Exam (elaborations)
NURS 315 – Nutrition: Questions With Answers (Verified)
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NURS 315 – Nutrition: Questions With Answers (Verified)
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NURS 315 – Nutrition: Questions With Answers(Verified)
During assessment of the patient with protein calorie malnutrition, the nurse
would expect to find (Select all that apply)
A) Decreased bowel sounds
B) Prominent body structures
C) A flat or concave abdomen
D) Cool, rough, dry, scaly skin
E) Decreased reflexes and inattention. Right Ans - A) decreased bowel
sounds B) prominent bony structures D) cool, rough, dry, scaly skin, E)
decreased reflexes and inattention
when malnourished, the abdomen is usually... Right Ans - distended
To evaluate the effect of nutritional interventions with a patient with protein
calorie malnutrition, the best indicator for the nurse to use is the patient's
A) Height and weight
B) Body mass index
C) Weight in relation to ideal body weight
D) Mid upper arm circumference and triceps skin fold Right Ans - D) mid
upper arm circumference and triceps skin fold
When considering a tube feeding for a patient with severe protein calorie
malnutrition, the nurse knows that an advantage of a gastrostomy tube over a
nasogastric tube is that
A) There is less irritation to the nasal and esophageal mucosa- NG are used
short term because of irritation
B) The patient experiences the sight and smells associated with eating
C) Aspiration resulting from reflux of formulas in the esophagus is less
common
D) Routine checking for placement is not required because gastrostomy tubes
do not become displaced. Right Ans - A) there is less irritation to the nasal
and esophageal mucosa
roux-enY gastric bypass advantages and disadvantages: Right Ans - low
levels of vitamins, can leak, reduces amount of fat and calories you absorb
from the foods you eat, rapid weight loss, long term results
, vertical banded advantages and disadvantages: Right Ans - restrict and
decrease food intake, less invasive, less chance of infection, band can slip, can
require a second procedure
During the care of the morbidly obese patient, it is important that the nurse
A) Avoid reference to the patient's weight to avoid embarrassing the patient
B) Deemphasize to the patient how important it is to lose weight to maintain
health
C) Plan for necessary modifications in equipment and nursing techniques
before initiating care
D) Recognize that a full assessment of each body system might not be possible
because of numerous layers of skin folds Right Ans - C) plan for necessary
modifications in equipment and nursing techniques before initiating care
Dietary teaching for the patient following roux-enY gastric bypass includes
information regarding the need to
A) Avoid sugary foods and limit fluids to prevent dumping syndrome
B) Gradually increase the amount of food ingested to preoperative levels
C) Maintain a long term liquid diet to prevent damage to the surgical site
D) Consume foods high in complex carbohydrate, protein, and fiber to add
bulk to intestinal contents. Right Ans - A) avoid sugary foods and limit
fluids to prevent dumping syndrome
water based, fiber free, recommended for short term use Right Ans - clear
liquid diet
examples of clear liquid diet: Right Ans - jello, tea, coffee, broth
milk based, provides water, calories, proteins, vitamins and minerals Right
Ans - full liquid diet
examples of full liquid diet: Right Ans - milk, pudding, custard, ice cream,
yogurt
Condition of being too full or too satisfied Right Ans - satiety
Substances in food that your body needs to grow, to repair itself, and to supply
you with energy Right Ans - nutrients
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