NURS 225 Nutrition_Quiz {Grade A} - West Coast University | NURS 225 Nutrition_Quiz - latest {100%}

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NURS 225 Nutrition_Quiz {Grade A} - West Coast University NURS 225 Nutrition_Quiz - latest {100%} Question 1 loaded rationals provided Question: 1 of 60 CORRECT Time Elapsed: 00:02:34 Pause Remai... ning: 08:20:00 PAUSE A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current bag of TPN is empty and 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? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Dextrose 10% in water The nurse should administer dextrose 10% in water at the same rate as the TPN to prevent hypoglycemia. 0.45% sodium chloride Infusing 0.45% sodium chloride when TPN is not available will not prevent adverse eàects associated with abruptly stopping the TPN infusion. Dextrose 5% in lactated Ringer's Infusing dextrose 5% in lactated Ringer's when TPN is not available will not prevent adverse eàects associated with abruptly stopping the TPN infusion. 0.9% sodium chloride Infusing 0.9% sodium chloride when TPN is not available will not prevent adverse eàects associated with abruptly stopping the TPN infusion. RN Nutrition Online Practice 2016 B  CLOSEQuestion 2 loaded rationals provided Question: 2 of 60 CORRECT Time Elapsed: 00:03:24 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT INCORRECT INCORRECT CORRECT FLAG Consume high-fat cheese to replace meats when on a vegetarian diet. The nurse should instruct the client to consume low-fat cheese as a protein substitute. High-fat cheese has more saturated fat and calories than meat. A vegetarian diet is high in vitamin B12. Foods that contain vitamin B are animal-related. The nurse should instruct the client to take vitamin B supplements or consume foods fortiÕed with B to compensate for a potential deÕciency. 12 12 12 Fewer calories are required when on a vegetarian diet. Clients who are consuming a vegetarian diet require a deceased intake of dietary fat rather than fewer calories. The nurse should instruct the client to increase her intake of nutrient-dense foods to avoid the breakdown of the body's protein for energy requirements. • Include two servings per day of nuts when on a vegetarian diet. The nurse should instruct the client to eat two servings of nuts or Öaxseed per day to receive the daily requirement of omega-3 fatty acids. RN Nutrition Online Practice 2016 B  CLOSEQuestion 3 loaded rationals provided Question: 3 of 60 CORRECT Time Elapsed: 00:04:01 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG "Limit egg yolks to a total of Õve per week." The nurse should instruct the client to limit egg yolk consumption to three per week. • "Restrict your daily meat intake to 5 ounces." The nurse should instruct the client to limit her meat intake to 5 oz per day. A meat portion should be no greater than the size of a deck of cards. "Select cheeses that contain no more than 6 grams of fat per serving." The nurse should instruct the client to select cheeses that contain no more than 3 g of fat per serving. "Choose margarine that contains no more than 4 grams of saturated fat per tablespoon." The nurse should instruct the client to choose margarine that contains no more than 2 g of saturated fat per tablespoon. RN Nutrition Online Practice 2016 B  CLOSEQuestion 4 loaded rationals provided Question: 4 of 60 CORRECT Time Elapsed: 00:04:32 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG "I can return to my normal diet after I follow this diet for 1 month." A client who has celiac disease must follow the dietary restrictions throughout his lifetime. • "I can have tapioca pudding for dessert." A client who has celiac disease can consume tapioca because this grain does not contain gluten. "I will choose canned soups that do not contain meat products." A client who has celiac disease should avoid processed foods, including canned soups, because they can contain gluten. "I will eat my sandwiches on whole wheat bread." A client who has celiac disease should not eat foods that contain gluten, such as whole wheat bread. RN Nutrition Online Practice 2016 B  CLOSEQuestion 5 loaded rationals provided Question: 5 of 60 CORRECT Time Elapsed: 00:05:14 Pause Remaining: 08:20:00 PAUSE A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the client's laboratory results, which of the following Õndings should the nurse report to the provider? INCORRECT INCORRECT CORRECT INCORRECT FLAG WBC count 6,000/mm3 An elevated WBC count can indicate an infection and dietary deÕciencies in iron or vitamin B . However, this value is within the expected reference range. 12 Sodium 139 mEq/L A low sodium level can indicate malnutrition. However, this sodium level is within the expected reference range. • Prealbumin 8 mg/dL A prealbumin level of 8 mg/dL is a critical value that indicates severe malnutrition and requires reporting to the provider who can prescribe a nutritional intervention. Thyroxine (T4) 9.2 mcg/dL A T level above the expected reference range can indicate hyperthyroidism, which can cause weight loss. A T level below the expected reference range can indicate hypothyroidism or protein malnutrition. However, this value is within the expected reference range. 4 4 RN Nutrition Online Practice 2016 B  CLOSEQuestion 6 loaded rationals provided Question: 6 of 60 CORRECT Time Elapsed: 00:05:49 Pause Remaining: 08:20:00 PAUSE A nurse is providing discharge teaching to a client who has Parkinson's disease and a prescription for levodopacarbidopa. Which of the following foods should the nurse instruct the client to consume with the medication? INCORRECT INCORRECT INCORRECT CORRECT FLAG 6 oz Greek yogurt Absorption of levodopa-carbidopa decreases when consumed with foods that are high in protein. 6 oz of Greek yogurt contains 17 g of protein. The nurse should instruct the client to consume a food that contains less protein. 1 oz cheddar cheese Absorption of levodopa-carbidopa decreases when consumed with foods that are high in protein. 1 oz of cheddar cheese contains 7 g of protein. The nurse should instruct the client to consume a food that contains less protein. 6 peanut butter crackers Absorption of levodopa-carbidopa decreases when consumed with foods that are high in protein. Six peanut butter crackers contain 6 g of protein. The nurse should instruct the client to consume a food that contains less protein. • 1 slice wheat toast Absorption of levodopa-carbidopa decreases when consumed with protein. One slice of wheat toast is the lowest source of protein at 3 g per slice. RN Nutrition Online Practice 2016 B  CLOSEQuestion 7 loaded rationals provided Question: 7 of 60 CORRECT Time Elapsed: 00:06:13 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT INCORRECT CORRECT INCORRECT FLAG 1 (Very Poor) A client who scores a 1 (Very Poor) in the nutrition category of the Braden scale never Õnishes a complete meal, drinks little Öuid, and does not drink any dietary supplements. 