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Questions and Answers
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
- Constipation
- Hemoglobin A1c 6.5%
- Diaphoresis (correct)
- Increased serum glucose
Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements?
Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements?
- Calcium (correct)
- Vitamin C
- Potassium
- Folic acid
How much weight should a pregnant client with a BMI of 34 aim to gain during her pregnancy?
How much weight should a pregnant client with a BMI of 34 aim to gain during her pregnancy?
6.8 kg (15 lb)
What statement by the parents indicates understanding of dietary teaching for their 3-year-old child?
What statement by the parents indicates understanding of dietary teaching for their 3-year-old child?
What should a client taking ferrous sulfate do regarding food interactions?
What should a client taking ferrous sulfate do regarding food interactions?
What intervention should a nurse implement to increase the nutritional intake of a client experiencing anorexia related to cancer treatment?
What intervention should a nurse implement to increase the nutritional intake of a client experiencing anorexia related to cancer treatment?
Which laboratory finding indicates that TPN therapy is effective?
Which laboratory finding indicates that TPN therapy is effective?
What HbA1c level indicates that the client's plan of care for type 2 diabetes mellitus is effective?
What HbA1c level indicates that the client's plan of care for type 2 diabetes mellitus is effective?
What statement indicates understanding of dietary teaching for hypertension?
What statement indicates understanding of dietary teaching for hypertension?
Which HDL level is considered within an expected reference range?
Which HDL level is considered within an expected reference range?
What dietary choice should a client with Crohn's disease make for breakfast?
What dietary choice should a client with Crohn's disease make for breakfast?
What instruction should the nurse include for a COPD client?
What instruction should the nurse include for a COPD client?
What statement indicates understanding of carbohydrate counting for a newly diagnosed type 1 diabetes client?
What statement indicates understanding of carbohydrate counting for a newly diagnosed type 1 diabetes client?
What intervention should be included for a client experiencing diarrhea during enteral feedings?
What intervention should be included for a client experiencing diarrhea during enteral feedings?
Which of the following should the nurse include in teaching for parents of a toddler with failure to thrive? (Select all that apply)
Which of the following should the nurse include in teaching for parents of a toddler with failure to thrive? (Select all that apply)
Which food has the highest amount of calcium?
Which food has the highest amount of calcium?
What food should a nurse recommend for a client with chronic skin ulcers for the highest amount of zinc?
What food should a nurse recommend for a client with chronic skin ulcers for the highest amount of zinc?
How often should parents introduce new solid foods to a 4-month-old infant?
How often should parents introduce new solid foods to a 4-month-old infant?
What action should the nurse take to assess for Somogyi phenomenon in an adolescent with type 1 diabetes?
What action should the nurse take to assess for Somogyi phenomenon in an adolescent with type 1 diabetes?
What dietary action should the nurse take for a client with advanced Parkinson's disease and dysphagia?
What dietary action should the nurse take for a client with advanced Parkinson's disease and dysphagia?
What information should the nurse include in a seminar about cancer prevention?
What information should the nurse include in a seminar about cancer prevention?
Which food should the nurse question a client about if they are taking an MAOI?
Which food should the nurse question a client about if they are taking an MAOI?
Which mineral should the nurse identify as the cause of constipation?
Which mineral should the nurse identify as the cause of constipation?
In what order should the nurse perform the following actions before beginning enteral tube feedings?
In what order should the nurse perform the following actions before beginning enteral tube feedings?
What should a nurse inform parents about breastfeeding a newborn?
What should a nurse inform parents about breastfeeding a newborn?
What is the first action a nurse should take for an obese client wanting to lose weight?
What is the first action a nurse should take for an obese client wanting to lose weight?
What should a nurse plan for a client following Islamic dietary laws during Ramadan?
What should a nurse plan for a client following Islamic dietary laws during Ramadan?
What finding should the nurse identify as a priority for a client with Parkinson's disease during mealtime?
What finding should the nurse identify as a priority for a client with Parkinson's disease during mealtime?
Which actions should the nurse take to assist a client with dysphagia during oral feeding? (Select all that apply)
Which actions should the nurse take to assist a client with dysphagia during oral feeding? (Select all that apply)
What statement by a client indicates understanding stress management?
What statement by a client indicates understanding stress management?
What dietary recommendation can help reduce the risk of cardiovascular disease?
What dietary recommendation can help reduce the risk of cardiovascular disease?
What oil should a client use instead of lard for frying traditional Mexican foods?
What oil should a client use instead of lard for frying traditional Mexican foods?
What nutrient-dense food choice is better than refried beans?
What nutrient-dense food choice is better than refried beans?
What position should a client receiving continuous enteral feedings be placed in if they develop abdominal distention?
What position should a client receiving continuous enteral feedings be placed in if they develop abdominal distention?
What should the nurse instruct regarding feeding duration for mothers who plan to breastfeed?
What should the nurse instruct regarding feeding duration for mothers who plan to breastfeed?
What finding indicates a need to increase nutritional intake for a client with HIV?
What finding indicates a need to increase nutritional intake for a client with HIV?
What statement indicates understanding of nutritional recommendations during pregnancy?
What statement indicates understanding of nutritional recommendations during pregnancy?
What food should be avoided if a client is prescribed nifedipine?
What food should be avoided if a client is prescribed nifedipine?
What effective strategy for a client with nausea during pregnancy is indicated?
What effective strategy for a client with nausea during pregnancy is indicated?
How much total enteral fluid should the nurse document for a continuous tube feeding at 60 mL/hr with 50 mL of water every 4 hr during an 8 hr shift?
How much total enteral fluid should the nurse document for a continuous tube feeding at 60 mL/hr with 50 mL of water every 4 hr during an 8 hr shift?
