ATI NUTRITION Proctored Exam (Latest Update) Graded A+

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ATI NUTRITION Proctored Exam 1. Foods high in potassium: - Apricots - Bananas - potatoes - tomatoes - avocado - fish - spinach - beans 2. A nurse is reinforcing diet teaching t... o a client who has type 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meal E. Protein foods can be substituted for carb foods RATIONALE: Not B-hydrogenated oils contain trans fatty acids & cause hyperlipidemia Not E-carbs can be exchanged but not w/proteins 3. A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2 DM. Which of the following guidelines should the nurse include? Select all that apply. A. Weight management B. Lipid profile C. Cultural needs D. Sleep patterns E. Personal preferences 4. To avoid hypoglycemia, the client should consume alcohol... - 5. _______________can be included in a diabetic diet as long as adequate insulin or other agents are provided to cover the sugar intake. - 6. The nurse should instruct the diabetic client that their intake of carbohydrates should be ___to___% of total daily caloric intake. - 7. The lacto-ovo vegetarian diet includes: - 8. A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching? A. "I will eat foods high in calcium." B. "I will increase my fluid intake." C. "I should participate in weight bearing exercises." D. "I should get my vitamin D from the sunlight." RATIONALE: 9. A nurse is conducting a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching? A. Limit saturated fat to 10% of total caloric intake. B. Good bowel function requires 35 g/day of fiber for women. C. Limit cholesterol consumption to 400 mg/day D. Normal functioning cardiac systems depends on B-complex vitamins 10. A nurse is discussing essential nutrients for normal functioning of the nervous system. Which of the following should be included in the teaching? Select all that apply. A. Calcium B. Thiamin C. Vitamin B6 D. Sodium E. Phosphorus 11. A school nurse is teaching a group of students how to read food labels. Which of the following should be included in the teaching? Select all that apply. A. Total carbohydrates B. Total fat C. Calories D. Magnesium E. Dietary fiber 12. Normal functioning of the nervous system depends on adequate levels of the B-complex vitamins, especially: and also adequate levels of ____and _____for regulators of nerve responses. - calcium and sodium 13. normal BMI: - 14. obesity BMI is classified as: - 15. Basic food choices for kosher, orthodox Judaism diets: - 16. A client who follows seventh-day Adventist dietary laws will eat a strict: They also avoid: - 17. A nurse is teaching a client who has cancer about appropriate food choices. The nurse determines that the client understands the information when she chooses which of the following snacks? Select all that apply. A. Peanut butter sandwich on whole wheat bread w/2% milk B. Popcorn w/soda C. Yogurt topped w/granola & a banana D. Meat lasagna w/buttered garlic bread E. Plain baked potato 18. Three complications of TPN: - 19. What has more calcium yogurt or cheese? - 20. Niacin is found in sources such as: - 21. Two medications may be added to PN solutions however administering any IV medication through a PN IV line or port is contraindicated. What are the two medications? - 22. Expected reference range for pre-albumin: - 23. Which of the following food choices is appropriate for a pt. with GERD? Select all that apply. A. Baked salmon B. Skim milk C. Orange juice D. Decaffeinated tea E. Eggs and salsa 24. For which disease/condition would the nurse teach the client about a gluten-free diet? A. A 54-year-old man with pancreatitis. B. A 32-year-old woman with celiac disease. C. A 22-year-old man with diverticulitis. D. A 76-year-old woman with breast cancer. RATIONALE: 25. Foods/beverages that are gluten-free include: (select all that apply) A. Milk, cheese, dairy products B. Beer C. Fried Eggs D. Baked potatoes E. Fruits and vegetables F. Whole wheat bread 26. A patient who has celiac disease should increase intake of what? - 27. A nurse is providing instructions to a client who has a new diagnosis of celiac disease. Which of the following food choices by the client indicates a need for further teaching? A. Potatoes B. Graham crackers C. Wild rice D. Canned pears RATIONALE: 28. A client with what disease will be instructed to avoid foods with seeds or husks (corn, popcorn, berries, tomatoes)? - 29. A nurse is providing instructions to a client who reports constipation & has a prescription for a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Peanut