Sherpath CH 45 Week 5
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Questions and Answers

Which term describes the process of chemically changing nutrients, such as fats and proteins, into end products that can be used to meet the energy needs of the body or stored for future use?

  • Nutrition
  • Absorption
  • Metabolism (correct)
  • Basal metabolic rate (BMR)
  • Which organ absorbs sodium, potassium, and water, and houses useful bacteria?

  • Rectum
  • Stomach
  • Small intestine
  • Large intestine (correct)
  • During digestion, which events occur in the stomach?

    Select all that apply.

  • Acid kills microorganisms. (correct)
  • Food is moved by peristaltic waves.
  • Secretions dissolve some food particles. (correct)
  • Pepsin is released to aid with digestion. (correct)
  • Match the vitamin with its function.

    <p>Helps promote vision in dim light = Vitamin A Assists with bone formation = Vitamin D Protects cells from injury = Vitamin E Aids in blood clotting = Vitamin K</p> Signup and view all the answers

    Which nutrients are considered macronutrients?

    Select all that apply.

    <p>Proteins</p> Signup and view all the answers

    Based on the 2015–2020 Dietary Guidelines, which percentage of an adult’s caloric intake should come from carbohydrates? ___%

    <p>45-65</p> Signup and view all the answers

    Women of childbearing age are at higher risk for developing a deficiency of which mineral?

    <p>Iron</p> Signup and view all the answers

    Which factors may lead to an increased risk for obesity?

    Select all that apply.

    <p>Medication</p> Signup and view all the answers

    Excessive calcium intake in men has been linked to a risk for developing which condition?

    <p>Prostate cancer</p> Signup and view all the answers

    The nurse is educating a patient regarding nutrition. Which nutrient would the nurse describe as a micronutrient?

    <p>Folic acid</p> Signup and view all the answers

    The student nurse is discussing weight loss and macronutrients with an adult patient. Whole wheat bread is a source for which macronutrient?

    <p>Complex carbohydrates</p> Signup and view all the answers

    The nurse is educating a family about nutrition. When discussing food choices for constipation prevention, which statement explains why the nurse would recommend choosing whole wheat bread over white bread?

    <p>Whole wheat is an insoluble fiber.</p> Signup and view all the answers

    The nurse is teaching a patient about distinguishing between “good” fats and “bad” fats. Which type of fat is peanut butter?

    <p>Monounsaturated fat</p> Signup and view all the answers

    An obese male patient has a goal of losing 100 pounds and states that he is going to remove all fat from his diet. The student nurse advises him against this because fats have multiple functions. Which function would the student nurse describe to support this recommendation?

    <p>Fats help produce energy for the body.</p> Signup and view all the answers

    Which foods would be ideal for a weight lifter to consume as a complete protein?

    <p>Eggs</p> Signup and view all the answers

    A 30-year-old woman presents to the emergency department with chief complaints of headache associated with loss of concentration, dry mouth, and weakness after 2 days of diarrhea and vomiting. The patient is deficient in which macronutrient?

    <p>water</p> Signup and view all the answers

    A student nurse is providing nutrition counseling to a patient regarding different types of vitamins. Which statement is an indicator that the patient needs further teaching?

    <p>“Vitamins produce energy.”</p> Signup and view all the answers

    Which vitamin should be prioritized for an older adult patient with osteoporosis?

    <p>Vitamin D</p> Signup and view all the answers

    A young adult female patient recently gave birth to a baby with a neural tube defect. The patient was most likely deficient in which B vitamin?

    <p>Folic acid (vitamin B9)</p> Signup and view all the answers

    A patient has been diagnosed with poor anal sphincter tone. Which structure of the digestive system would be affected by this disorder?

    <p>Rectum</p> Signup and view all the answers

    Which statements are accurate regarding the process of catabolism?

    <p>Breaks complex substances into simpler substances</p> Signup and view all the answers

    A patient’s basal metabolic rate (BMR) varies depending on which factor?

