Questions and Answers
What is the definition of calcium?
Calcium
A nurse is caring for a group of clients. A client who has which of the following conditions has an increased protein requirement? (Select all that apply)
Which food item should the nurse include as containing the highest amount of folate?
What is the priority action by the nurse for a client with diabetes mellitus who reports feeling dizzy, weak, and shaky?
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Which action should the nurse take to reduce the risk of aspiration for a client receiving intermittent enteral feedings via NG tube?
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What dietary guideline should the nurse include for a client with a new ileostomy?
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Which mineral can cause constipation when increased through supplements?
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What is the nurse's priority action if the tube feeding for a client receiving continuous enteral feedings via NG tube has stopped infusing?
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A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in his mouth while eating. Which of the following actions should the nurse take?
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A nurse is admitting a client who has had a fever and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is dehydrated?
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A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings and is experiencing diarrhea. Which of the following interventions should the nurse include in the plan?
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A nurse is caring for a client who is receiving continuous tube feedings via a gastrostomy tube. The client has had three loose stools in the last 4 hr. Which of the following prescriptions should the nurse anticipate?
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A nurse is reviewing the laboratory data of four clients. The nurse should identify which of the following clients is experiencing fluid overload?
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A nurse is caring for a client who is prescribed Captopril. Which of the following foods could cause a potential medication interaction?
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A nurse is planning care for a client who is receiving radiation to the neck and has developed stomatitis. Which of the following interventions should the nurse include in the plan?
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A nurse in an antepartum clinic is teaching a client about nutritional recommendations during pregnancy. Which of the following client statements indicates an understanding of the teaching?
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A nurse is caring for a client who has advanced Parkinson's disease and dysphagia. Which of the following actions should the nurse take?
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A nurse is reviewing the laboratory results of a client who has a pressure injury. Which of the following findings should indicate to the nurse that the client is at risk for impaired wound healing?
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A nurse is assessing a client who has end-stage kidney disease (ESKD). Which of the following dietary habits increases the client's risk for dysrhythmias?
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What is the daily protein allowance for a client who weighs 176 lb if the allowance is 0.8 g/kg?
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A nurse is providing teaching to a client who is currently experiencing an exacerbation of Crohn's disease. Which of the following statements by the client indicates an understanding of dietary practices during acute episodes?
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A nurse is developing a teaching plan for a client who has dysphagia and is being discharged home with a prescription for a mechanical soft diet. Which of the following foods should the nurse include in the plan?
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A nurse is providing nutritional teaching to the guardians of a 2-year-old toddler. Which of the following snack foods should the nurse recommend including in the toddler's diet?
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Breast milk is nutritionally complete for an infant up to how many months of age?
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A nurse is providing teaching regarding diet modifications to a client who is at risk for cardiovascular disease. Which of the following recommendations should the nurse give the client?
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A nurse is assessing the meal pattern of a client who has diverticular disease and a prescription for a high-fiber diet. Which of the following food choices by the client contains the most fiber?
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A nurse is initiating an enteral feeding for a client who has chronic bronchitis. Which of the following types of formula should the nurse anticipate administering to the client?
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A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching?
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What is the appropriate solution for a nurse to infuse when the current bag of TPN is empty and a new bag is not available?
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What should a nurse instruct clients to eat for cancer prevention?
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Which of the following food allergies could place a client at risk for a reaction when administering an influenza vaccine?
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A nurse is performing a comprehensive nutritional assessment for a client. After reviewing the client's laboratory results, which of the following findings should the nurse report to the provider?
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A nurse is reviewing the laboratory results of a client who is receiving continuous total parenteral nutrition. Which of the following results should the nurse report to the provider?
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A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
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A nurse is providing dietary teaching to a client who has celiac disease. Which of the following statements by the client indicates an understanding of the teaching?
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A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory findings indicates that the TPN therapy is effective?
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A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of the following information should the nurse include in the teaching?
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A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of the following statements indicates that the client understands the teaching?
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A nurse is caring for a client who has anemia and a new prescription for an iron supplement. The nurse should recommend the client consume the supplement with which of the following beverages to increase absorption?