butter B. Peeled apples C. Hardboiled egg D. Brown rice 30. A nurse is caring for a client post apply. The nurse verifies the postop prescription, which reads "discontinue NPO status; advance diet as tolerated." Which of the following are appropriate for the nurse to offer the client? Select all that apply. A. Applesauce B. Chicken broth C. Sherbet D. Wheat toast E. Cranberry juice RATIONALE: 31. A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of the following nursing actions is the highest priority? A. Add thickener to liquids. B. Educate the client about acceptable liquids. C. Perform a calorie count of consumed liquids. D. Offer high-protein liquid supplements. RATIONALE: 32. A nurse is performing dietary needs assessments for a group of clients. A blenderized liquid diet is appropriate for which of the following clients? Select all that apply. A. A client who has a wired jaw due to an MVA B. A client who is 24 hr postop following temporomandibular joint repair C. A client who has difficulty chewing due to a traumatic brain injury D. A client who has hypercholesterolemia due to CAD E. A client who is scheduled for a colonoscopy the next morning 33. A nurse is assessing a client who is postop following a colon resection. Which of the following findings indicates that the client is ready to transition from NPO to oral intake? A. Client report of hunger B. Urinary output exceeding 30 mL/hr C. Decrease in incisional pain D. Passage of flatus 34. A nurse is assisting a client who has a prescription for a mechanical soft diet w/food selection. Which of the following are appropriate selections by the client? Select all that apply. A. Dried prunes B. Ground turkey C. Mashed carrots D. Fresh strawberries E. Cottage cheese 35. A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I will try chewing larger pieces of food." B. "I will avoid toasting my bread." C. "I will consume more food in the morning." D. "I will add more citrus foods to my diet." RATIONALE: 36. Which of the following food choices by a client undergoing chemotherapy with presence of stomatitis indicates a need for further teaching? A. Small pieces of bananas B. Cut up fresh orange & pineapple slices C. Yogurt with granola D. Meat lasagna 37. A nurse is caring for a client who has hypoglycemia. Which of the following is an appropriate action by the nurse? A. Offer crackers & cheese B. Encourage sucking on 8 hard candies C. Provide 8 oz of regular soda D. Give juice w/table sugar 38. Which of the following are appropriate dietary choices for a client with cholecystitis? Select all that apply. A. Baked lightly-seasoned tilapia B. Buttered steamed broccoli C. Skim or 1% low fat milk D. Whole wheat toast E. Pasta with cream sauce and onions 39. Patients with gallstones, also known as cholecystitis, should avoid what in their diet? - 40. A nurse is planning for an older adult client who is receiving treatment for malnutrition. The client is scheduled for discharge to his home where he lives alone. Which of the following actions are appropriate to include in the plan of care? (Select all that apply.) A. Consult social services to arrange home meal delivery B. Encourage the client to purchase nonperishable boxed meals C. Advise the client to purchase frozen fruits/veggies D. Recommend drinking a supplement between meals E. Educate the client on how to read nutrition labels 41. Older adult clients will need more _____and vitamin ___to help maintain bone health. They may also be instructed to increase ____in their diet. - 42. Older adults have decreased absorption of what three nutrients? - 43. The soft diet is also known as the bland, low fiber diet and contains foods such as: - 44. Is it safe to take antibiotics while breastfeeding? - 45. Food interactions with MAOIs include: - 46. A nurse is providing follow-up dietary teaching for a client who recently was prescribed phenelzine (Nardil). When reviewing the client's dietary log, which of the following foods requires a need for further teaching? A. Cottage cheese B. Banana bread C. Apple pie D. Grilled steak 47. Intermittent tube feeding formula set rate: - 48. Which type of tube feeding is often used in noncritical clients, home tube feedings, and clients in rehabilitation? - 49. What should the head of the bed be elevated at for tube feedings and for how long? - 50. How often should you obtain gastric residuals for a client receiving tube feedings? - 51. When beginning a new prescription for enteral nutrition by intermittent tube feeding how should you first initiate this feeding? - 