of the regimen of an insulin-dependent diabetic client?
A) serum glucose
B) glycosylated hemoglobin
C) serum ketones
D) transferrin saturation |
|
Definition
| B) glycosylated hemoglobin. |
|
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Term
| To evaluate how well a client who is on hemodialysis has adhered to the dietary regimen, a nurse should take which of these actions prior to each treatment? A) ask the client about fluid intake during the 24 hours prior to treatment. B) determine the clients blood glucose level. C) Review the client's food intake since the last treatment. D) compare the client's present weight to the weight after the last treatment. |
|
Definition
| D) compare the client's present weight to the weight after the last treatment. |
|
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Term
When caring for a client for whom oral feeding is contraindicated, a nurse should recognize that enteral tube feeding is preferable to parenteral nurition because enteral tube feeding
A) maintains the normal function of the GI tract.
B) is more readily accepted by the client.
C) provides a source of all three energy-producing nutrients.
D) increases the rate of nutrient availability. |
|
Definition
| A) maintains the normal function of the GI tract. |
|
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Term
Before being diagnosed with AIDS, a client's usual weight was 120 lbs. In the four weeks prior to admission, the client lost 18 lb. Which of these interpretations of this information about the client would be correct?
A) the weight loss is primarily from loss of fluid.
B) the weight loss increases the risk of complications
C) the client's previous use of drugs has interfered with nutrient absorption
D) the initial loss of weight in AIDS clients is followed by stabilization. |
|
Definition
| B) the weight loss increases the risk of complications |
|
|
Term
Which of these dietary modifications should a nurse plan for a client who has ascites?
A) reduction of high-cholesterol foods.
B) restriction of fluid intake
C) increase in folacin
D) increase in vitamin K |
|
Definition
| B) restriction of fluid intake. |
|
|
Term
| A nurse emphasizes to a liver cirrhosis client the importance of refraining from alcohol. What are the physiological effects of alcohol on the liver? |
|
Definition
| increases stress on the liver in detoxifying alcohol. |
|
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Term
A nurse should explain the rationale for the use of an elemental diet (predigested formula) for a client who has been diagnosed with irritable bowel syndrome, by making which of these statements?
A) it provides an electrolyte solution, promoting intestinal healing.
B) it provides nutritional support that emphasizes carbohydrates as the source of calories..
C) it provides fat-soluble vitamins in water-soluble form
D) it provides balanced nutritional support while requiring minimal intestinal function. |
|
Definition
| D) it provides balanced nutritional support while requiring minimal intestinal function. |
|
|
Term
An adolescent with irritable bowel syndrome voices concern to a nurse about not being able to eat the same foods as peers when dining out with them. Which of these responses by the nurse would be most helpful?
A) "You will have to try foods and find out what you can tolerate."
B) "If you want to stay well, you will have to stick to a restricted diet."
C) "There are certain foods, like pizza and hot dogs, that you must not eat."
D) "I'm sure your friends will understand why you choose something different." |
|
Definition
| A) "You will have to try foods and find out what you can tolerate." |
|
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Term
| Following a partial gastrectomy, a client loses the ability to synthesize intrinsic factor. As a result, a nurse should expect that the client will be unable to absorb what nutrient? |
|
Definition
|
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Term
A nurse should inform a client who recently had a colostomy that which of these foods is most likely to cause gas and odor?
A) fruit juices
B) whole-grain cereals
C) cruciferous vegetables
D) red meats |
|
Definition
| C) cruciferous vegetables |
|
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Term
Which of these diet orders should a nurse give initially to a client who was admitted with acute pancreatitis>
A) hydrolyzed protein formula
B) NPO
C) 2gm sodium, 30gm fat
D) pureed soft |
|
Definition
|
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Term
Which of these factors should a nurse investigate as the most likely etiology of altered nutrition in a client receiving radiation therapy for endometrial cancer?
A) dysphagia
B) absence of essential enzymes
C) malabsorption
D) loss of appetite. |
|
Definition
|
|
Term
Which of these diets would be indicated for a client who is being treated for chronic cholecystis?