What expected finding should a nurse identify in a client with acute pancreatitis?
What expected finding should a nurse identify in a client with acute pancreatitis?
What indicates understanding of nutritional counseling aimed at weight loss?
What indicates understanding of nutritional counseling aimed at weight loss?
What action should the nurse take first for a client who has chronic kidney disease and is prescribed hemodialysis?
What action should the nurse take first for a client who has chronic kidney disease and is prescribed hemodialysis?
What intervention should be suggested to aid in managing treatment-related changes in taste for chemotherapy clients?
What intervention should be suggested to aid in managing treatment-related changes in taste for chemotherapy clients?
What strategy should a nurse include to reduce solid fats intake for a client with hyperlipidemia?
What strategy should a nurse include to reduce solid fats intake for a client with hyperlipidemia?
What finding indicates a manifestation of dysphagia for a client post-stroke?
What finding indicates a manifestation of dysphagia for a client post-stroke?
What should the nurse do if there is a delay in delivering the next bag of TPN solution?
What should the nurse do if there is a delay in delivering the next bag of TPN solution?
Which food choice would be appropriate for a client following kosher dietary laws?
Which food choice would be appropriate for a client following kosher dietary laws?
Which food has the highest glycemic index that a nurse should identify for diabetic clients?
Which food has the highest glycemic index that a nurse should identify for diabetic clients?
What should a nurse include in the plan of care for a client with a new prescription for enteral nutrition?
What should a nurse include in the plan of care for a client with a new prescription for enteral nutrition?
What dietary guideline should a nurse include for a client with a new ileostomy?
What dietary guideline should a nurse include for a client with a new ileostomy?
What instruction should the nurse give to a client with dumping syndrome experiencing weight loss?
What instruction should the nurse give to a client with dumping syndrome experiencing weight loss?
What weight gain is recommended for a client who is at an average weight during pregnancy?
What weight gain is recommended for a client who is at an average weight during pregnancy?
What dietary information should be provided to a client post-colostomy?
What dietary information should be provided to a client post-colostomy?
What should a nurse include regarding managing irritable bowel syndrome (IBS)?
What should a nurse include regarding managing irritable bowel syndrome (IBS)?
What laboratory finding indicates a risk for impaired wound healing in a client with a pressure ulcer?
What laboratory finding indicates a risk for impaired wound healing in a client with a pressure ulcer?
What should the nurse inform a client who is receiving TPN about when it can be discontinued?
What should the nurse inform a client who is receiving TPN about when it can be discontinued?
What statement indicates understanding of dietary guidelines for clients undergoing chemotherapy?
What statement indicates understanding of dietary guidelines for clients undergoing chemotherapy?
What dietary intervention should be included in planning for a client with dumping syndrome post-gastrectomy?
What dietary intervention should be included in planning for a client with dumping syndrome post-gastrectomy?
What symptom should indicate to the nurse that a client may have lactose intolerance?
What symptom should indicate to the nurse that a client may have lactose intolerance?
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Study Notes
Diabetes and Complications
- Hypoglycemia in diabetes mellitus is indicated by symptoms such as diaphoresis.
- Effective long-term diabetes control can be assessed with HbA1c levels, with 6.5% being a satisfactory goal for patients with type 2 diabetes.
Nutritional Requirements During Pregnancy
- Pregnant women should avoid taking calcium supplements simultaneously with iron to enhance iron absorption.
- Average weight women should aim to gain approximately 30 pounds throughout their pregnancy.
Nutritional Education for Children
- For toddlers, low-fat milk is a healthy beverage choice to incorporate into daily diets.
- Eliminate distractions during meal times and schedule them consistently to support better eating habits in young children.
Dietary Recommendations for Specific Conditions
- Clients with cancer might experience anorexia; adding extra calories and protein can aid in meeting nutritional needs.
- For clients receiving total parenteral nutrition (TPN), a prealbumin level of 30 mg/dL signifies effective nutritional therapy.
Healthy Eating Guidance
- Clients should seek to include nuts in their diet, aiming for four servings of unsalted nuts weekly to support cardiovascular health.
- Increase dietary fiber intake as part of preventative measures against cardiovascular disease.
Meal Preparation and Management
- For clients with dysphagia, gently palpating the throat during swallowing and checking for food pockets can ensure safer eating.
- Offering high-calorie diets can help manage nutritional needs in patients with advanced Parkinson’s disease and difficulties in swallowing.
Dietary Components and Food Interactions
- Ferrous sulfate can be taken with juice to improve iron absorption, while calcium should not be taken concurrently.
- Foods rich in calcium, such as roasted almonds, should be recommended for clients with osteoporosis.
Glycemic Index and Weight Management
- Foods like baked potatoes have high glycemic indices and may affect blood sugar levels more significantly than others.
- Initiating a grocery list practice can encourage more mindful food choices among clients aiming for weight management.
Dietary Restrictions and Food Preferences
- Address cultural dietary needs, such as planning meals for clients observing religious fasting periods.
- For clients on chemotherapy, using plastic utensils can help mitigate altered taste sensations.
Managing Dietary Conditions
- Clients with lactose intolerance may experience symptoms like flatulence, indicating difficulty in digesting lactose-containing foods.
- Those post-gastrectomy or with dumping syndrome should focus on low-fiber grains and consume liquids between meals to alleviate symptoms.
Food Safety and Preparation
- After preparing foods, ensuring safe storage by discarding leftovers after three days can reduce infection risks, especially for clients undergoing chemotherapy.
Conclusion
These notes encompass key dietary considerations, pre-natal education, nutritional management for chronic conditions, and practical eating guidelines which are essential for healthcare providers to understand when advising clients on nutrition-related health issues.
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