52. A nurse is preparing to administer intermittent enteral feeding to a client who has neuromuscular disorder. Which of the following are appropriate nursing interventions? Select all that apply. A. Fill the feeding bag w/24 hr worth of formula B. Discard irrigation equipment after 24 hr C. Leave unused portions of formula at the bedside D. Label the unused portion of the formula E. Replace administration tubing & feeding bag every 48 hr 53. Teach parents that they may switch their child to skim or 1% low fat milk after... - 54. A nurse is teaching a client who has pre-stage chronic kidney disease about dietary management. Which of the following information should the nurse include in the instructions? A. Restrict protein intake B. Maintain a high-phosphorus diet C. Increase intake of foods high in potassium D. Limit dairy products to 1 cup per day 55. Major sources of dietary potassium (K): - Oranges - dried fruits - tomatoes - avocados - dried peas - meats - broccoli - bananas 56. Major sources of dietary chloride (Cl): - 57. Major sources of dietary calcium (Ca): - 58. Major sources of dietary magnesium (Mg): - 59. Major sources of dietary phosphorus (P): - 60. Major sources of dietary sulfur (S): - 61. Major diet sources of vitamin A: - 62. Major diet sources of vitamin D - 63. Major diet sources of vitamin E - 64. Major diet sources of vitamin K - 65. Major sources of vitamin C - 66. Major sources of Thiamin (B1) - 67. Major sources of riboflavin (B2) - 68. Major sources of niacin (B3) - 69. Major sources of pantothenic acid (B5) - 70. Major sources of pyridoxine (B6) - 71. Major sources of folate - 72. Major sources of cobalamin (B12) - 73. Examples of high fiber foods: - 74. LDL expected range: - 75. HDL expected range - 76. A client with fluid volume excess will have what expected lab values? - 77. Manifestations of hypoglycemia: - 78. A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect? A. Fruity breath odor B. Diaphoresis C. Vomiting D. Polyuria 79. Decreased sodium s/s: - 80. Increased sodium s/s: - 81. Increased phosphorus s/s: - 82. Decreased potassium s/s: - 83. Increased potassium s/s: - 84. Decreased chloride s/s: - 85. A nurse is caring for a client who is receiving TPN. The current bag of TPN is empty & a new bag is not available on the unit. Which of the following solutions should the nurse infuse until a new bag of TPN is available? A. Dextrose in 10% water B. 0.45% sodium chloride C. Dextrose 5% in LR D. 0.9% sodium chloride RATIONALE: 86. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? A. Consume high-fat cheese to replace meats when on a vegetarian diet B. A vegetarian diet is high in vitamin B12 C. Fewer calories are required when on a vegetarian diet D. Include 2 servings per day of nuts when on a vegetarian diet RATIONALE: 87. A nurse is providing teaching about lowering solid fat intake to an adolescent who is overweight. Which of the following instructions should the nurse include? A. "Limit egg yolks to a total of 5 per week." B. "Restrict your daily meat intake to 5 oz." C. "Select cheeses that contain no more than 6 g of fat per serving." D. "Choose margarine that contains no more than 4 g of saturated fat per tablespoon." RATIONALE: 88. A nurse is providing dietary teaching to a client who has celiac disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I can return to my normal diet after I follow this diet for 1 month." B. "I can have tapioca pudding for dessert." C. "I will choose canned soups that don't contain meat products." D. "I will eat my sandwiches on whole wheat bread." RATIONALE: 89. A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the client's lab results, which of the following findings should the nurse report to the provider? A. WBC count of 6000/mm3 B. Sodium 139 mEq/L C. Prealbumin 8 mg/dL D. Thyroxine (t4) 9.2 mcg/dL RATIONALE: 90. A nurse is providing discharge teaching to a client who has Parkinson's disease & a prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the client to consume w/the med? A. 6 oz greek yogurt B. 1 oz cheddar cheese C. 6 peanut butter crackers D. 1 slice wheat toast RATIONALE: 91. A nurse is assessing a client's risk for pressure ulcers using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale? A. 1 (very poor) B. 2 (Probably Inadequate) C. 3 (Adequate) D. 4 (Excellent) 92. A nurse is providing teaching about cancer prevention to a group of clients. Which of the following client statements indicates an understanding of the teaching? A. "I will eat 5 servings of fruits & veggies each day." B. "I should limit my alcohol intake to a max of 3 drinks daily." C. "I should eat more refined wheat & oat products." D. "I will eat processed meats to achieve my required protein intake." 