A) high-protein
B) low-fat
C) fat-free
D) low-carb |
|
Definition
|
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Term
the laboratory result for a 30 year old client reveal the following values:
Total cholesterol 200mg/dl
triglycerides 85mg/dl
LDL cholesterol 185mg/dl
HDL cholesterol 45mg/dl
these findings suggest an excess of the following: |
|
Definition
|
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Term
Which of these instructions regarding pancreatic enzymes should a nurse include in the discharge teaching of a client who has a diagnoses of pancreatities?
A) take with milk
B) take with each meal
C) take with a hot beverage
D) take at bedtime |
|
Definition
|
|
Term
Which sandwich selection should be appropraite for a client who is on a bland diet of 50gms of fat?
A) White meat tuna and lettuce on white bread.
B) Peanut butter and jelly on whole wheat
C) Bologna and American cheese on white
D) Tuna salad and tomato on rye |
|
Definition
| A) White meat tuna and lettuce on white bread. |
|
|
Term
a 31 year old client is recieving medical treatment for ulcerative colities.the treatment includes antibiotics and prednisone(deltasone).The nurse should plan to monitor the client for which of these nutritional consequences of the treatment?
A) hyponatremia
B) hypercalcemia
C) hypolipidemai
D) Hyperglycemia |
|
Definition
|
|
Term
In evaluating the recovery of a client following a partial gastrectomy,which of these findings should a nurse interprete as indicating nutritional rehabilitation?
A) A weight gain of one half to a pound per week
B) A weight gain of two or more pounds per week
C) serum glucose of 80-100
D) BUN less than 8 |
|
Definition
| A) A weight gain of one half to a pound per week |
|
|
Term
A patient who has a partial gastrectomy has recovered to the extent of eating solid foods.To avoid the dumping syndrome common for clients following these surgery,a nurse should advise the client to
A) drink beverages with meals
B) increase simple sugar intake
C) lie down 30 to 60 minutes after meals.
D) avoid eating between meals |
|
Definition
| C) lie down 30 to 60 minutes after meals. |
|
|
Term
The assesment of a client who has adiagnoses of stomach cancer reveals protein and calorie malnutrition. Considering the diagnosis and nutritional status, a nurse should plan to use which of the following nutritional interventions to improve the clients condition before surgery?
A) elemental formula via NG tube
B) Total pariental nutrition via a central line.
C) high-density formula via gastrostomy
D) vitamin-enriched, high-protein formula per oral |
|
Definition
| B) Total pariental nutrition via a central line. |
|
|
Term
| a client who has the diagnoses of chrons disease makes a diet selection.Wich of these diet should indicate to a nurse that a client has a correct understanding of the instructions related to the diet modifications? A) roast beef, mashed potatoes, gravy, broccoli, fresh apple B) Broiled chicken,boiled potatoes,peas and canned peaches. C) Meat loaf, tomato sauce, tossed salad, pecan pie D) Grilled ham and cheese, french fries, ice cream |
|
Definition
| B) Broiled chicken,boiled potatoes,peas and canned peaches. |
|
|
Term
Which of these dietary modifications should a nurse anticipate for a client who has a diagnoses of cirroses of the liver?
A) vitamin E supplements
B) restrict carbs
C) restrict protein
D) potassium supplements |
|
Definition
| C) Restriction of protein |
|
|
Term
which nursing action should a nurse include in the care of a client who is recieving high density liquid suppliments between meals?
A) low-sodium foods
B) serve formula at room temp
C) minimal fiber consumption
D) additional water |
|
Definition
|
|
Term
which of these laboratory findings should indicate to a nurse that a client who has been diagnosed with AIDs has a compromised nutritional status?