2 (Probably Inadequate) A client who scores a 2 (Probably Inadequate) in the nutrition category of the Braden scale only eats about half of meals or snacks and only occasionally takes dietary supplements. • 3 (Adequate) A client who eats more than half of most meals, occasionally refuses a meal, and has four servings of protein each day scores a 3 (Adequate) in the nutrition category of the Braden scale. 4 (Excellent) A client who scores a 4 (Excellent) in the nutrition category of the Braden scale eats most of every meal, eats plenty of protein, and occasionally eats between meals. RN Nutrition Online Practice 2016 B  CLOSEQuestion 8 loaded rationals provided Question: 8 of 60 CORRECT Time Elapsed: 00:06:37 Pause Remaining: 08:20:00 PAUSE 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? CORRECT INCORRECT INCORRECT INCORRECT FLAG • "I will eat Õve servings of fruits and vegetables each day." The nurse should instruct the clients to consume four to Õve servings, or about 2.5 cups, of fruits and vegetables daily. Eating various fruits and vegetables assists in decreasing blood pressure and weight. "I should limit my alcohol intake to a maximum of three drinks daily." The nurse should instruct the clients to limit their daily intake of alcohol to one drink for women or two drinks for men. Alcohol can cause excessive weight gain, as well as increase the risk for certain types of cancer, such as esophageal, liver, pancreatic, and breast cancer. "I should eat more reÕned wheat and oat products." The nurse should instruct the clients to choose whole grain foods over reÕned foods to prevent gastrointestinal cancers and to help maintain a healthy weight. Whole grain foods that are unreÕned contain Õber that increases the feeling of fullness and contributes to a lower total cholesterol level. "I will eat processed meats to achieve my required protein intake." The nurse should instruct the clients to limit their consumption of processed meats because they contain increased amounts of sodium and are high in saturated and trans fats. The nurse should instruct the clients to choose lean cuts of poultry and meats without the skin. Chicken breast and Õsh prepared without hydrogenated oil are good sources of protein to recommend. RN Nutrition Online Practice 2016 B  CLOSEQuestion 9 loaded rationals provided Question: 9 of 60 CORRECT Time Elapsed: 00:07:17 Pause Remaining: 08:20:00 PAUSE 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? CORRECT INCORRECT INCORRECT INCORRECT FLAG • "Decrease your sodium intake to 1 to 2 grams per day." To decrease Öuid retention, a client who has cirrhosis should limit his daily sodium intake to 2,000 mg. "Increase your daily Öuid intake to 3 liters per day." To decrease Öuid retention, a client who has cirrhosis should limit Öuid intake to 1.5 L per day, depending on sodium levels. "Consume 0.5 grams per kilogram of protein per day." To prevent malnutrition, a client who has cirrhosis should consume 0.8 to 1.2 g/kg of protein daily. "Eliminate foods that contain vitamin K." Vitamin K is an essential factor in blood coagulation. Clients who have cirrhosis have a decreased production of prothrombin, which increases their risk for bleeding. Because an adequate vitamin K supply depends on dietary intake, a client who has cirrhosis should consume foods that contain vitamin K. RN Nutrition Online Practice 2016 B  CLOSEQuestion 10 loaded rationals provided Question: 10 of 60 CORRECT Time Elapsed: 00:07:42 Pause Remaining: 08:20:00 PAUSE A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Confusion The nurse should recognize confusion as a manifestation of hypoglycemia. Polydipsia The nurse should recognize polydipsia as a manifestation of hyperglycemia. Vomiting The nurse should recognize vomiting as a manifestation of hyperglycemia. Ketonuria - -- - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - AUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG 1 cup fruit gel bites Fruit gel bites vary in size and sugar content. They have a gummy consistency, which makes them diÞcult for a 2-year-old toddler to chew and swallow. Because their chewing skills are not yet mature, children are at an extremely high risk for choking until they reach 4 years of age. Therefore, the nurse should not recommend fruit gel bites because they place the child at an increased risk for choking. • 1 cup yogurt The nurse should recommend yogurt as a snack food for a 2-year-old toddler. The consistency of yogurt prevents no choking hazard, and because of their increased activity level, toddlers require 13 to 16 g of protein each day to meet the demands for muscle growth. At 8 g/cup, yogurt is a high-quality source of protein. The nurse can also teach the parents to make yogurt smoothies by combining yogurt and the child's favorite fruit in a blender. ½ of a hot dog A hot dog is round in shape and too large for a 2-year-old toddler to chew and swallow. Because their chewing skills are not yet mature, children are at an extremely high risk for choking until they reach 4 years of age. Therefore, the nurse should not recommend a hot dog because it places the child at an increased risk for choking. ½ of a peanut butter sandwich Peanut butter has a thick consistency, and bread is diÞcult to chew and swallow for a 2-year-old toddler. Because their chewing skills are not yet mature, children are at an extremely high risk for choking until they reach 4 years of age. Therefore, the nurse should not recommend a peanut butter sandwich because it places the child at an increased risk for RN Nutrition Online Practice 2016 B  CLOSEQuestion 14 loaded rationals provided Question: 14 of 60 CORRECT Time Elapsed: 00:09:40 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG Watermelon Watermelon does not create a potential food and medication interaction for the client because it is not high in potassium. • Cantaloupe The nurse should recognize that cantaloupe is a food source high in potassium. The client should avoid cantaloupe as well as other foods that are high in potassium. Lettuce Lettuce does not create a potential food and medication interaction for the client because it is not high in potassium. Carrots Carrots are high in beta-carotene and do not create a potential food and medication interaction for the client. RN Nutrition Online Practice 2016 B  CLOSEQuestion 15 loaded rationals provided Question: 15 of 60 CORRECT Time Elapsed: 00:10:07 Pause Remaining: 08:20:00 PAUSE A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching? INCORRECT INCORRECT CORRECT INCORRECT FLAG "I need to decrease the amount of oil I use in cooking." Oil content of food might need to be decreased in a client who is on a low-fat diet, but oil does not aàect the manifestations of celiac disease. "I need to eat fewer acidic foods, such as tomatoes and oranges." Acidic foods do not aàect the manifestations of celiac disease. • "I need to eliminate rye from my diet." Eating sources of gluten, such as barley or rye, increases the manifestations of celiac disease. "I need to eliminate milk products from my diet." Clients who cannot tolerate lactose should avoid milk products. RN Nutrition Online Practice 2016 B  CLOSEQuestion 16 loaded rationals provided Question: 16 of 60 CORRECT Time Elapsed: 00:10:52 Pause Remaining: 08:20:00 PAUSE 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 medication? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Green leafy vegetables The nurse should recommend the client eat in moderation and maintain consistent intake of green, leafy vegetables, which contain a natural form of vitamin K that can negate the anticoagulation eàects of warfarin. Whole grains Whole grains do not aàect the action of warfarin. Fruits with skin Fruits with skin do not aàect the action of warfarin. Nuts and seeds Nuts and seeds do not aàect the action of warfarin. RN Nutrition Online Practice 2016 B  CLOSEQuestion 17 loaded rationals provided Question: 17 of 60 CORRECT Time Elapsed: 00:11:19 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT INCORRECT INCORRECT CORRECT FLAG Weigh the client once weekly at the same time of the day. The nurse should weigh the client at the same time each day. Weighing the client daily is an important part of the ongoing nutritional assessment and determines whether the client is compliant with the treatment regimen. Stay with the client for 30 min after meals. The nurse should remain with the client during meals and for at least 1 hr after meals. This monitoring ensures that the client does not discard food or engage in self-induced vomiting. Allow the client to schedule mealtimes. The nurse is responsible for establishing client meal times. Allowing the client to schedule her own mealtimes does not ensure that she will consume enough calories for increased weight gain. • Assign privileges based on direct weight gain. The nurse should explain to the client that her restrictions and privileges will be dependent on treatment compliance and direct weight gain. This approach involves the client in development of the plan of care and gives her control in achieving desired privileges. RN Nutrition Online Practice 2016 B  CLOSEQuestion 18 loaded rationals provided Question: 18 of 60 CORRECT Time Elapsed: 00:11:46 Pause Remaining: 08:20:00 PAUSE A nurse is creating a plan of care for a client who has mucositis following head and neck radiation therapy for cancer. Which of the following interventions should the nurse include in the plan? INCORRECT INCORRECT CORRECT INCORRECT FLAG Encourage three servings of citrus foods daily. A client who has mucositis should avoid acidic foods to prevent further - - - - - - - - - - - - - - - - - - - - - - -- - - - - - levating the head of the client's bed to 30° prevents aspiration rather than diarrhea. Switch to intermittent feedings. A client who has diarrhea should receive a continuous enteral feeding. • Warm the formula to room temperature. A client can develop diarrhea if the formula being infused is too cold. Therefore, the nurse should warm the formula to room temperature prior to administration. RN Nutrition Online Practice 2016 B  CLOSEQuestion 24 loaded rationals provided Question: 24 of 60 CORRECT Time Elapsed: 00:14:39 Pause Remaining: 08:20:00 PAUSE A nurse in a clinic is reviewing the laboratory Õndings of a client who began a DASH diet following a recent diagnosis of hypertension. Which of the following laboratory Õndings indicates the client has reached one of the goals of the DASH diet? INCORRECT INCORRECT INCORRECT CORRECT FLAG Sodium 150 mEq/L A feature of the DASH diet is a reduction in sodium intake. This laboratory Õnding is above the expected reference range for sodium and indicates that the client has not reached a goal of the DASH diet. Chloride 106 mEq/L This laboratory Õnding is within the expected reference range, but it is not an indication of achieving a goal of a DASH diet. Fasting glucose 130 mg/dL A feature of the DASH diet is a reduction in serum glucose, as hyperglycemia is an associated risk factor for hypertension and coronary heart disease. This laboratory Õnding is above the expected reference range and indicates that the client has not reached a goal of the DASH diet. • Total cholesterol 190 mg/dL A feature of the DASH diet is a reduction in total cholesterol. This laboratory Õnding is within the expected reference range and indicates that the client has achieved one of the goals of the DASH diet. RN Nutrition Online Practice 2016 B  CLOSEQuestion 25 loaded rationals provided Question: 25 of 60 CORRECT Time Elapsed: 00:15:05 Pause Remaining: 08:20:00 PAUSE 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 calcium and should be limited in her diet? CORRECT INCORRECT INCORRECT INCORRECT FLAG • 1 cup low-fat yogurt The nurse should determine that low-fat yogurt contains 314 mg of calcium per cup, which is the highest amount of calcium; therefore, the client should limit low-fat yogurt in her diet. 1 oz cheddar cheese The nurse should recommend a diàerent food item because there is another choice that contains more calcium. Cheddar cheese contains 214 mg of calcium per ounce. 1 egg The nurse should recommend a diàerent food item because there is another choice that contains more calcium. One egg contains 25 mg of calcium. ½ cup spinach The nurse should recommend a diàerent food item because there is another choice that contains more calcium. Spinach contains 122 mg of calcium per half cup. RN Nutrition Online Practice 2016 B  CLOSEQuestion 26 loaded rationals provided Question: 26 of 60 CORRECT Time Elapsed: 00:15:33 Pause Remaining: 08:20:00 PAUSE 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? CORRECT INCORRECT INCORRECT INCORRECT FLAG • "Take a supplement that contains vitamin D." Adding vitamin D to calcium supplements increases calcium absorption. "Take the supplement with a glass of water." The client should take calcium with milk to promote absorption. "Take a 1,000-milligram supplement in the morning with food." Calcium is best absorbed when 500 mg or less is taken at a time. "Take the supplement with a sublingual vitamin B12 tablet." Vitamin B12 does not aàect the absorption of calcium. RN Nutrition Online Practice 2016 B  CLOSEQuestion 27 loaded rationals provided Question: 27 of 60 CORRECT Time Elapsed: 00:16:07 Pause Remaining: 08:20:00 PAUSE A nurse is providing teaching to a client who is at 24 weeks of gestation and reports constipation. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) CORRECT FLAG ✓ Drink eight 240-mL (8-oz) glasses of water daily. Eat small amounts of food frequently. ✓ Increase daily Õber intake. Use a glycerin suppository every other day. ✓ Perform exercises regularly using large muscle groups. Drink eight 240-mL (8-oz) glasses of water daily is correct. Increased Öuids are recommended to prevent and treat constipation. Eating small amounts of food frequently is incorrect. Eating small amounts of food frequently is an instruction the nurse should give a client who has nausea and vomiting. Increase daily Õber intake is correct. Increased Õber intake is recommended to prevent and treat constipation by creating a bulky stool, which stimulates peristalsis. Use a glycerin suppository every other day is incorrect. Glycerin suppositories should not be used because they can cause the client to become dependent on stimulation to have a bowel movement. Perform exercises regularly using large muscle groups is correct. Engaging in physical activity using large muscle groups stimulates bowel motility. RN Nutrition Online Practice 2016 B  CLOSEQuestion 28 loaded rationals provided Question: 28 of 60 CORRECT Time Elapsed: 00:16:49 Pause Remaining: 08:20:00 PAUSE A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value? INCORRECT INCORRECT CORRECT INCORRECT FLAG "I should have gone to my exercise class yesterday." Short-term factors, such as exercise, do not aàect the client's HbA1c level. "This shows that my result is Õnally within a normal range." The HbA1c goal level for a client who has diabetes is between 6.5% and 7%. An HbA1c level of 8.7% indicates less than optimal diabetic control. • "This shows that I have not been following my diet." An HbA1c level of 8.7% is not within the expected reference range. The HbA1c goal level for a client who has diabetes is between 6.5% and 7%. "I should have my blood work done Õrst thing in the morning." The client can give a blood sample at any time of the day because the HbA1c level indicates the average blood glucose levels for the previous 100- to 120-day period. Fasting is not required. RN Nutrition Online Practice 2016 B  CLOSEQuestion 29 loaded rationals provided Question: 29 of 60 CORRECT Time Elapsed: 00:18:19 Pause Remaining: 08:20:00 PAUSE A nurse is providing information to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the information as a contraindication for taking this medication? INCORRECT INCORRECT CORRECT INCORRECT FLAG Orange juice The nurse should teach the client that it is safe to take atorvastatin with orange juice. Coàee The nurse should teach the client that it is safe to take atorvastatin with coàee. • Grapefruit juice The nurse should teach the client to avoid taking atorvastatin with grapefruit juice because it can increase serum levels of the medication, which can cause adverse eàects. Milk The nurse should teach the client that it is safe to take atorvastatin with milk. RN Nutrition Online Practice 2016 B  CLOSEQuestion 30 loaded rationals provided Question: 30 of 60 CORRECT Time Elapsed: 00:18:47 Pause Remaining: 08:20:00 PAUSE 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? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Monitor gastric residuals every 4 hr. The nurse can identify delayed gastric emptying by monitoring gastric residuals regularly. Delayed gastric emptying places the client at risk for aspiration and can necessitate a decrease in the feeding rate. Maintain elevation of the head of the client's bed at 15°. The head of the client's bed should be elevated to between 30º and 45° during the feeding and for at least 1 hr afterward. ConÕrm proper tube placement by radiograph every 24 hr. ConÕrmation of proper tube placement by radiograph should take place before initiating enteral tube feedings. It is not necessary to conÕrm placement again unless there is an indication that the tube has become displaced. Flush tubing with 30 mL of water before and after medications. Flushing the tube with 30 to 50 mL of water before and after medication administration helps maintain tube patency but does not help prevent aspiration. RN Nutrition Online Practice 2016 B  CLOSEQuestion 31 loaded rationals provided Question: 31 of 60 CORRECT Time Elapsed: 00:19:15 Pause Remaining: 08:20:00 PAUSE A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc intake. Which of the following foods is the best source of zinc? INCORRECT INCORRECT INCORRECT CORRECT FLAG Pineapple The nurse should recommend a diàerent food because there is another choice that contains more zinc. Green grapes The nurse should recommend a diàerent food because there is another choice that contains more zinc. CauliÖower The nurse should recommend a diàerent food because there is another choice that contains more zinc. • Pinto beans The nurse should determine that pinto beans are the best food source to recommend because they contain the highest amount of zinc per serving. RN Nutrition Online Practice 2016 B  CLOSEQuestion 32 loaded rationals provided Question: 32 of 60 CORRECT Time Elapsed: 00:19:37 Pause Remaining: 08:20:00 PAUSE A nurse is assessing the meal pattern of a client who has diverticular disease and a prescription for a high-Õber diet. Which of the following food choices by the client contains the most Õber? INCORRECT INCORRECT INCORRECT CORRECT FLAG 1 medium banana One medium banana contains 3 g of Õber. The nurse should recommend a diàerent food item because there is another choice that contains more Õber. ½ cup cooked oatmeal A ½ cup of cooked oatmeal contains 2 g of Õber. The nurse should recommend a diàerent food item because there is another choice that contains more Õber. 1 medium apple with skin One medium apple with skin contains 3.3 g of Õber. The nurse should recommend a diàerent food item because there is another choice that contains more Õber. • ½ cup bran cereal A high-Õber diet is recommended for clients who have diverticular disease because bulky, soft stools are easier for the client to pass and result in decreased pressure within the colon. The nurse should determine that a ½ cup of bran cereal contains the most Õber at 8.8 g per serving. RN Nutrition Online Practice 2016 B  CLOSEQuestion 33 loaded rationals provided Question: 33 of 60 CORRECT Time Elapsed: 00:19:57 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG Legumes The nurse should recommend a diàerent food because there is another choice that is a complete protein. Legumes are an incomplete protein. • Cottage cheese The nurse should recommend cottage cheese as the best source of protein because it is a complete protein. Complete proteins contain all nine essential amino acids and provide the best support for human growth and nourishment. Peanut butter The nurse should recommend a diàerent food because there is another choice that is a complete protein. Peanut butter is an incomplete protein. Whole grain cereal The nurse should recommend a diàerent food because there is another choice that is a complete protein. Whole grain cereals are an incomplete protein. RN Nutrition Online Practice 2016 B  CLOSEQuestion 34 loaded rationals provided Question: 34 of 60 CORRECT Time Elapsed: 00:20:23 Pause Remaining: 08:20:00 PAUSE A nurse is teaching an older adult client about nutritional recommendations. Which of the following statements should the nurse make? INCORRECT CORRECT INCORRECT INCORRECT FLAG "You should increase your daily calorie intake." Older adult clients require fewer daily calories due to a decreased metabolism. • "You should increase your daily protein intake." The nurse should instruct the older adult client to increase his daily intake of protein to increase strength and to