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NU 211 Nutrition(ANSWERED)
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NU 211 Nutrition(ANSWERED)
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NU 211 Nutrition1.Six hours after initiation of total parenteral nutrition, the client's serum glucose level
increases to 240 mg/dL (13.3 mmol/L). What does the nurse conclude is the most likely
cause of the increase?
Answer- The infusion is flowing too rapidly. Rapid infusion of concentrated glucose into
the vascular system does not allow time for adequate insulin release to transport
glucose to the cells. A hyperconcentrated solution usually results in hypervolemia rather
than hyperglycemia. There is no evidence that the client has diabetes mellitus. If the
infusion was too slow, the blood glucose level would not increase to 240 mg/dL (13.3
mmol/L).
2.A client has a hiatal hernia. The client is 5 feet 3 inches tall (163 cm) and weighs 160
pounds (72.6 kg). Which information should the nurse include when discussing
prevention of esophageal reflux?
Answer- Reduce your caloric intake to foster weight reduction. Weight reduction
decreases intraabdominal pressure, thereby decreasing the tendency to reflux into the
esophagus. Fats decrease emptying of the stomach, extending the period that reflux
can occur; fats should be decreased. Lying down after eating increases the Drinking
several glasses of fluid during each meal Iwill increase pressure against the
diaphragmatic hernia, increasing symptoms. pressure; fluid should be discouraged with
meals.
3.What instructions should the nurse give to the parents of a toddler? Select all that
apply.
Answer- "You should serve finger foods to your child."
4.The nurse is planning nutritional education for a client with lower extremity arterial
disease (LEAD), also called peripheral arterial disease. Which diet modifications should
the nurse include in the teaching session?
Answer- Decreasing both cholesterol and saturated fat intake Lower extremity arterial
disease frequently is accompanied by generalized atherosclerosis; decreasing both
cholesterol and saturated fat intake will help decrease lipid buildup on artery walls.
Decreasing both fluid and sodium intake is an inappropriate dietary modification; this
client does not have edema. Increasing both calcium and potassium is not appropriate
for the client's condition because it may alter the client's electrolyte balance.
Supplemental vitamin E can precipitate cardiac/vascular problems and should be taken
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