A) elevated BUN
B) elevated glutamic oxaloacetic transaminase
C) decreasesd serum albumin
D) decreased eosinophils |
|
Definition
|
|
Term
Compared to the dietary limitations that existed prior to the initiation of hemodialisis,the diet while on dialysis allows
A) more carbs
B) more protein
C) less calcium
D) less iron |
|
Definition
|
|
Term
A nurse is instructing a client about diabetic exchange lists.if the client correctly understands the instructions,which of these food selection should the client expect to find on the vegetable exchange list
A) squash
B) broccoli
C) potato
D) corn |
|
Definition
|
|
Term
The initial plan for a client who is newly diagnosed with type 2 diabetes mellitus and moderate obesity includes a program of diet and exercise.a nurse should explain to the client that the treatment plan is necessary for what reason?
A) Exercise can stimulate pancreatic secretion of insulin.
B) Weight reduction can result in lowered blood glucose levels.
C) A diet that eliminates sugar can bring blood glucose levels to a normal level.
D) Exorcise can prevent the production of keytones |
|
Definition
| B) Weight reduction can result in lowered blood glucose levels. |
|
|
Term
Which of these nutrienbts should a nurse restrict in the diet of a client who has been diagnosed with CHF?
A) fluids
B) fat
C) protein
D) cholesterol |
|
Definition
|
|
Term
When instructing a client about the individualized renal diet,a nurse should be aware that clients frequently have difficulty adhering to the diet because of which of these factors
A) desire to avoid unwanted weight gain from the diet's high caloric content
B) the need to maintain adequate calorie intake while observing restrictions
C) the high cost of many of the foods on the diet
D) the need to base the diet on unfamiliar foods |
|
Definition
| B) the need to maintain adequate calorie intake while observing restrictions. |
|
|
Term
A nurse should monitor a client who is recieving long term antibiotic therapy for which of these nutritional consequenses?
A) binding of ascorbic acid
B) inhibition of intestinal synthesis of vitamin K
C) reduction of the absorption of folacin
D) acceleration of the excretion of niacin |
|
Definition
| B) inhibition of intestinal synthesis of vitamin K |
|
|
Term
A 44 year old client is admitted to the medical unit with acute renal failure. The client is given protein food with a high biological value. A nurse should recognize that the rationale for these priscription is to
A) reduce the total caloric intake
B) provide maximum vitamins and minerals per gram of protein
C) minimise the amount of nitrogen that must be excreted
D) increase the amount of urine produced |
|
Definition
| C) minimise the amount of nitrogen that must be excreted |
|
|
Term
Nutritional therapy for a client who has been diagnosed with hepatities A should be designed to meet which of these goals?
A) maximize the ration of lean body mass to fat tissue
B) meet the need for increased amounts of fluid
C) promote rest and regeneration of liver cells
D) facilitate deamination of amino acids by the liver |
|
Definition
| C) promote rest and regeneration of liver cells. |
|
|
Term
a client who has been diagnosed with insulin-dependent diabetes melitus reports feeling hypoglycemic every day after exercising.Which of these recommendatios by the nurse would help to prevent these occurence?
A) eat lunch an hour later on practice days
B) eat two fruit exchanges immediately after practice
C) eat an extra fruit exchange an hour before practice
D) eat an extra bread exchange an hour before practice |
|
Definition
| D) eat an extra bread exchange an hour before practice |
|
|
Term
When an elderly client is having difficulty eating because of poorly fitting dentures,which of these diets should the client have?
A) full liquid
B) pureed
C) mechanical soft
D) bland |
|
Definition
|
|
Term
An 82 year old client is bed ridden in a nursing home. As a result of the clients immobility, a nurse should anticipate that the client will experience a loss of
A) calcium
B) iron-binding capacity
C) body fat
D) insulin receptivity |
|
Definition
|
|
Term
A nurse should recognise that a client who regularly consumes large quantities of alcohol may suffer from a deficiency of thaamin because
A) alcohol destroys the thiamin found in food
B) the metabolism of alcohol depletes the bodys thiamin reserves.