93. A nurse is caring for a client who has cirrhosis and ascites. Which of the following dietary instructions should the nurse provide for this client? A. "Decrease your sodium intake to 1-2 grams/day" B. "Increase your daily fluid intake to 3 L/day" C. "Consume 0.5 gram per kg of protein/day" D. "Eliminate foods that contain vitamin K." RATIONALE: 94. A nurse is assessing a client who has type 2 DM. The nurse should recognize which of the following as a manifestation of hypoglycemia? A. Confusion B. Polydipsia C. Vomiting D. Ketonuria 95. A nurse is an ED is reviewing the lab report for an older adult client who is confused & reports nausea & abd. cramping. The nurse should suspect the client's lab results to indicate a dietary deficiency of which of the following minerals? A. Sodium B. Phosphorus C. Potassium D. Chloride RATIONALE: 96. A nurse is teaching about dietary intake of micronutrients to a client who has difficulty seeing at night. Which of the following micronutrients should the nurse include in the teaching? A. Vitamin A B. Calcium C. Vitamin B6 D. Phosphorus RATIONALE: 97. A nurse is providing nutritional teaching to the parents of a 2-year-old toddler. Which of the following snack foods should the nurse recommend? A. 1 cup fruit gel bites B. 1 cup yogurt C. 1/2 of a hot dog D. 1/2 of a peanut butter sandwich RATIONALE: 98. A nurse is caring for a client who is prescribed captopril. The nurse is aware that which of the following foods could cause a potential medication interaction? A. Watermelon B. Cantaloupe C. Lettuce D. Carrots RATIONALE: 99. A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates understanding of the teaching? A. "I need to decrease the amount of oil I use in cooking." B. "I need to eat fewer acidic foods, such as tomatoes & oranges." C. "I need to eliminate rye from my diet." D. "I need to eliminate milk products from my diet." RATIONALE: 100. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this med? A. Green leafy vegetables B. Whole grains C. Fruits with skin D. Nuts and seeds RATIONALE: 101. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? A. Weight the client once weekly at the same time of the day. B. Stay with the client for 30 min after meals C. Allow the client to schedule mealtimes D. Assign privileges based on direct weight gain 102. A nurse is creating a plan of care for a client who has mucositis following head & neck radiation therapy for cancer. Which of the following interventions should the nurse include in the plan? A. Encourage 3 servings of citrus foods daily B. Provide lemon-glycerin swabs for oral hygiene after meals C. Increase fluid intake to 2 L/day D. Heat oral hygiene mouth rinses before use 103. A nurse is discussing dietary factors to assist in BP management for a client who has HTN. Which of the following client statements indicates an understanding of the teaching? A. "I can drink up to 3 glasses of wine/day." B. "I should choose whole grain pastas when selecting my foods." C. "I should decrease my consumption of foods high in potassium." D. "I can eat dairy products because they do not have much sodium." 104. A nurse is developing a teaching plan for a client who has dysphagia & is being discharged home w/a prescription for a mechanical soft diet. Which of the following foods should the nurse include in the plan? A. Raisins B. Skim milk C. Apple slices D. Mashed potatoes 105. A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which of the following instructions should the nurse include in the teaching? A. Consume 20 mcg of vitamin D daily. B. Avoid foods rich in antioxidants. C. Increase intake of foods high in purine. D. Take 150 mg of vitamin E daily. 106. A nurse is caring for a client who as a new prescription for PN containing a mixture of dextrose, amino acids, & lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? A. Gelatin B. Peanuts C. Shellfish D. Eggs 107. A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding. Which of the following actions should the nurse take? A. Provide a low-protein formula B. Elevate the HOB to 30 deg. C. Switch to intermittent feedings D. Warm the formula to room temp RATIONALE: 108. A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent dx of HTN. Which of the following lab findings indicates the client has reached 1 of the goals of the DASH diet? A. Sodium 150 mEq/L B. Chloride 106 mEq/L C. Fasting glucose 130 mg/dL D. Total