enhance immune function and wound healing. The nurse should recommend a protein intake of 20% to 25% of the client's daily calorie intake. "You receive an adequate amount of calcium from your diet, so a supplement is not recommended." The nurse should instruct the older adult client to add a calcium supplement to his diet to maintain healthy bones and aid in the prevention of osteoporosis. Calcium carbonate is the most economical supplement for the nurse to recommend and should be taken with meals to improve absorption. "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a supplement." The nurse should instruct the older adult client to add a vitamin D supplement to his diet to promote calcium absorption. Older adult clients have a decreased ability to synthesize the vitamin D they produce from sun exposure. RN Nutrition Online Practice 2016 B  CLOSEQuestion 35 loaded rationals provided Question: 35 of 60 CORRECT Time Elapsed: 00:20:47 Pause Remaining: 08:20:00 PAUSE A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea. Which of the following actions should the nurse take to reduce the client's diarrhea? INCORRECT INCORRECT CORRECT INCORRECT FLAG Flush the client's feeding tube. The nurse should Öush the client's feeding tube before and after giving medications or if the tube is clogged. Flushing the tube will not reduce the client's diarrhea. Administer promethazine to the client. Promethazine is administered for the treatment and prevention of nausea and vomiting, rather than diarrhea. • Decrease the rate of the feeding. To prevent diarrhea, the nurse should decrease the rate of the tube feeding, which allows for better absorption of the enteral formula. Check the client's gastric residual. The nurse should check the client's gastric residual routinely to reduce the risk for aspiration and monitor the absorption of the feeding, but this action will not reduce the client's diarrhea. RN Nutrition Online Practice 2016 B  CLOSEQuestion 36 loaded rationals provided Question: 36 of 60 CORRECT Time Elapsed: 00:21:14 Pause Remaining: 08:20:00 PAUSE A nurse is providing dietary teaching for a client who is postoperative following gastric bypass. Which of the following instructions should the nurse include? INCORRECT CORRECT INCORRECT INCORRECT FLAG Eat six small meals per day. The nurse should instruct the client to eat three meals and two snacks of a limited portion size each day. • Start each meal with a protein. The nurse should instruct the client to begin each meal by eating a protein. The client should consume 60 to 120 g of protein each day. Complete each meal even if feeling full. The nurse should instruct the client to eat slowly and to stop eating when he begins to feel full. Plan to eat each meal over 15 min. The nurse should instruct the client to eat slowly, take time to chew food well, and plan for meals to last between 30 and 60 min. RN Nutrition Online Practice 2016 B  CLOSEQuestion 37 loaded rationals provided Question: 37 of 60 CORRECT Time Elapsed: 00:21:43 Pause Remaining: 08:20:00 PAUSE A nurse is caring for a client who has diabetes mellitus and reports feeling dizzy, weak, and shaky. Which of the following is the priority action by the nurse? INCORRECT INCORRECT INCORRECT CORRECT FLAG Oàer the client 180 mL (6 oz) of orange juice. The nurse should oàer the client 180 mL of orange juice, but another action is the priority. Document the client's intake from the most recent meal. The nurse should document the client's intake, but another action is the priority. Teach the client manifestations of hypoglycemia. The nurse should teach the client manifestations of hypoglycemia, but another action is the priority. • Check the client's blood glucose level. The Õrst action the nurse should take using the nursing process is to assess the client. Therefore, checking the client's blood glucose level is the priority action. RN Nutrition Online Practice 2016 B  CLOSEQuestion 38 loaded rationals provided Question: 38 of 60 CORRECT Time Elapsed: 00:22:40 Pause Remaining: 08:20:00 PAUSE 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.) CORRECT FLAG Provide three large meals daily. ✓ Oàer citrus fruits. ✓ Suggest pickles as a snack. Rinse silverware prior to eating. ✓ Gargle with mouthwash. Provide three large meals daily is incorrect. The nurse should provide small, frequent meals for a client who is experiencing an altered taste. Oàer citrus fruits is correct. Citrus fruits stimulate the production of more saliva, which helps diminish the metallic taste. Suggest pickles as a snack is correct. Pickles stimulate the production of more saliva, which helps diminish the metallic taste. Rinse silverware prior to eating is incorrect. Plastic utensils should be used to avoid increasing the metallic taste in foods. Gargle with mouthwash is correct. Gargling with mouthwash stimulates the production of more saliva, which helps diminish the metallic taste. RN Nutrition Online Practice 2016 B  CLOSEQuestion 39 loaded rationals provided Question: 39 of 60 CORRECT Time Elapsed: 00:23:02 Pause Remaining: 08:20:00 PAUSE A nurse is reviewing the laboratory results of a client who is receiving continuous total parenteral nutrition. Which of the following results should the nurse report to the provider? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Glucose 238 mg/dL This laboratory Õnding is above the expected reference range for casual glucose and requires reporting to the provider. Potassium 4.7 mEq/L A potassium level of 4.7 mEq/L is within the expected reference range of 3.5 to 5.0 mEq/L and does not require reporting to the provider. Calcium 9.8 mg/dL A calcium level of 9.8 mg/dL is within the expected reference range of 9.0 to 10.5 mg/dL and does not require reporting to the provider. Sodium 140 mEq/L A sodium level of 140 mEq/L is within the expected reference range of 136 to 145 mEq/L and does not require reporting to the provider. RN Nutrition Online Practice 2016 B  CLOSEQuestion 40 loaded rationals provided Question: 40 of 60 CORRECT Time Elapsed: 00:23:34 Pause Remaining: 08:20:00 PAUSE A nurse is conducting dietary teaching for a group for women who are of childbearing age. Which of the following food items should the nurse include as containing the highest amount of folate? INCORRECT CORRECT INCORRECT INCORRECT FLAG ½ cup chickpeas The nurse should recommend a diàerent food because there is another choice that contains more folate. ½ cup of chickpeas contains 141 mcg of folate. • 3.5 oz chicken liver The nurse should recommend this food because it contains the highest amount of folate. 3.5 oz of chicken liver contains 770 mcg of folate. 1 medium orange The nurse should recommend a diàerent food because there is another choice that contains more folate. A medium orange contains 47 mcg of folate. 