C) alcohol increases the rate of thiamin excretion from the body
D) thiamin found in alcohol is not absorbable |
|
Definition
| B) the metabolism of alcohol depletes the bodys thiamin reserves. |
|
|
Term
Which of these metabolic problems should a nurse expect to observe in a client who has a diagnosis of gout?
A) decrease in the excretion of uric acid
B) negative nitrogen balance
C) increased ammonia production
D) low serum copper |
|
Definition
| A) decrease in the excretion of uric acid. |
|
|
Term
Which of these suppliments should a nurse plan to administer to a client who has a condition characterized by fat malabsorption?
A) iron and vitamin C supplements
B) Injectable form of B vitamins
C) intrinsic factor replacement
D) water soluble forms of vitamin A,vitamin D,vitamin E,and vitamin K |
|
Definition
| D) Water soluble forms of vitamin A,vitamin D,vitamin E,and vitamin K. |
|
|
Term
When comparing a pre-term infant to a full term infant, a nurse should recognize that the pre-term which these needs per kilogram of the body weight?
a.)More sodium and potassium
b.)More calories ad protein
c.)Less fat and cholesterol
d.)Less fluid and water soluble vitamins |
|
Definition
| b.)More calories ad protein |
|
|
Term
A client with CHF makes the following diet selections. Which should indicate that the needs further dietary instructions?
A.) Ground beef and pork chops
b.) Low-fat milk and boiled egg
c.) bacon and luncheon meat
d.) baked potato and steamed rice |
|
Definition
| c.) bacon and luncheon meat |
|
|
Term
An insulin-dependent client begins to experience dizziness, palpitations, and sweaty palms in the early afternoon, which of these foods should the client consume first?
a.) glass of orange juice
b.) candy bar
c.) glass of diet soda
d.) peanut butter sandwich |
|
Definition
| a.) glass of orange juice |
|
|
Term
A client has been admitted for treatment of severe burns. Prior to initiating oral feedings which of these is important for the nurse to check?
a.)state of nitrogen balance
b.) skin turgor
c.) presence of bowel sounds
d.) wt |
|
Definition
| c.) presence of bowel sounds |
|
|
Term
A nurse is making a weekly visits to a 73year old who is being treated with chemotherapy for cancer. the client reports no appetite and has eaten very little during the past week. Which of these actions should the nurse take first in response?
A.)Reinforce the importance of eating to promote recovery
b.) investigate the reasons for the clients statement
c.) plan to weigh the client each visit
d.)suggest high supplemental high0protein, high-calorie feedings |
|
Definition
| b.) investigate the reasons for the clients statement |
|
|
Term
A client who has a diagnosis of diabetes mellitus reports diarrhea. When assessing the clients diet for a possible caused of the problem, a nurse should determine if the client is consuming which of these substances?
A.) Aspartame(Equal)
B.) Saccharin
C.)Acesulfame K( sweet one)
d.) Sorbitol |
|
Definition
|
|
Term
A community-based nurse is conducting nutrition education classes at a senior center. the nurse should instruct the clients to consume a high-fiber diet in order to prevent which of these conditions?
A.) Acute irritable bowel syndrome
B.)gastritis
c.)duodenal ulcer
d.)diverticulosis |
|
Definition
|
|
Term
A client has a diagnosis of iron-deficiency anemia. Which of these foods should a nurse recommend the client to eat to enhance iron absorption of a food?
a.) Green beans
b.)broccoli
c.) Corn
d.) Celery |
|
Definition
|
|
Term
| After 10 months on dialysis, a client undergoes a renal transplant and is receiving immunosuppresive therapy. Which of these nutritional consequences should a nurse anticipate a.) the clients protein requirements will significantly higher b.)An increased intake of simple carbohydrates will be necessary c.) the clients need for fat-soluble vitamins will be greater. d.)decreased synthesis of bile acids will occur |
|
Definition
| a.) the clients protein requirements will significantly higher |
|
|
Term
A nurse should monitor the blood glucose levels of a client who is receiving TPN for which of these reasons?