cholesterol 190 mg/dL 109. A nurse is teaching a client who has chronic kidney disease about limiting her calcium intake. Which of the following food choices should the nurse inform the client contains the highest amount of Ca & should be limited in her diet? A. 1 cup low-fat yogurt B. 1 oz cheddar cheese C. 1 egg D. 1/2 cup spinach RATIONALE: 110. A nurse is teaching a client about maximizing absorption when taking calcium supplements. Which of the following instructions should the nurse include in the teaching? A. "Take a supplement that contains vitamin D." B. "Take the supplement w/a full glass of water." C. "Take a 1000 mg supplement in the morning w/food." D. "Take the supplement w/a sublingual vitamin B12 tablet." 111. A nurse is providing teaching to a client who is at 24 weeks of gestation & reports constipation. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Drink eight 240 mL (8 oz) glasses of water daily B. Eat small amounts of food frequently C. Increase daily fiber intake D. Use a glycerin suppository every other day E. Perform exercises regularly using large muscle groups 112. A nurse is providing teaching to a client who has DM & an HbA1c of 8.7%. Which of the following statements by the client indicates understanding of this lab value? A. "I should have gone to my exercise class yesterday." B. "This shows that my result is finally within normal range." C. "This shows that I have not been following my diet." D. "I should have my blood work done 1st thing in the morning." 113. A nurse is providing info to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the info as a contraindication for taking this med? A. Orange juice B. Coffee C. Grapefruit juice D. Milk 114. A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration? A. Monitor gastric residuals every 4 hr B. Maintain elevation of the head of the bed at 15 deg. C. Confirm proper tube placement by radiograph every 24 hr D. Flush tubing w/30 mL water before and after meds 115. A nurse is providing teaching to a client who is a vegetarian & requires an increase in zinc intake. Which of the following foods is the best source of zinc? A. Pineapple B. Green grapes C. Cauliflower D. Pinto beans 116. A nurse is assessing the meal pattern of a client who has diverticular disease & a prescription for a high-fiber diet. Which of the following food choices by the client contains the most fiber? A. 1 medium banana B. 1/2 cup cooked oatmeal C. 1 medium apple w/skin D. 1/2 cup bran cereal 117. A nurse is providing teaching to a client who is lactating about increasing her protein intake. Which of the following foods should the nurse recommend as the best source of protein? A. Legumes B. Cottage cheese C. Peanut butter D. Whole grain cereal 118. A nurse is teaching an older adult client about nutritional recommendations. Which of the following statements should the nurse make? A. "You should increase your daily calorie intake." B. "You should increase your daily protein intake." C. "You receive an adequate amount of calcium from your diet, so a supplement is not recommended." D. "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a supplement." 119. A nurse is evaluating a client who is receiving continuous enteral feeding & has diarrhea. Which of the following actions should the nurse take to reduce the client's diarrhea? A. Flush the client's feeding tube B. Administer promethazine to the client C. Decrease the rate of the feeding D. Check the client's gastric residual 120. A nurse is providing dietary teaching for a client who is postop following gastric bypass. Which of the following instructions should the nurse include? A. Eat 6 small meals per day B. Start each meal w/a protein C. Complete each meal even if feeling full D. Plan to eat each meal over 15 min 121. A nurse is caring for a client who has DM and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse? A. Offer the client 180 mL (6 oz) of orange juice B. Document the client's intake from the most recent meal C. Teach the client about manifestations of hypoglycemia D. Check the client's blood glucose level 122. A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in his mouth while eating. Which of the following actions should the nurse take? Select all that apply. A. Provide 3 large meals/day B. Offer citrus fruits C. Suggest pickles as a snack D. Rinse silverware prior to eating E. Gargle w/mouthwash 123. A nurse is reviewing lab results of a client who is receiving continuous total parenteral nutrition. Which of the following results should the nurse report to the provider? A. Glucose 238 