1 slice white bread The nurse should recommend a diàerent food because there is another choice that contains more folate. A slice of white bread contains 38 mcg of folate. RN Nutrition Online Practice 2016 B  CLOSEQuestion 41 loaded rationals provided Question: 41 of 60 CORRECT Time Elapsed: 00:24:20 Pause Remaining: 08:20:00 PAUSE A nurse is caring for a client who has anemia and a new prescription for an iron supplement. The nurse should recommend the client consume the supplement with which of the following beverages to increase absorption? INCORRECT INCORRECT CORRECT INCORRECT FLAG Protein shake A protein shake contains calcium, which impairs iron absorption when the items are consumed together. Skim milk Milk contains calcium, which impairs iron absorption when the items are consumed together. • Tomato juice The nurse should recommend the client consume the supplement with beverages containing vitamin C, such as tomato juice or orange juice, because this will enhance the absorption of the iron supplement. Green tea Green tea contains caàeine, which impairs iron absorption when the items are consumed together. RN Nutrition Online Practice 2016 B  CLOSEQuestion 42 loaded rationals provided Question: 42 of 60 CORRECT Time Elapsed: 00:24:54 Pause Remaining: 08:20:00 PAUSE A nurse is teaching a client who reports constipation about ways to increase dietary intake of Õber. Which of the following information should the nurse include? INCORRECT INCORRECT CORRECT INCORRECT FLAG Replace legumes with broiled meats. The nurse should instruct the client to replace meat entrées with a main dish that features dried peas or beans to add Õber to her diet. Consume ½ cup of bran daily. The nurse should instruct the client to add a small amount of bran to her daily diet, working up to 3 tablespoons daily, which is less than ¼ cup. Adding Õber gradually should prevent abdominal distention and excessive Öatus. • Leave the skin on when eating fruit. The nurse should instruct the client that consuming the skin on fruits and vegetables adds Õber to the diet. Decrease Öuid intake while increasing Õber. The nurse should instruct the client to increase Öuid intake as Õber intake increases to prevent constipation, abdominal distention, and excessive Öatus. The client should consume at least eight 240-mL (8-oz) glasses of water daily. RN Nutrition Online Practice 2016 B  CLOSEQuestion 43 loaded rationals provided Question: 43 of 60 CORRECT Time Elapsed: 00:25:15 Pause Remaining: 08:20:00 PAUSE A nurse is caring for an older adult client who has a pressure ulcer. The client practices Orthodox Judaism and strictly follows kosher dietary laws. Which of the following foods should the nurse provide for this client? INCORRECT INCORRECT INCORRECT CORRECT FLAG Pork tenderloin Pork and pork products are strictly prohibited under kosher dietary laws. Therefore, the nurse should not recommend that pork tenderloin be included in the client's diet. Cheeseburger A cheeseburger is strictly prohibited under kosher dietary laws because dairy products and meat cannot be eaten together. Therefore, the nurse should not recommend that a cheeseburger be included in the client's diet. Clam chowder Clam chowder is strictly prohibited under kosher dietary laws because the only seafood that can be consumed is Õsh with Õns and scales. Therefore, the nurse should not recommend that clam chowder be included in the client's diet. • Macaroni and cheese The nurse should recommend macaroni and cheese to the client because it is in compliance with kosher dietary laws. It also contains protein, which contributes to wound healing. RN Nutrition Online Practice 2016 B  CLOSEQuestion 44 loaded rationals provided Question: 44 of 60 CORRECT Time Elapsed: 00:25:36 Pause Remaining: 08:20:00 PAUSE 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? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Provide meals at room temperature. The nurse should plan to oàer the client's foods at room temperature or colder. Foods at these temperatures are less irritating to the mucosa. Oàer the client additional seasonings for food. The nurse should tell the client to avoid spices and salty foods because they can irritate the oral mucosa. Instruct the client to eat citrus fruits at the beginning of the meal. The nurse should instruct the client to avoid citrus and other acidic foods because they irritate the oral mucosa. Citrus fruits are an appropriate food recommendation for a client who has dry mouth. Encourage the client to drink warm tomato juice in place of high-protein supplements. The nurse should encourage the client to drink high-calorie, high-protein drinks as meal substitutes. This intervention provides adequate nutrient intake with minimal irritation to the oral mucosa. The client should avoid tomato juice because it is acidic and salty. RN Nutrition Online Practice 2016 B  CLOSEQuestion 45 loaded rationals provided Question: 45 of 60 CORRECT Time Elapsed: 00:26:18 Pause Remaining: 08:20:00 PAUSE A nurse is performing a cultural nursing 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.) CORRECT FLAG ✓ "Are you exempt from fasting during illness?" ✓ "Does fasting mean refraining from drinking liquids?" ✓ "Does fasting occur during certain hours of the day?" "Is vegetarianism a form of fasting?" ✓ "Does fasting mean eating only a certain type of food?" "Are you exempt from fasting during illness?" is correct. The nurse should ask the client if fasting is exempt during illness to determine an acceptable plan of care for the client. "Does fasting mean refraining from drinking liquids?" is correct. The nurse should ask if fasting means refraining from drinking liquids to determine an acceptable plan of care for the client. "Does fasting occur during certain hours of the day?" is correct. The nurse should ask if there are certain hours of the day when fasting occurs to determine an acceptable plan of care for the client. "Is vegetarianism a form of fasting?" is incorrect. Vegetarianism is not a form of fasting. This is not an acceptable question for the nurse to ask the client. "Does fasting mean eating only a certain type of food?" is correct. The nurse should ask if fasting means eating only a certain type of food to determine an acceptable plan of care for the client. RN Nutrition Online Practice 2016 B  CLOSEQuestion 47 loaded rationals provided Question: 47 of 60 CORRECT Time Elapsed: 00:26:59 Pause Remaining: 08:20:00 PAUSE 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.) CORRECT FLAG ✓ Tilt the head forward when swallowing. Drink thin liquids through a straw. ✓ Place food on the unaàected side of the mouth. Take moderate bites when eating. ✓ Limit disruptions during mealtime. Tilt the head forward when swallowing is correct. Tilting the head forward promotes swallowing by pushing the client's epiglottis downward and opening the esophagus. Drink thin liquids through a straw is incorrect. The client should avoid consuming thin liquids because this can increase the risk for aspiration and choking. Place food on the unaàected side of the mouth is correct. The client should place food on the unaàected side of the mouth to prevent aspiration and choking. Take moderate bites when eating is incorrect. Taking moderate