a.) the pancreas fails to function adequately in the absence of gastric stimulation
b.) The glucose content of the solution may lead to hyperglycemia
c.) the peripheral tissues develop an increased resistance to insulin
d.) The increased blood volume leads to a drop in serum glucose |
|
Definition
| b.) The glucose content of the solution may lead to hyperglycemia |
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Term
A nurse should explain to a client who has diabetes that the underlying principle of foods in exchange list is that these foods?
a.)have a comparable amt of a given nutrient
b.) can be substituted for foods on another lost
c.)are of the same serving size.
d.) can provide the same quantity of vitamins |
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Definition
| a.)have a comparable amt of a given nutrient. |
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Term
When preparing a diet plan for a client, a nurse should recognize that which of these foods would be found in the bread/ starch exchange list?
a.)Avocado
b.)beets
c.) Green peas
D.)Brocoli |
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Definition
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Term
Which of these dessert selections, if made by a client who is on a reduced-cholesterol diet, would indicate to a nurse that the client correctly understood the instructions about the diet?
a.) Custard with raspberry sauce
b.) Strawberry shortcake with whipped cream
c.) pineapple sherbet with blueberries
d.) Apple pie with vanilla milk |
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Definition
| c.) pineapple sherbet with blueberries |
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Term
Which of these lab values indicated a decreased risk of cardiovascular disease
a.) high ratio of high density to low-density lipoprotein
b.) a high ratio of triglycerides to high-density lipoprotein
c.) a low ratio of cholesterol to lipoprotein
d.) a low ratio of triglycerides to cholesterol |
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Definition
| a.) high ratio of high density to low-density lipoprotein |
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Term
When an obese person with no major health problems loses wt, which of these changes in the lab values should a nurse expect to observe?
a.) an increase in serum calcium
b.) decrease in serum triglycerides
c.) a decrease in blood urea nitrogen
d.) an increase in serum albumin |
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Definition
| b.) decrease in serum triglycerides |
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Term
of these foods, which would be inappropriate to have for a client who is receiving a bone marrow transplant?
A.) apple juice
b.)raw apple
c.) applesauce
d.)apple pie |
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Definition
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Term
When a client has a HTN, which of these types of foods should a pt avoid?
a.) Frozen poultry
b.)Frozen fruits
c.) carbonated beverages
d.) preserved foods |
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Definition
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Term
Which of these factors would be most effective in preventing the development of osteoporosis?
A.) calcium supplements after the age of 45
b.) adequate exposure to sunlight throughout one's lifetime
c.) adequate calcium intake prior to the age of peak bones
d.) a high-protein duet during growth years |
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Definition
| c.) adequate calcium intake prior to the age of peak bones |
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Term
When a nurse is planning for a client who has hyperemesis of pregnancy, the immediate nursing care goal of nutritional support should be directed toward correcting which of these conditions?
a.)dehydration
b.) wt loss
c.) vitamin defficiency
d.) protein loss |
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Definition
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Term
An 82-year old resident of a nursing home has a stage 3 pressure sores. A nurse should arrange the supplementation of which of these nutrients?
a.) vitamin b12
b.)selenium
c.)folate
d.)vitamin c |
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Definition
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Term
A 23-year old woman who has phenylketonuria(PKU) and has not been on a PKU diet since adolescence tells a nurse that she is planning to become pregnant. IN order to respond appropriately to the client , the nurse should have which of these understandings?
a.) High phenylalanine levels impair fetal development
b.) pregnancy will pose no risk to a women who has PKU
c.) women who have PKU are seldom able to conceive
d.)Phenylalanine does not cross placenta |
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Definition
| a.) High phenylalanine levels impair fetal development |
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Term
In providing dietary instructions to the mother of a 9-year old who has diagnosis of celiac disease, a nurse should include which of these foods as an appropriate gluten-free snack for the child?
a.) buttered popcorn
b.) peanut butter on whole wheat crackers
c.) oatmeal cookies
d.) cheese pizza |
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Definition
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Term
Which of these nutrients should a nurse recognize as the most difficult to digest by a child who has a cystic fibrosis?