mg/dL B. Potassium 4.7 mEq/L C. Calcium 9.8 mg/dL D. Sodium 140 mEq/L 124. A nurse is conducting dietary teaching for a group of women who are of childbearing age. Which of the following food items should the nurse include as containing the highest amount of folate? A. 1/2 cup chickpeas B. 3.5 oz chicken liver C. 1 medium orange D. 1 slice white bread 125. A nurse is caring for a client who has anemia & a new prescription for an iron supplement. The nurse should recommend the client consume the supplement w/which of the following beverages to increase absorption? A. Protein shake B. Skim milk C. Tomato juice D. Green tea 126. A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following info should the nurse include? A. Replace legumes w/broiled meats B. Consume 1/2 cup bran/daily C. Leave the skin on when eating fruit D. Decrease fluid intake while increasing fiber 127. A nurse is caring for an older adult client who has a pressure ulcer. The client practices Orthodox Judaism & strictly follows kosher dietary laws. Which of the following foods should the nurse provide for this client? A. Pork tenderloin B. Cheeseburger C. Clam chowder D. Macaroni & cheese 128. A nurse is planning dietary interventions for a client who is prescribed external radiation for laryngeal cancer. The client reports manifestations of stomatitis. Which of the following interventions should the nurse include? A. Provide meals at room temp B. Offer the client additional seasonings for food C. Instruct the client to eat citrus fruits at the beginning of the meal D. Encourage the client to drink warm tomato juice in place of high-protein supplements 129. A nurse is performing a cultural assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? Select all that apply. A. "Are you exempt from fasting during illness?" B. "Does fasting mean refraining from drinking liquids?" C. "Does fasting occur during certain hours of the day?" D. "Is vegetarianism a form of fasting?" E. "Does fasting mean eating only a certain type of food?" 130. A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to make to the participants? A. "Limit your sodium intake to 1800 mg/day." B. "Reduce your daily intake of foods that contain protein." C. "Taking a daily multivitamin will prevent cardiovascular disease." D. "Plan to lose weight gradually at 1/2 to 1 pound per week." 131. A nurse is providing teaching about proper eating techniques to a client who is experiencing dysphagia following a stroke. Which of the following instructions should the nurse include in the teaching? Select all that apply. A. Tilt the head forward when swallowing. B. Drink thin liquids through a straw. C. Place food on the unaffected side of the mouth. D. Take moderate bites when eating. E. Limit disruptions during mealtime. 132. A nurse is reviewing the lab data of 4 clients. The nurse should identify that which of the following clients is experiencing fluid overload? A. A client who has an albumin level of 5.5 g/dL. B. A client who has a urine specific gravity of 1.035. C. A client who has a Hct of 55%. D. A client who has a sodium level of 130 mEq/L. 133. A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of the following types of formula should the nurse anticipate administering to the client? A. Low protein B. High carb C. High calorie D. Low fat 134. A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? A. The client's Hgb is 15 g/dL. B. The client's peripheral pulses are +3 distal to the affected extremity. C. The client consumes 1000 k/cal daily. D. The client takes zinc supplements. 135. A nurse is teaching a client who is preparing for bowel surgery about a low-residue diet. Which of the following food choices by the client indicates an understanding of the teaching? A. 3 slices of bacon & oatmeal toast B. Granola w/raisins & strawberries C. Whole wheat french toast w/blueberries & maple syrup D. 2 poached eggs & a banana 136. A nurse is caring for a client who is dehydrated & is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? A. Use a low-fat formula for admin B. Chill the formula prior to admin C. Provide the formula as a continuous infusion D. Dilute the formula before admin 137. A nurse is calculating the daily protein allowance of a client who weighs 176 lb. The client's daily protein allowance is 0.8 g/kg. How many grams of protein should the client consume per day? - 138. A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. Which of the following clinical manifestations should the nurse identify as an indication of malnutrition? A. Moist skin B. Ankle edema C. Hyperreflexia