Nutrition Practice Test A

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Questions and Answers

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?

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?

6.8 kg (15 lb)

What statement by the parents indicates understanding of dietary teaching for their 3-year-old child?

I will put low-fat milk in her cup for her to drink. Signup and view all the answers

What should a client taking ferrous sulfate do regarding food interactions?

I can take this medication with juice. Signup and view all the answers

What intervention should a nurse implement to increase the nutritional intake of a client experiencing anorexia related to cancer treatment?

Add extra calories and protein to every meal. Signup and view all the answers

Which laboratory finding indicates that TPN therapy is effective?

Prealbumin 30 mg/dL. Signup and view all the answers

What HbA1c level indicates that the client's plan of care for type 2 diabetes mellitus is effective?

HbA1c 6.5% Signup and view all the answers

What statement indicates understanding of dietary teaching for hypertension?

I will eat four servings of unsalted nuts per week. Signup and view all the answers

Which HDL level is considered within an expected reference range?

HDL 79 mg/dL Signup and view all the answers

What dietary choice should a client with Crohn's disease make for breakfast?

I will eat eggs for breakfast. Signup and view all the answers

What instruction should the nurse include for a COPD client?

Consume foods that are soft in texture and easy to chew. Signup and view all the answers

What statement indicates understanding of carbohydrate counting for a newly diagnosed type 1 diabetes client?

I know the serving size can affect the number of carbohydrates I eat. Signup and view all the answers

What intervention should be included for a client experiencing diarrhea during enteral feedings?

Feed the client in small, frequent volumes. Signup and view all the answers

Which of the following should the nurse include in teaching for parents of a toddler with failure to thrive? (Select all that apply)

Eliminate environmental disruptions during meals Signup and view all the answers

Which food has the highest amount of calcium?

1/2 cup roasted almonds. Signup and view all the answers

What food should a nurse recommend for a client with chronic skin ulcers for the highest amount of zinc?

4 oz ground beef patty. Signup and view all the answers

How often should parents introduce new solid foods to a 4-month-old infant?

Every 5 days. Signup and view all the answers

What action should the nurse take to assess for Somogyi phenomenon in an adolescent with type 1 diabetes?

Monitor blood glucose levels during the night. Signup and view all the answers

What dietary action should the nurse take for a client with advanced Parkinson's disease and dysphagia?

Offer the client a high-calorie diet. Signup and view all the answers

What information should the nurse include in a seminar about cancer prevention?

Eat at least 2.5 cups of fruits and vegetables each day. Signup and view all the answers

Which food should the nurse question a client about if they are taking an MAOI?

Cheddar cheese. Signup and view all the answers

Which mineral should the nurse identify as the cause of constipation?

Calcium. Signup and view all the answers

In what order should the nurse perform the following actions before beginning enteral tube feedings?

1 = Place the client in Fowler's position. 2 = Verify tube placement. 3 = Check the residual. 4 = Flush tubing with 30 mL water. Signup and view all the answers

What should a nurse inform parents about breastfeeding a newborn?

Breast milk is nutritionally complete for an infant up to 6 months of age. Signup and view all the answers

What is the first action a nurse should take for an obese client wanting to lose weight?

Obtain a 24-hr dietary recall. Signup and view all the answers

What should a nurse plan for a client following Islamic dietary laws during Ramadan?

Provide a snack for the client after sunset. Signup and view all the answers

What finding should the nurse identify as a priority for a client with Parkinson's disease during mealtime?

The client drools while eating. Signup and view all the answers

Which actions should the nurse take to assist a client with dysphagia during oral feeding? (Select all that apply)

Inspect for food pockets in the mouth before feeding. Signup and view all the answers

What statement by a client indicates understanding stress management?

I will take a long walk every evening. Signup and view all the answers

What dietary recommendation can help reduce the risk of cardiovascular disease?

Increase your dietary fiber intake. Signup and view all the answers

What oil should a client use instead of lard for frying traditional Mexican foods?