    <p>Physical and genetic makeup</p> Signup and view all the answers

    Match the appropriate nursing hypothesis labels to the related factors.

    <p>Cleft palate = Impaired Swallowing Sensory and motor deficits = Impaired Self-Feeding Inadequate dietary intake = Deficient Food Intake Daily intake of excessive number of calories = Excess Food Intake</p> Signup and view all the answers

    Match the hypotheses to their relevant cues.

    <p>20-lb weight loss in past 2 months = Deficient Food Intake Choking with oral intake attempts = Impaired Swallowing Bilateral upper-extremity paralysis = Impaired Self-Feeding Waist circumference of 100 cm (39.4 inches) for a female patient = Excess Food Intake</p> Signup and view all the answers

    Which cues would lead the nurse to develop a hypothesis of Deficient Food Intake for a patient?

    Select all that apply.

    <p>Gingivitis</p> Signup and view all the answers

    A pediatric patient with a nursing hypothesis of Impaired Swallowing would require care from which member of the multidisciplinary team?

    <p>Speech therapist</p> Signup and view all the answers

    Which goal would be appropriate for an obese patient with the nursing hypothesis Excess Food Intake?

    <p>Patient will lose 1 to 2 lb each week until weight is within the acceptable range</p> Signup and view all the answers

    The nurse might delegate feeding assistance to which member of the multidisciplinary team?

    <p>Unlicensed assistive personnel (UAP)</p> Signup and view all the answers

    An obese patient is asking for guidance to lose weight. Which hypothesis and patient-centered outcome would be the most appropriate related to nutrition for the patient?

    <p>Excess Food Intake resulting in obesity. Patient will identify factors related to obesity by the next clinic appointment.</p> Signup and view all the answers

    Which individuals would a nurse collaborate with in an attempt to obtain the best possible outcomes for a pediatric patient with anorexia and bulimia?

    <p>Patient, dietitian, psychologist, and case manager</p> Signup and view all the answers

    The primary nurse is advocating for a patient with a nursing hypothesis of Impaired Self-Feeding. With whom would the nurse collaborate to provide a cost-effective assistive feeding device for the patient?

    <p>Case manager</p> Signup and view all the answers

    Which primary pathophysiologic process would the nurse conclude is occurring in a patient who has a hypothesis of Impaired Swallowing?

    <p>Residual effects of neurologic damage secondary to cerebrovascular accident</p> Signup and view all the answers

    Which primary pathophysiologic process would the nurse conclude is occurring in a patient who has a hypothesis of Impaired Self-Feeding?

    <p>Sensory and motor deficits secondary to spinal cord injury</p> Signup and view all the answers

    An underweight patient is asking for guidance to gain muscle weight. Which hypothesis and patient-centered outcome would be the most appropriate related to nutrition for the patient?

    <p>Deficient Food Intake resulting in low body weight. Patient will identify factors related to nutritional consumption by the next clinic appointment.</p> Signup and view all the answers

    Which potential nutritional deficiencies may occur with a vegetarian diet?

    Select all that apply

    <p>Protein</p> Signup and view all the answers

    A patient being seen in the outpatient setting 2 weeks after abdominal surgery reports to the nurse that the surgical incision does not seem to be healing well. The patient describes sleeping well, having minimal discomfort, ambulating as directed postoperatively, and tolerating a normal vegan diet. Which foods will the nurse recommend?

    <p>Soybeans and flaxseeds</p> Signup and view all the answers

    Which Healthy People 2030 Core Objective will the nurse consider when planning interventions and establishing patient outcomes specific to nutrition and weight management?

    Select all that apply.

    <p>Increase consumption of calcium in the population aged 2 years and older.</p> Signup and view all the answers

    Which interventions related to mouth care would the nurse take for a patient who is NPO (nothing by mouth)?

    Select all that apply.

    <p>Brushing teeth</p> Signup and view all the answers

    Which items are included in a clear liquid diet?