D. Dilated pupils 139. A nurse is caring for an infant who has a cleft lip & palate. In which of the following positions should the nurse place the infant for bottle feeding? A. Lateral B. Football hold C. Supine in the crib D. Upright 140. A nurse is caring for a client who has acute IBD. Which of the following nutritional supplements should the nurse anticipate providing to this client? A. Hydrolyzed formula B. Polymeric formula C. Milk-based supplement formula D. Modular product supplement formula 141. A nurse is caring for a client who has age-related macular degeneration (AMD) & asks the nurse if there are any nutritional changes to consider. Which of the following responses should the nurse make? A. Use soy products as much as possible B. Add niacin-rich foods to the diet C. Increase dietary intake of lutein D. Consume foods w/a high glycemic index RATIONALE: ( 142. A nurse is caring for a client who is receiving continuous enteral feedings via NG tube. The nurse notices that the tube feeding has stopped infusing. Which of the following actions is the nurse's priority? A. Change the formula B. Change the tube C. Notify the provider D. Flush the tube w/warm water 143. normal BUN & creatinine - 144. A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the following dietary habits increases the client's risk for dysrhythmias? A. Consuming a low-fat diet B. Eating a diet rich in potassium C. Consuming a diet rich in protein D. Eating a diet deficient in iron 145. A nurse is caring for a client who is at 8 weeks of gestation & has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? A. Maintain her current BMI. B. Gain approximately 6.8 kg (15 lb). C. Lower her BMI to 30. D. Gain 12.7 to 15.8 kg (28-35 lb). 146. A client is experiencing anorexia r/t cancer tx. Which of the following interventions should the nurse implement to increase the client's nutritional intake? A. Recommend cooking aromatic foods to stimulate appetite. B. Serve hot foods rather than cold foods. C. Instruct the client to eat 3 meals per day D. Add extra calories & protein to every meal. 147. A nurse is caring for a client who is receiving TPN. Which of the following lab findings indicates that the TPN therapy is effective? A. Calcium 8 mg/mL B. Hemoglobin 9 g/dL C. Prealbumin 30 mg/dL D. Cholesterol 140 mg/dL RATIONALE: 148. A nurse is teaching a female client about a healthy diet to control HTN. Which of the following client statements indicates an understanding of the teaching? A. "I will drink 2 glasses of whole milk daily." B. "I will decrease the potassium in my diet." C. "I will eat 4 servings of unsalted nuts per week." D. "I will limit alcohol consumption to 2 drinks/day." 149. A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings & is experiencing diarrhea. Which of the following interventions should the nurse include in the plan? A. Discard the client's opened cans of formula within 48 hr. B. Administer the client's formula cold. C. Feed the client in small, frequent volumes D. Consider a low-calorie formula for the client 150. A nurse is planning nutritional teaching for the parents of a toddler who has failure to thrive. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Eliminate environmental disruptions during meals. B. Stop the meal when the toddler exhibits negative behavior. C. Provide 240 mL (8 oz) fruit juice in between meals. D. Schedule meal times at the same time each day. E. Allow the toddler to determine the length of the meal. 151. A nurse is providing diet teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. 1 cup avocado B. 2 tablespoons peanut butter C. 1/2 cup roasted sunflower seeds D. 1/2 cup roasted almonds 152. A nurse is providing diet teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc? A. 1 cup apple slices B. 4 oz low-fat cottage cheese C. 4 oz ground beef patty D. 1 cup raw spinach 153. A client reports constipation during a routine checkup. The client was previously encouraged to increase his intake of mineral supplements. Which of the following minerals should the nurse identify as the cause of the constipation? A. Phosphorus B. Potassium C. Magnesium D. Calcium 154. A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order should the nurse perform the following actions before beginning the feeding? -Flush tubing w/30 mL water -Place the client in Fowler's position -Check the residual -Verify tube placement - 155. A nurse is planning care for a client who is obese & wants to lose weight. Which of the following actions should the nurse take 1st? A. Recommend checking weight once