Questions and Answers
Which interventions should the nurse prioritize in the client's care? (Select all that apply)
Which foods are recommended for a toddler with celiac disease? (Select all that apply)
Increasing sodium intake is recommended for managing kidney stones.
False
What is the recommended daily fluid intake for someone managing kidney stones?
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Foods that contain gluten include those made from ______.
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What is expected in a client who has acute pancreatitis regarding glucose levels?
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Which statement indicates an understanding of dietary recommendations during pregnancy?
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What finding should the nurse report as an indication of protein deficiency?
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Which information should the nurse include about decreasing sodium intake for a client with hypertension?
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Which client is experiencing fluid overload?
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What should the guardian of a 6-month-old infant understand about introducing solid foods?
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What advice should be given to a client with dumping syndrome?
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What is a recommended action for cancer prevention?
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What intervention should the nurse include for a client with stomatitis?
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What should be done with thawed breast milk?
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What finding should the nurse identify as the priority for a client with Parkinson's disease during meals?
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What solution should be infused until a new bag of TPN is available?
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What indicates the client's understanding of carbohydrate counting in diabetes?
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Which condition has an increased protein requirement?
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What dietary action should a client with advanced Parkinson's disease take?
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What action reduces the risk of aspiration for a client receiving NG tube feedings?
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What finding should a nurse anticipate in a client with diabetic ketoacidosis?
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What should a client do to alleviate nausea during pregnancy?
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What should a client understand about iron supplements during pregnancy?
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What should be communicated regarding breastfeeding for a newborn?
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What is the first action a nurse should take for a client wanting to lose weight?
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What food choice contains the highest amount of calcium?
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What should a postoperative colostomy client increase in their diet?
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Which food should clients on MAOIs avoid?
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What action should be included in the care plan for a client with mucositis?
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Which micronutrient should be increased for better night vision?
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What is the total mL of enteral fluid administered during an 8 hr shift if a nurse is administering tube feeding at 60 mL/hr with 50 mL of water every 4 hr?
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Which of the following findings indicates risk factors for malnutrition?
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Match the assessment findings with the condition they are consistent with.
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Which of the following findings indicate an improvement in the client's condition?
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Which mineral should the nurse identify as the possible cause of constipation?
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What response should the nurse give regarding the continuation of TPN?
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Which food choice contains the most fiber for a client with diverticular disease?
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Which of the following is an expected finding for someone suspected of having lactose intolerance?
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Which of the following is a manifestation of hypoglycemia for a client with type 2 diabetes mellitus?
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What nutrition category score should be documented for a client who eats more than half of most meals but occasionally refuses a meal?
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Which food contains the highest amount of zinc for a client with chronic skin ulcers?
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Which dietary habit increases the risk for dysrhythmias in a client with end-stage kidney disease (ESKD)?
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Which finding indicates a complication of TPN therapy?
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What intervention should the nurse include for a client experiencing diarrhea from enteral feedings?
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What finding should indicate a nurse to increase the nutritional intake for a client with HIV?
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Which potential adverse effect should a nurse monitor for in a client receiving radiation therapy to the head and neck?
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Which statement indicates a client with celiac disease understands dietary teaching?
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Which finding should indicate a nurse that a client is dehydrated?
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Which food allergy could place a client at risk for a reaction when administering an influenza vaccine?
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What should the nurse recommend regarding dietary modifications for a client at high risk for cardiovascular disease?
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Which action should the nurse take to assess for Somogyi phenomenon in a client with type 1 diabetes mellitus?
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What instruction should the nurse include for measures to reduce the risk of osteomalacia?
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Which food should a client on warfarin eat in moderation?
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Which food should a client taking levodopa-carbidopa consume with the medication?
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Which instruction should the nurse include for a client with COPD?
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What intervention should the nurse include for a client with stomatitis receiving radiation to the neck?
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What dietary instruction should a nurse provide for a client who has cirrhosis and ascites?
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What action should the nurse take for a client who develops diarrhea while receiving a continuous enteral tube feeding?
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Which information should the nurse include for a client starting a vegetarian diet?
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Which food should be recommended as the best source of zinc for a vegetarian client?
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Which snack food should the nurse recommend for a 2-year-old toddler?
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What is an expected finding in laboratory results for a client with acute pancreatitis?
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Study Notes
Dumping Syndrome and Related Conditions
- Dumping Syndrome: Symptoms include abdominal cramping, muscle weakness, nausea, diarrhea, and sweating.
