1) A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. What
is a clinical manifestation of early indication of malnutrition?
- Ankle edema- indicative of protein deficiency!
- Dry skin, decreased reflexes and weak hand grasps, and dry conjunctiva
2) A nurse is pr...
1) A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. What
is a clinical manifestation of early indication of malnutrition?
- Ankle edema- indicative of protein deficiency!
- Dry skin, decreased reflexes and weak hand grasps, and dry conjunctiva
2) 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?
- I will eat 5 servings of fruit/veggies a day
- Limit alcohol
- Eat whole grain foods
- Limit processed food bc they’re high sodium and fats
3) A nurse is reviewing the lab data of 4 clients. The nurse should identify that which of the
following clients is experiencing fluid overload?
m
- A sodium level below expected range (135-145)=overload
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- Albumin level that is below expected range (3.5-5)= overload
co
eH w
- Hct that is below expected range (37-37%)-overloud
- Urine specific gravity below expect range (1.0005-1.030)= overload
o.
rs e
4) Proper teaching techniques to a pt who is experiencing dysphagia following a stroke:
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- Tilt head forward when swallowing
- Put food on unaffected side of mouth
- Limit disruptions during meal time
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- Small bites
aC s
- Avoid thin liquids
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5) Proper discharge teaching about breast milk use and storage:
- Never replace unused breastmilk in the fridge again, throw it away
- Never heat milk in microwave
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- You can store expressed milk in the freezer up to 12 months
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- You can’t place thawed milk back in the freezer
6) A nurse is teaching a client about celiac disease:
- You can have tapioca pudding for dessert
is
- Avoid wheat, rye, barley
- Dietary restrictions are for life
Th
- Avoid canned soups bc they have gluten
7) Plan of care for a client who has mucositis following head and neck radiation therapy for
cancer. Interventions to include in plan?
sh
, - Hyperglycemia is: vomiting, polydipsia, ketonia
9) Client has acute inflammatory bowel disease. What nutritional supplements should be
provided?
- Hydrolyzed formula because it contains protein in it’s simplest form, requiring
little or no digestion and helps decrease stimulation of the bowel
- Avoid milk based-contains lactose
- Avoid polymeric- complex nutrients
- Avoid modular product supplement formula-intended to increase intake of
specific nutrient without increasing volume
10) A nurse is performing a cultural assessment for a client whose religious practices include
fasting 1 day each week. What should the nurse ask?
- Are you exempt from fasting during illness?
- Does fasting mean refraining from drinking liquids?
- Does fasting occur during certain hours of the day?
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- Does fasting mean eating only a certain type of food?
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11) Client has anemia and needs a prescription for an iron supplement. What helps increase
co
eH w
absorption?
- Tomato juice cus it has vitamin C
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12) A client is vegetarian and needs more zinc. What is a good source of zinc?
- Pinto beans rs e
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13) A nurse is providing teaching to a client who is lactating about increase her protein.
What food she recommend?
- Cottage cheese because it is a complete protein and it has all the 9 essential
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amino acids
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- NOT peanut butter because it is an incomplete protein
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14) A nurse is caring for an infant who has a cleft lip and palate. Which position should the
nurse place the infant for bottle feeding?
- Upright, supporting infants head
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15) A nurse is teaching an older client about measures to reduce the risk of osteomalacia.
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Which of the following instructions should the nurse include in the teaching?
- Consume 20 mcg of vitamin D daily
- Eat foods rich in antioxidants (C,E, beta carotene) these protect the cells from
is
being destroyed by free radicals
- Decrease purine foods (organ meats and certain seafood)
Th
- 15mg of Vitamin E/daily
16) A nurse is providing dietary teaching for a client who is post op, following gastric bypass.
What instructions should the nurse include?
sh
- Start each meal with a protein (60-120 g/day)
- Eat 3 meals, 2 snacks each day
- Eat slowly, stop eating when you feel full, plan meals to last 30-60mins
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