    <p>Gelatin, chicken broth, apple juice</p> Signup and view all the answers

    Foods with a high glycemic index should be avoided in which diet?

    <p>Diabetic</p> Signup and view all the answers

    Assistance in feeding is appropriate to use for patients with which conditions?

    Select all that apply.

    <p>Limited mobility of hands and arms</p> Signup and view all the answers

    Which description is appropriate for a percutaneous endoscopic gastrostomy (PEG) tube?

    <p>A feeding tube surgically placed through an incision in the abdomen</p> Signup and view all the answers

    Which nursing responsibilities are related to percutaneous endoscopic gastrostomy (PEG) tube care?

    Select all that apply.

    <p>Flushing the tube regularly</p> Signup and view all the answers

    Medications administered through a feeding tube should be in liquid form or ground into powder as permitted and dissolved in

    mL of sterile water before instillation into the tube.

    <p>15-30</p> Signup and view all the answers

    Which nursing actions are associated with discharging a patient home with a feeding tube?

    Select all that apply.

    <p>Assessing the patient’s understanding of this type of nutritional support</p> Signup and view all the answers

    Which feeding method would be used for patients who do not have a functioning gastrointestinal (GI) tract or are unable to ingest, digest, or absorb essential nutrients?

    <p>Total parenteral nutrition (TPN)</p> Signup and view all the answers

    A patient does not eat meat or animal products of any kind. The nurse would instruct the patient about which nutritional deficiencies?

    Select all that apply.

    <p>Vitamin B12</p> Signup and view all the answers

    Which complications would the nurse monitor for in a patient receiving total parenteral nutrition (TPN)?

    Select all that apply.

    <p>Catheter-related infections</p> Signup and view all the answers

    The patient has a health care provider prescription for NPO (nothing by mouth) and is complaining of a dry, sticky mouth. Which action would the nurse suggest to relieve the patient’s dry, sticky mouth?

    Select all that apply.

    <p>Rinsing the mouth with water</p> Signup and view all the answers

    A patient who was placed on thickened liquids asks if there is something to eat that does not require a thickening agent. Which liquids or foods could be safely recommended?

    Select all that apply.

    <p>Yogurt</p> Signup and view all the answers

    Which foods should be avoided by a patient on a renal diet?

    <p>Foods high in potassium and phosphorus</p> Signup and view all the answers

    A patient who is borderline diabetic has expressed a desire to make lifestyle changes in an effort to avoid taking medications. Which dietary modification would be appropriate for this patient?

    <p>Eating high-fiber complex carbohydrates</p> Signup and view all the answers

    Which tasks are considered appropriate feeding assistance?

    Select all that apply.

    <p>Opening a milk carton</p> Signup and view all the answers

    Which type of feeding tube is placed into the patient’s stomach through one of the nares?

    <p>Nasogastric tube</p> Signup and view all the answers

    Which action would the nurse take to provide appropriate percutaneous endoscopic gastrostomy (PEG) tube care?

    <p>Assessing skin around the tube</p> Signup and view all the answers

    The student nurse is educating the patient regarding signs and symptoms to report to the health care provider for at-home tube feedings. Which statement indicates the student needs further teaching?

    <p>“If you have a headache after a feeding, you should call your health care provider.”</p> Signup and view all the answers

    The student nurse is providing feeding assistance to a patient at risk for aspiration. Which actions would the student nurse avoid?

    Select all that apply.

    <p>Offering large bites to the patient</p> Signup and view all the answers

    For which complications would a nurse monitor in a patient receiving total parenteral nutrition (TPN)?

    Select all that apply.

    <p>Catheter-related bloodstream infection</p> Signup and view all the answers

    Which statement by the nurse to a patient demonstrates culturally competent nutritional care?

    <p>“When you use the terms ‘hot’ or ‘cold’ to describe foods, you may not be talking about the temperature.”</p> Signup and view all the answers

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