A.)Simple carbohydrates
B.) Complex carbohydrates
c.) Protein
D.) fat |
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Definition
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Term
A nurse should instruct a client who had an ostomy to eliminate which of these foods?
a.) whole kernel corn
b.) whole wheat bread
c.) steamed carrots
d.)harvard beets |
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Definition
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Term
Which of these dietary recommendations should a nurse make to reduce the symptoms of a client who has a hiatal hernia?
A.) "lie down for a half hour following meals"
b.)"consume your fluids between meals"
c.)"eat a snack at bed time"
d.)"follow large meals with a peppermint" |
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Definition
| b.)"consume your fluids between meals" |
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Term
| Foods to avoid in a bland diet (7) |
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Definition
- alcohol
- caffeine
- pepper
- spices
- tea
- fried foods
- high-fat foods |
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Term
| Muslim diet restrictions (5) |
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Definition
- no pork
- do not mix meat and dairy products in same meal
- no blood
- no carnivorous animals
- pork |
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Term
| Low-salt diet restrictions (5) |
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Definition
- processed foods
- canned foods
- butter
- cheeses
- prepackaged foods |
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Term
| Foods in the high-fiber diet (3) |
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Definition
- prunes
- wheat
- brown rice |
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Term
| What kind of diet would be prescribed to treat constipation? |
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Definition
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Term
| What is the basic principle of low-residue diets? |
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Definition
| They include foods that can be completely absorbed. |
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Term
| Foods included in a low-residue diet (10) |
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Definition
- ground and well-cooked meats, chicken and fish
- seafood
- eggs (not fried)
- mild cheese
- fruit and vegetable juice without pulp
- pureed or strained vegetables
- canned fruit and firm bananas
- white rice, plain pasta and potatoes
- 2 cups milk or yogurt
- refined white or seedless rye breads |
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Term
| Conditions treated with low-residue diets (5) |
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Definition
- severe diarrhea
- colitis
- diverticulitis
- GI disorders
- after surgery |
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Term
| 7th day Adventist diet (7) |
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Definition
- vegetarian encouraged
- no tobacco
- no alcohol
- no caffeine
- kosher beef laws
- no pork
- no shellfish |
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Term
|
Definition
|
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Term
|
Definition
- kosher prepared foods
- do not mix dairy and meat
- no predatory foul
- no shellfish
- no pork |
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Term
| Gluten-restricted diet restrictions (9) |
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Definition
- breads
- cereals
- beer
- ale
- chocolate milk
- malted milk
- cakes
- cookies
- commercial salad dressings |
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Term
|
Definition
- high-iron
- high-calcium
- NORMAL carbs
- high folic acid |
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Term
|
Definition
- broccoli
- spinach
- liver
- red meat |
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Term
| diet consideration for the hypertensive client |
|
Definition
|
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Term
| how does sodium affect blood pressure? |
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Definition
| sodium absorbs and holds water in the bloodstream. This increases overall blood volume, which increases pressure in blood vessels. |
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Term
| Foods rich in potassium (14) |
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Definition
- bananas
- fresh vegetables
- dried peas and beans
- whole grain bread and cereals
- fruit juices
- sunflower seeds
- watermelon
- nuts
- molasses
- cocoa beans
- fresh fish
- beef
- ham
- poultry |
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Term
|
Definition
| Vitamin B1 (thiamine) deficiency |
|
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Term
|
Definition
- Tyramine-controlled
- no alcohol
- no milk products |
|
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Term
| Risk from high uric acid intake |
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Definition
|
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Term
| what puts you at risk for gout |
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Definition
|
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Term
| Gout (low-pureen) diet restrictions (2) |
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Definition
| - shellfish - internal organs |
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Term
| Diet for gall stone management |
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Definition
- low-cholesterol
- low-fat |
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Term
|
Definition
|
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Term
|
Definition
|
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Term
| What leads to the condition known as pellagra? |
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Definition
| Lack of niacin (vitamin B3) |
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