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NURSING 265 (NUTRITION) WEEK 5 EAQ PERFECTLY ANSWERED!!
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NURSING 265 (NUTRITION) WEEK 5 EAQ PERFECTLY ANSWERED!!
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NURSING 265 (NUTRITION) WEEK 5 EAQ PERFECTLYANSWERED!!
A woman comes into the clinic and states that she is thinking about becoming
pregnant. What can the woman do to improve the health of her baby before she
becomes pregnant?
Answers :Start taking prenatal vitamins.
Folic acid is important for the pregnant woman; a lack of folic acid can result in
neural tube defects, including spina bifida. The time during fetal development
when this occurs is very early in the pregnancy, when the woman may not even
realize that she is pregnant. Taking prenatal vitamins with adequate folic acid can
greatly reduce this birth defect. Although exercise is good for the pregnant woman
and infant, it is not necessary to start running 3 miles a day, especially if this is
something the client has never done before. Running may not be healthy for the
soon-to-be mother and infant if it is a new activity; however, if this is what the
woman normally does, she will be encouraged to continue.
A client with a history of a pulmonary embolus is to receive 3 mg of warfarin daily.
The client has blood drawn twice weekly to ascertain that the international
normalized ratio (INR) stays within a therapeutic range. The nurse provides dietary
teaching. Which food selected by the client indicates that further teaching is
necessary?
Answers :Spinach salad
Rationale
Dark green, leafy vegetables are high in vitamin K. Influencing the level of vitamin
K alters the activity of warfarin because vitamin K acts as a catalyst in the liver for
the production of blood-clotting factors and prothrombin. The intake of foods
containing vitamin K must be consistent to regulate the warfarin dose so that the
INR remains within the therapeutic range. Eggs contain protein and are permitted
on the diet. Yellow vegetables contain vitamin A and are permitted on the diet.
, Dairy products containing protein and bread supplying carbohydrates are permitted
on the diet.Test-Taking Tip: Relax during the last hour before an exam. Your brain
needs some recovery time to function effectively.
Which drug is derived from a natural source and may be prescribed for the
treatment of osteoporosis?
Answers :Calcitonin
Rationale
Calcitonin is derived from natural sources such as fish; this drug may be prescribed
to prevent osteoporosis. Raloxifene is prescribed to prevent postmenopausal
osteoporosis. Clomiphene is prescribed to induce ovulation. Bisphosphonates are
prescribed to treat osteoporosis; this drug is not derived from natural sources.
A nurse is teaching the parents of a school-aged child with celiac disease about the
nutrients that must be avoided in a gluten-free diet. What nutrients should the nurse
teach the parents to avoid?
Answers :Wheat and oat products.Wheat, oats, rye, and barley are major dietary
sources of gluten; the gliadin fraction of these grains is not tolerated by individuals
with celiac disease. There is no gluten in oils and fats. There is no gluten in cheeses
and milk. Corn and rice are used as substitute grains because they do not contain
gluten.
The parents of a 6-month-old ask a nurse how to introduce their infant to pureed
foods. How should the nurse respond?
Answers :"Introduce one food at a time every 4 to 7 days."
Rationale
The introduction of one new food at a time permits the identification of any food
allergies that might be present; intake of multiple new foods makes identification
of the causative foods more difficult if there is a reaction. Mixing the food with
formula can create feeding problems; if the infant does not like the taste of a food,
it may be associated with the formula. Formula intake should be decreased as solid
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