weekly. B. Obtain a 24-hr dietary recall. C. Assist w/creating an exercise plan. D. Initiate a diet modification plan. 156. A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take? A. Place the client on NPO status during nighttime hours B. Provide a snack for the client after sunset C. Offer the client hot tea w/daytime meals D. Allow the client to eat privately w/his family each day at 1300 157. A nurse in a provider's office is assessing a client who has HIV. The nurse should identify which of the following findings as an indication to increase the client's nutritional intake? A. T-helper (CD4+) cells 700/mm3 B. Presence of herpes simplex virus infection C. HIV viral load below detectable levels D. Increased lean body mass 158. A nurse is providing teaching for a client who has a new prescription for nifedipine. Which of the following foods should the nurse instruct the client to avoid? A. Milk B. Aged cheese C. Grapefruit juice D. Bananas 159. A nurse is providing nutritional counseling to a client who wants to lose weight. The nurse should identify that which of the following statements indicates that the client understands the counseling? A. "I will taste my foods while I am cooking." B. "I will exclude breads & pastries from my diet." C. "I will make a list before I go grocery shopping." D. "I will skip lunch if I am too busy to have something healthy." 160. A nurse is planning to provide dietary teaching to a client who has chronic kidney disease & is prescribed hemodialysis. Which of the following actions should the nurse plan to take 1st? A. Create a schedule for the client fluid intake. B. Provide the client w/a list of foods that are high in sodium. C. Determine whether the client has culture-related food preferences. D. Explain the purpose of protein restriction in the diet. 161. A nurse is planning strategies to reduce the intake of solid fats for a client who has hyperlipidemia. Which of the following strategies should the nurse include in the plan? A. Choose cheese w/4 g of fat per serving. B. Limit eating 4 eggs w/yolks per week. C. Choose ground meat that is 75% lean. D. Limit meat to 5 oz per day. 162. A nurse is developing an educational program about the glycemic index of foods for clients who have DM. Which of the following foods should the nurse identify as having the highest glycemic index? A. Sweet corn B. Macaroni C. Baked potato D. Peanuts 163. A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the following dietary guidelines should the nurse include in the teaching? A. Plan to reduce dietary salt intake. B. Cook foods w/limited amounts of pasta products. C. Prepare meals on a schedule. D. Reduce dietary B12. 164. A nurse is providing to a client who has dumping syndrome & is experiencing weight loss. Which of the following instructions should the nurse include in the teaching? A. Consume liquids between meals B. Increase intake of simple carbohydrates C. Decrease foods high in fat content D. Eat meals low in protein 165. A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. Which of the following info should the nurse include? A. "Resume a regular diet by 4 weeks after surgery." B. "Add high-fiber foods to your diet." C. "Increase your intake of foods containing pectin." D. "Drink 4-6 cups of water per day." 166. A nurse is teaching a client about managing IBS. Which of the following info should the nurse include in the teaching? A. Increase intake of fresh fruit high in fructose B. Limit foods that contain probiotics C. Take peppermint oil during exacerbation of manifestations D. Substitute white sugar w/honey 167. A nurse is reviewing the lab results of a client who has a pressure ulcer. Which of the following findings should indicate to the nurse that the client is at risk for impaired wound healing? A. Hgb 15 g/dL B. Serum albumin 3.0 g/dL C. Prothrombin time 11.5 sec D. WBC 6000/mm3 168. Chronic kidney disease question: - 169. Antidote for Warfarin= - 170. Diet for disequilibrium syndrome/nausea (vertigo) question: - 171. Best source of protein food: - 172. Good iron sources for vegetarians: - 173. HDL levels - 174. LDL levels - 175. Total cholesterol levels - 176. normal Hct - 177. normal BUN & creatinine - 178. normal prealbumin and albumin - 179. Pt is obese & wants to lose weight, what is the 1st thing a nurse should do? - 180. Cheese is a ____protein. - 181. Gelatin is a ______protein. - 182. Salmon is a ______protein. - 183. % of total daily protein should be: - 184. % of total fat in diet should be, sat fats? - [Show More]

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