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NSG 3023 Chapter 33 QUIZ
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NSG 3023 Chapter 33 QUIZChapter 33: Nutrition
Potter: Essentials for Nursing Practice, 8th Edition
MULTIPLE CHOICE
1. A patient who has high cholesterol asks the nurse if there is a need to limit all fat in the diet
to lower cholesterol. What is the nurse’s best response?
a. “You should limit the amount of monounsaturated fats.”
b. “You should limit the amount of unsaturated fatty acids.”
c. “You should limit the amount of saturated fats.”
d. “You should not limit the amount of any kind of fat.”
ANS: C
Ingestion of saturated fatty acids appears to increase blood cholesterol levels.
Monounsaturated fatty acids appear to lower blood cholesterol levels. Ingestion of
unsaturated fatty acids has a minimal effect on blood cholesterol. Saturated fats should be
limited to lower cholesterol.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 906
OBJ: Explain the significance of saturated, unsaturated, and polyunsaturated lipids in
nutrition. TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
2. The nurse who works on the oncology unit understands the importance of nutrition and the
disease process. Which patient should the nurse be most concerned about from a nutritional
standpoint?
a. A patient with cervical cancer
b. A patient with liver cancer
c. A patient with prostate cancer
d. A patient with colon cancer
ANS: B
Absorbed nutrients are carried to the liver, where major metabolic processes occur. The liver
also regulates energy through its control of glucose metabolism. Glucose is the primary fuel
for the body. The liver and muscles store glucose in the form of glycogen via a process
called glycogenesis. The prostate does not contribute to the digestion system. Cervical
cancer does not contribute to digestion but does affect the reproductive system. The colon is
used to eliminate solid waste material from the body.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 907
OBJ: Identify nutritional problems and describe a patient at risk for these problems.
TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity
, 3. A 14-year old patient with cancer is concerned about diet, and questions the need for
vitamins to supplement the diet. The patient states, “I don’t think my diet alone is providing
the upper intake levels (ULs) of vitamins that I need.” What is the best response from the
nurse?
a. “You should try to get your vitamins from food, rather than a supplement.”
b. “You should be trying to achieve the recommended dietary allowances (RDA).”
c. “You should compare your diet to the UL for children, not the UL for adults.”
d. “You shouldn’t worry about vitamins as long as you are getting enough calories.”
ANS: B
The tolerable UL is the highest level that likely poses no risk for adverse health events. It is
not a recommended level of intake. There are four components to the DRIs: estimated
average requirement (EAR), recommended dietary allowances (RDAs), adequate intakes
(AIs), and tolerable upper intake levels (ULs). The EAR is the recommended amount of a
nutrient that appears sufficient to maintain a specific body function for 50% of the
population based on age and gender. The RDA is the average needs of 98% of the
population, not the exact needs of an individual. The AI is the suggested intake for
individuals based on observed or experimentally determined estimates of nutrient intakes by
groups and is provided when there is insufficient evidence to set an RDA. “You shouldn’t
worry” is false reassurance and should not be used. The patient needs to be educated on not
using the ULs as a measure of intake, not that vitamins from food are better than
supplements.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: 908 OBJ: Explain dietary guidelines.
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. A student nurse is completing a community health rotation. One of the clients is a pregnant
teen. The student nurse has been teaching the client about infant nutrition. Which statement
indicates to the student nurse that the client needs additional teaching?
a. “Breast milk is all my baby will need for the first 4 to 6 months.”
b. “Breast milk should be the major source of nutrition for the first year.”
c. “My baby won’t need as many calories per kilogram as I will.”
d. “Breastfeeding my baby will decrease the chances for food allergies.”
ANS: C
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