Canola oil. Signup and view all the answers

What nutrient-dense food choice is better than refried beans?

Canned pinto beans. Signup and view all the answers

What position should a client receiving continuous enteral feedings be placed in if they develop abdominal distention?

On his right side. Signup and view all the answers

What should the nurse instruct regarding feeding duration for mothers who plan to breastfeed?

Plan 5 min feedings on each breast on the first day after birth. Signup and view all the answers

What finding indicates a need to increase nutritional intake for a client with HIV?

Presence of herpes simplex virus infection. Signup and view all the answers

What statement indicates understanding of nutritional recommendations during pregnancy?

I should take an iron supplement during pregnancy. Signup and view all the answers

What food should be avoided if a client is prescribed nifedipine?

Grapefruit juice. Signup and view all the answers

What effective strategy for a client with nausea during pregnancy is indicated?

I will eat dry cereal before I get out of bed. Signup and view all the answers

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?

580 mL. Signup and view all the answers

What expected finding should a nurse identify in a client with acute pancreatitis?

Increased serum glucose. Signup and view all the answers

What indicates understanding of nutritional counseling aimed at weight loss?

I will make a list before I go grocery shopping. Signup and view all the answers

What action should the nurse take first for a client who has chronic kidney disease and is prescribed hemodialysis?

Determine whether the client has culture-related food preferences. Signup and view all the answers

What intervention should be suggested to aid in managing treatment-related changes in taste for chemotherapy clients?

Use plastic utensils. Signup and view all the answers

What strategy should a nurse include to reduce solid fats intake for a client with hyperlipidemia?

Limit meat to 5 oz per day. Signup and view all the answers

What finding indicates a manifestation of dysphagia for a client post-stroke?

The client has a change in his voice after eating. Signup and view all the answers

What should the nurse do if there is a delay in delivering the next bag of TPN solution?

Infuse dextrose 10% in water when the current infusion ends. Signup and view all the answers

Which food choice would be appropriate for a client following kosher dietary laws?

Vegetable salad with cheese. Signup and view all the answers

Which food has the highest glycemic index that a nurse should identify for diabetic clients?

Baked potato. Signup and view all the answers

What should a nurse include in the plan of care for a client with a new prescription for enteral nutrition?

Increase the volume of formula over the first four to six feedings. Signup and view all the answers

What dietary guideline should a nurse include for a client with a new ileostomy?

Prepare meals on a schedule. Signup and view all the answers

What instruction should the nurse give to a client with dumping syndrome experiencing weight loss?

Consume liquids between meals. Signup and view all the answers

What weight gain is recommended for a client who is at an average weight during pregnancy?

30 pounds. Signup and view all the answers

What dietary information should be provided to a client post-colostomy?

Increase your intake of foods containing pectin. Signup and view all the answers

What should a nurse include regarding managing irritable bowel syndrome (IBS)?

Take peppermint oil during exacerbation of manifestations. Signup and view all the answers

What laboratory finding indicates a risk for impaired wound healing in a client with a pressure ulcer?

Serum albumin 3.0 g/dL. Signup and view all the answers

What should the nurse inform a client who is receiving TPN about when it can be discontinued?

You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued. Signup and view all the answers

What statement indicates understanding of dietary guidelines for clients undergoing chemotherapy?

I will discard leftover food after 3 days. Signup and view all the answers

What dietary intervention should be included in planning for a client with dumping syndrome post-gastrectomy?

Select grains with less than 2 g fiber per serving. Signup and view all the answers

What symptom should indicate to the nurse that a client may have lactose intolerance?

Flatulence. Signup and view all the answers

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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Description

This quiz focuses on key concepts in nutrition, particularly concerning diabetes management and nutrient intake during pregnancy. Prepare to assess your knowledge on important dietary guidelines, symptoms of hypoglycemia, and optimal mineral consumption practices. Perfect for nursing students and professionals alike!