- Common Symptoms: Diarrhea and timing of manifestations post-eating are important indicators for dumping syndrome, while muscle weakness and sweating can indicate both dumping and hypoglycemia.
- Hypoglycemia: Presenting signs can include muscle weakness and sweating.
- Refeeding Syndrome: Characterized primarily by muscle weakness.
Improving Client Condition
- Assessment Indicators: Alertness, regular heart rhythm, non-labored respiration, normal bowel sounds, sufficient urine output, warm and intact skin, and appropriate capillary refill time signal improvement.
Constipation Causes
- Calcium Supplementation: High calcium intake can lead to constipation by slowing down peristalsis.
Total Parenteral Nutrition (TPN) Guidelines
- Criteria for Discontinuation: TPN should continue until at least 60% of caloric intake is achieved orally.
High-Fiber Diet for Diverticular Disease
- Fiber Content: ½ cup of bran cereal is the best option for increasing fiber intake at 10 g per serving.
Lactose Intolerance Symptoms
- Expected Symptoms: Flatulence, bloating, and cramping are common findings.
Manifestations of Hypoglycemia
- Indicators: Confusion is a key manifestation of hypoglycemia in clients with diabetes.
Skin Risk Assessment for Nutrition
- Adequate Intake: Eating more than half of meals, even with occasional refusals, typically scores a 3 (Adequate) in nutrition assessments.
Increased Zinc Intake Suggestions
- Zinc-Rich Foods: Ground beef is highly recommended for its zinc content (5.49 mg in 4 oz).
Dietary Risks in End-Stage Kidney Disease (ESKD)
- Potassium Intake: A diet rich in potassium elevates the risk of dysrhythmias due to impaired elimination in ESKD.
Complications of TPN
- Signs of Complications: Cardiac dysrhythmias can stem from refeeding syndrome associated with TPN.
Managing Diarrhea from Enteral Feedings
- Feeding Strategy: Administering smaller, frequent feedings may reduce diarrhea occurrences.
Nutritional Needs for Clients with HIV
- Nutritional Increase Indication: The presence of infections, like herpes simplex, necessitates an increase in nutritional intake.
Effects of Radiation Therapy
- Monitoring: Changes in saliva production are common post-cancer treatments in the head and neck region.
Celiac Disease Dietary Understanding
- Permissible Foods: Tapioca pudding is gluten-free and safe for those with celiac disease.
Signs of Dehydration
- Dehydration Indicator: Orthostatic hypotension is a clear sign of dehydration.
Allergies Related to Vaccinations
- Egg Allergies: Clients with egg allergies may react adversely to the influenza vaccine.
Dietary Recommendations for Cardiovascular Health
- Cooking Oils: Substitute canola oil for lard to reduce saturated fat intake.
Assessing Somogyi Phenomenon in Diabetes
- Monitoring: Nightly blood glucose levels help assess for the Somogyi effect (rebound hyperglycemia post-hypoglycemia).
Osteomalacia Prevention
- Vitamin D Intake: Daily intake of 20 mcg of vitamin D is essential to prevent osteomalacia.
Warfarin Dietary Considerations
- Vitamin K Consistency: Moderation and consistency in the intake of leafy greens are critical for clients on warfarin.
Considerations for Parkinson's Disease and Medications
- Food Pairing: Foods low in protein, such as toast, should accompany levodopa-carbidopa to improve absorption.
Dietary Modifications for COPD
- Food Texture: Soft foods reduce the risk of shortness of breath during meals.
Managing Stomatitis from Radiation
- Pain Relief: Consuming frozen foods can help alleviate mouth pain associated with stomatitis.
Dietary Needs in Cirrhosis
- Sodium Restriction: Recommended sodium intake for clients with cirrhosis is 1-2 grams daily to reduce fluid retention.
Enteral Feeding Issues
- Formula Temperature: Ensure enteral formula is warmed to room temperature to prevent diarrhea.
Zinc Sources for Vegetarians
- Best Options: Pinto beans should be included as they are high in zinc for vegetarian diets.
Nutritional Recommendations for Toddlers
- Safe Snacks: Yogurt is a recommended snack for toddlers, offering a good protein source without choking hazards.
Acute Pancreatitis Lab Findings
- Glucose Levels: Increased glucose levels are a common laboratory finding in acute pancreatitis due to impaired insulin function.
Pregnancy Dietary Guidance
- Weight Gain Expectation: Clients should aim for a weight gain of 25 to 35 pounds during pregnancy.