bites when eating increases the client's risk of choking. The client should take small bites when he is eating. Limit disruption during mealtime is correct. Limiting disruptions during mealtime allows the client to take his time eating, which reduces the risk for choking. The nurse should allow the client at least 30 min for each meal. RN Nutrition Online Practice 2016 B  CLOSEQuestion 48 loaded rationals provided Question: 48 of 60 CORRECT Time Elapsed: 00:27:23 Pause Remaining: 08:20:00 PAUSE A nurse is reviewing the laboratory data of four clients. The nurse should identify that which of the following clients is experiencing Öuid overload? INCORRECT INCORRECT INCORRECT CORRECT FLAG A client who has an albumin level of 5.5 g/dL The nurse should identify that this client's albumin level is greater than the expected reference range of 3.5 to 5 g/dL. An elevated serum albumin level is an indication of dehydration, or Öuid volume deÕcit, resulting from hemoconcentration. A client who has a urine speciÕc gravity of 1.035 The nurse should identify that this client's urine speciÕc gravity is greater than the expected reference range of 1.005 to 1.030. An elevated urine speciÕc gravity is an indication of concentrated urine resulting from Öuid volume deÕcit. A client who has a Hct of 55% The nurse should identify that this client's Hct is greater than the expected reference range of 37% to 47% for women and 42% to 52% for men. An elevated Hct is an indication of hemoconcentration from Öuid volume deÕcit. • A client who has a sodium level of 130 mEq/L The nurse should identify that this client's sodium level is lower than the expected reference range of 136 to 145 mEq/L. A decreased sodium level is an indication of a lack of sodium intake or hemodilution from Öuid volume overload. RN Nutrition Online Practice 2016 B  CLOSEQuestion 49 loaded rationals provided Question: 49 of 60 CORRECT Time Elapsed: 00:27:52 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT INCORRECT CORRECT INCORRECT FLAG Low protein A client who has pulmonary disease requires a high-protein formula to prevent malnutrition and maintain muscle and lung strength. High carbohydrate As the breakdown of carbohydrates increases the production of carbon dioxide, a client who has pulmonary disease requires a formula with low to moderate amounts of carbohydrates. • High calorie A client who has pulmonary disease requires a formula that is high in calories and protein to maintain energy demands. Low fat A client who has pulmonary disease requires a formula that is high in fat to maintain caloric needs and energy demands. RN Nutrition Online Practice 2016 B  CLOSEQuestion 50 loaded rationals provided Question: 50 of 60 CORRECT Time Elapsed: 00:28:20 Pause Remaining: 08:20:00 PAUSE A home health nurse is reviewing the medical record of a client who had an open reduction internal Õxation of the tibia. Which of the following Õndings should the nurse identify as a risk factor for impaired wound healing? INCORRECT INCORRECT CORRECT INCORRECT FLAG The client's hemoglobin is 15 g/dL. A hemoglobin level of 15 g/dL is within the expected reference range. A hemoglobin level below the expected reference range is a risk factor for impaired wound healing. The client's peripheral pulses are +3 distal to the aàected extremity. Pulses +3 strength are an expected Õnding. The nurse should identify decreased tissue perfusion as a risk factor for impaired wound healing. • The client consumes 1,000 k/cal daily. Adults who have had surgery require at least 1,500 k/cal daily to meet energy needs and build protein for tissue healing. The nurse should recognize that a 1,000 k/cal/day intake is below the client's needs. The client takes zinc supplements. The body uses zinc to build proteins and aid the immune response. The nurse should identify this Õnding as a factor that will promote wound healing. RN Nutrition Online Practice 2016 B  CLOSEQuestion 51 loaded rationals provided Question: 51 of 60 CORRECT Time Elapsed: 00:38:45 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT INCORRECT INCORRECT CORRECT FLAG Three slices of bacon and oatmeal toast A low-residue diet limits the amount of stool traveling through the intestinal tract. The client should avoid whole grains, fatty meats, and high-Õber foods. Granola with raisins and strawberries A low-residue diet limits the amount of stool traveling through the intestinal tract. The client should avoid whole grains, fruits with seeds, and high-Õber foods. Whole wheat French toast with blueberries and maple syrup A low-residue diet limits the amount of stool traveling through the intestinal tract. The client should avoid whole grains, fruits with seeds, and high-Õber foods. • Two poached eggs and a banana A low-residue diet limits the amount of stool traveling through the intestinal tract. The nurse should teach the client to avoid foods high in Õber. Poached eggs and bananas are acceptable low-residue menu choices. RN Nutrition Online Practice 2016 B  CLOSEQuestion 52 loaded rationals provided Question: 52 of 60 CORRECT Time Elapsed: 00:39:09 Pause Remaining: 08:20:00 PAUSE A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? INCORRECT INCORRECT CORRECT INCORRECT FLAG Use a low-fat formula for administration. A client who is experiencing distention and bloating should receive a low-fat formula. A client experiencing dehydration should receive a low-protein formula. Chill the formula prior to administration. A chilled formula can cause abdominal distention and cramping. The nurse should warm the formula to room temperature prior to administration. The temperature of the formula does not aàect the client's dehydration status. • Provide the formula as a continuous infusion. A client who is experiencing dehydration should receive a continuous infusion to prevent receiving a high carbohydrate load with each feeding. Dilute the formula before administration. A client who is experiencing dehydration should receive additional water, but diluting the formula will also reduce the amount of nutrients the client receives. RN Nutrition Online Practice 2016 B  CLOSEQuestion 54 loaded rationals provided Question: 54 of 60 CORRECT Time Elapsed: 00:39:45 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG Moist skin Dry skin is a manifestation of malnutrition. • Ankle edema The nurse should identify that lower extremity edema is a manifestation of malnutrition and is indicative of a protein deÕciency in the client. HyperreÖexia Decreased reÖexes and weak hand grasps are manifestations of malnutrition. Dilated pupils Dry conjunctiva and corneal vascularization are manifestations of malnutrition. RN Nutrition Online Practice 2016 B  CLOSEQuestion 55 loaded rationals provided Question: 55 of 60 CORRECT Time Elapsed: 00:40:05 Pause Remaining: 08:20:00 PAUSE A nurse is caring for an infant who has a cleft lip and palate. In which of the following positions should the nurse place the infant for bottle feeding? INCORRECT INCORRECT INCORRECT CORRECT FLAG Lateral If the