Protein Deficiency Indicators
- Critical Laboratory Value: A prealbumin level of 8 mg/dL indicates severe protein deficiency and needs reporting.
Hypertension and Sodium Intake
- Seasoning Tips: Using herbs and spices is encouraged for flavoring food without increasing sodium intake.### Fluid Overload Identification
- Hyponatremia indicated by sodium level of 130 mEq/L; normal range is 136 to 145 mEq/L.
- Fluid overload can manifest through lower sodium levels, confusion, nausea, and fatigue.
Solid Food Introduction for Infants
- New solid foods can be introduced every 3 to 5 days to monitor allergies.
- Infants should not transition to solid foods before 6 months; initial servings should be limited.
Dumping Syndrome Dietary Management
- Liquids should be consumed between meals to slow gastric emptying.
- Avoid high carbohydrate intake; maintain a balanced diet with adequate protein.
Cancer Prevention Nutrition
- Aim for 4 to 5 servings (approximately 2.5 cups) of fruits and vegetables daily to lower blood pressure and aid weight management.
- Limit alcohol intake; avoid processed meats for better health outcomes.
Nutritional Support During Radiation Therapy
- Serve meals at room temperature to reduce mucosal irritation for clients experiencing stomatitis.
Breast Milk Use and Storage Guidelines
- Thawed breast milk cannot be refrozen; store in the refrigerator for up to 24 hours.
- Breast milk is essential nutrition for infants; focus on proper storage methods.
Aspiration Risks in Parkinson’s Patients
- Drooling while eating indicates high risk for aspiration due to dysphagia.
- Monitoring and feeding strategies should be prioritized to ensure safety.
Total Parenteral Nutrition (TPN) Management
- When TPN is not available, administer dextrose 10% in water to prevent hypoglycemia.
- Ensure continuity of nutrition and monitor blood sugar levels.
Carbohydrate Counting in Diabetes Management
- Portion size significantly impacts carbohydrate intake; education on servings is crucial.
Increased Protein Needs
- Clients with pressure injuries require higher protein intake for effective healing.
Dysphagia Management in Advanced Parkinson’s
- A high-calorie diet is essential to meet increased caloric needs due to metabolic changes.
Intermittent Enteral Feeding Safety
- Maintaining a semi-Fowler's position during and after feedings minimizes the risk of aspiration.
Diabetic Ketoacidosis Symptoms
- Increased urination is a key sign; other symptoms may include fruity breath and Kussmaul respirations.
Managing Nausea During Pregnancy
- Eating dry cereal upon waking can help mitigate nausea; avoid liquids during meals.
Nutritional Needs During Pregnancy
- Daily iron supplementation of 30 mg is recommended to prevent iron-deficiency anemia.
Breastfeeding Guidance
- Breast milk provides complete nutrition for infants up to 6 months; solid foods introduced afterward.
Weight Management in Clients
- A 24-hour dietary recall is an essential first step to assess eating habits and recommend changes.
Calcium Intake in Kidney Disease
- Low-fat yogurt contains the highest calcium; clients should be educated on which foods to limit.
Postoperative Colostomy Care
- Increase intake of pectin-containing foods to assist with stool consistency.
MAOI Dietary Restrictions
- Avoid cheddar cheese and other high-tyramine foods to prevent hypertensive crises.
Mucositis Care Post-Radiation
- Increased fluid intake (2 L/day) is vital for hydration and digestive health.
Micronutrients for Night Vision
- Vitamin A is crucial for improving night vision; recommend foods rich in this micronutrient.
Total Enteral Fluid Calculation
- Total enteral fluid for an 8-hour shift consists of continuous tube feeding (480 mL) plus additional water (100 mL), equaling 580 mL.
Risk Factors for Malnutrition
- Age, weight loss over 10%, low albumin levels, and a history of dementia increase malnutrition risk.
Dietary Instructions for Kidney Stones
- Recommendations include increasing fluid intake, eating 5 servings of fruits and vegetables, and avoiding sugar-sweetened beverages.
Pediatric Dietary Recommendations
- Recommended foods include plain steamed brown rice and scrambled eggs; avoid gluten-containing items for toddlers.
Nursing Interventions for Medical-Surgical Clients
- Prioritize pain management, monitor pancreatic enzymes, and administer antibiotics to avoid complications and ensure comfort.
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Description
This quiz focuses on the assessment findings related to dumping syndrome, hypoglycemia, and refeeding syndrome. Participants will identify symptoms such as diarrhea, muscle weakness, and nausea. Enhance your understanding of nutritional care and patient assessment with this essential practice.