infant is on his side, the formula can enter the nasal passage through the cleft in the palate. Football hold If the infant is held in this position, the formula can enter the nasal passage through the cleft in the palate. Supine in the crib If the infant is supine, the formula can enter the nasal passage through the cleft in the palate. • Upright The infant should be fed in an upright position with the caregiver supporting the infant's head. The nipple should be directed to the side of the infant's mouth to prevent the formula from entering the nasal passage. RN Nutrition Online Practice 2016 B  CLOSEQuestion 56 loaded rationals provided Question: 56 of 60 CORRECT Time Elapsed: 00:40:28 Pause Remaining: 08:20:00 PAUSE A nurse is caring for a client who has acute inÖammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client? CORRECT INCORRECT INCORRECT INCORRECT FLAG • Hydrolyzed formula Hydrolyzed or elemental formula provides protein and other nutrients in their simplest form, requiring little or no digestion and decreasing stimulation of the bowel. This type of formula is beneÕcial for clients who have impaired digestion due to conditions such as inÖammatory bowel disease. Polymeric formula Polymeric formula contains complex nutrient molecules and is not indicated for clients who have impaired digestion. Milk-based supplement formula Milk-based supplemental formulas contain lactose and are poorly tolerated by clients who have inÖammatory bowel disease. Modular product supplement formula Modular formulas are intended to increase the intake of a speciÕc nutrient without increasing volume; they are not intended for clients who have impaired digestion. RN Nutrition Online Practice 2016 B  CLOSEQuestion 57 loaded rationals provided Question: 57 of 60 CORRECT Time Elapsed: 00:40:53 Pause Remaining: 08:20:00 PAUSE A nurse is caring for a client who has age-related macular degeneration (AMD) and asks the nurse if there are any nutritional changes to consider. Which of the following responses should the nurse make? INCORRECT INCORRECT CORRECT INCORRECT FLAG Use soy products as much as possible. Soy products do not contain antioxidants, lutein, or vitamins E and B , all of which can slow age-related vision loss. Soy products are often used as meat substitutes in vegetarian diets. 12 Add niacin-rich foods to the diet. Niacin aids in lowering LDL and triglycerides, but it has no eàect on AMD. • Increase dietary intake of lutein. Lutein, a carotenoid found in vitamin A, slows the progression of AMD and is found in kale, spinach, collards, and mustard greens. Consume foods with a high glycemic index. Foods with a low glycemic index can aid clients who have diabetes mellitus in managing postprandial hyperglycemia, but foods that have a high glycemic index have no eàect on AMD. RN Nutrition Online Practice 2016 B  CLOSEQuestion 58 loaded rationals provided Question: 58 of 60 CORRECT Time Elapsed: 00:41:15 Pause Remaining: 08:20:00 PAUSE A nurse is caring for a client who is receiving continuous enteral feedings via an NG tube. The nurse notices that the tube feeding has stopped infusing. Which of the following actions is the nurse's priority? INCORRECT INCORRECT INCORRECT CORRECT FLAG Change the formula. The nurse might need to switch to a less calorically dense formula if the tubing clogs frequently, but this is not the Õrst action the nurse should take. Change the tube. The nurse might need to change the tube if clumps of formula have formed in the tube, but this is not the Õrst action the nurse should take. Notify the provider. The nurse might need to notify the provider, but this is not the Õrst action the nurse should take. • Flush the tube with warm water. According to evidence-based practice, the Õrst action the nurse should take when a tube feeding stops infusing is to Öush the tube with 30 to 50 mL of water to re-establish Öow. Other interventions might be required if Öushing does not remove the clog. RN Nutrition Online Practice 2016 B  CLOSEQuestion 59 loaded rationals provided Question: 59 of 60 CORRECT Time Elapsed: 00:41:38 Pause Remaining: 08:20:00 PAUSE A nurse is providing discharge teaching about breast milk use and storage to a client who is postpartum. Which of the following statements should the nurse make? INCORRECT CORRECT INCORRECT INCORRECT FLAG "Refrigerate unused breast milk immediately after bottle feeding." The nurse should instruct the client that any milk left in a bottle from a feeding should be immediately discarded. • "You cannot place thawed breast milk back in the freezer." The nurse should instruct the client that completely thawed breast milk can be stored in the refrigerator, but must be used within 24 hr. Breast milk that has been previously frozen should not be refrozen once it has thawed completely. Thawing creates a possibility for bacterial growth and causes a decrease in antibacterial activity, which destroys antibodies in the milk. "You can store expressed breast milk in the freezer for up to 18 months." The nurse should instruct the client that the recommended duration of time for safely storing expressed breast milk is 6 months. However, it is acceptable for expressed breast milk to be stored for a maximum of 12 months. "Defrost frozen breast milk on lowest defrost setting in the microwave." The nurse should instruct the client to place the container of breast milk in the refrigerator to slowly thaw. If the breast milk is needed sooner, the nurse should instruct the client to place the container of breast milk under warm, running water. Breast milk should not be thawed or warmed in a microwave. This practice can cause burns to the infant's mouth, throat, or upper gastrointestinal tract due to uneven heating, which might not be recognized when the client spot checks the milk's temperature. RN Nutrition Online Practice 2016 B  CLOSEQuestion 60 loaded rationals provided Question: 60 of 60 CORRECT Time Elapsed: 00:42:00 Pause Remaining: 08:20:00 PAUSE 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? INCORRECT CORRECT INCORRECT INCORRECT FLAG Consuming a diet low in fat The client's risk for dysrhythmias does not increase due to a diet low in fat. A diet that is high in fat can lead to coronary artery disease, which can increase the risk for dysrhythmias. • Eating a diet rich in potassium A client who has ESKD has impaired kidney function and is unable to eliminate potassium. As urine output declines, hyperkalemia develops, which can cause cardiac dysrhythmias. Consuming a diet rich in protein The client's risk for dysrhythmias does not increase due to a diet rich in protein. However, as uremia occurs from the buildup of waste products from the breakdown of protein, a client who has ESKD should not consume a diet rich in protein. Eating a diet deÕcient in iron A diet deÕcient in iron can lead to anemia, but the client's risk for dysrhythmias does not increase due to low intake of iron. RN Nutrition Online Practice 2016 B  CLOSE [Show More]

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