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A nurse is caring for a client who has age-related macular degeneration (AMD) and asks the nurse if there are any nutritional changes to consider. Which of the following responses should the nurse make?
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A nurse is providing teaching to a client who is lactating about increasing protein intake. Which of the following foods should the nurse recommend as the best source of protein?
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A nurse in an emergency department is reviewing the laboratory report for a client who is confused and reports nausea and abdominal cramping. The nurse should expect the client's laboratory results to indicate a dietary deficiency of which of the following minerals?
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A nurse is teaching a client who is preparing for bowel surgery about low-residue diet. Which of the following food choices by the client indicates an understanding of the teaching?
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A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching?
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A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding. Which of the following actions should the nurse take?
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A nurse is providing teaching for a client who has a new prescription for Nifedipine. Which of the following foods should the nurse instruct the client to avoid?
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A nurse is providing nutritional teaching to a client who reports wanting to lose weight. The nurse should identify which of the following client statements indicates an understanding of the teaching?
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What beverage should a client with anemia take with an iron supplement to increase absorption?
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A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching?
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What should a nurse advise a client with a BMI of 22 about dietary recommendations during pregnancy?
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What dietary instruction should a nurse provide to a client who has cirrhosis and ascites?
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What dietary instruction should a nurse provide to a postoperative client following colostomy placement?
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What should a nurse instruct a client who reports nausea during pregnancy?
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What food contains the highest amount of zinc for a client with chronic skin ulcers?
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A nurse is admitting a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect?
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What dietary recommendation should a nurse make to an older adult client about nutritional recommendations?
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A nurse is providing discharge teaching to a client who has Parkinson's disease and a prescription for levodopa-carbidopa. Which of the following foods should the nurse instruct the client to consume with the medication?
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A nurse is assessing a client who experienced a 5% weight loss in the past 30 days. Which of the following findings should the nurse identify as an indication of malnutrition?
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What intervention should a nurse suggest to a client who is being treated for cancer using chemotherapy to aid in managing treatment-related changes in taste?
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What dietary instruction should a nurse include for a client who is prescribed external radiation for laryngeal cancer and reports manifestations of stomatitis?
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What laboratory finding indicates that a client's plan of care for type 2 diabetes mellitus is effective?
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Study Notes
Radiation Therapy and Nutrition
- Metallic taste during radiation therapy can be alleviated by offering citrus fruits, suggesting pickles as snacks, and gargling with mouthwash to stimulate saliva production.
Dehydration Indicators
- Orthostatic hypotension is a key indicator of dehydration, while distended neck veins, weight gain, and peripheral edema indicate fluid overload.
Managing Diarrhea from Enteral Feedings
- Administering feedings in small, frequent volumes can help manage diarrhea in clients receiving enteral feedings.
Continuous Tube Feeding Adjustments
- For patients with loose stools from continuous tube feedings, decreasing the rate of feeding is an appropriate nursing intervention.
Identifying Fluid Overload
- A sodium level of 130 mEq/L is indicative of fluid overload; other laboratory values such as elevated albumin, urine specific gravity, and hematocrit suggest normal fluid status.
Food-Medication Interactions
- Cantaloupe may interact with the antihypertensive medication Captopril and should be avoided.
Caring for Patients with Stomatitis
- Relieving mouth pain by consuming frozen foods helps clients undergoing radiation therapy to the neck with stomatitis.
Nutritional Needs in Pregnancy
- Taking a daily iron supplement during pregnancy is an essential recommendation for pregnant clients.
Dietary Considerations for Parkinson’s Disease
- Clients with Parkinson’s disease and dysphagia should be offered a high-calorie diet to meet their nutritional needs.
Risk Factors for Impaired Wound Healing
- An albumin level of 3.0 g/dL indicates a risk for impaired wound healing and should be monitored closely.
Dietary Restrictions for Kidney Disease
- A diet high in potassium increases the risk of dysrhythmias in clients with end-stage kidney disease (ESKD).
Daily Protein Allowance Calculation
- For a client weighing 176 lb, the daily protein allowance is calculated at 64 grams per day.
Dietary Practices in Crohn’s Disease
- Clients experiencing exacerbations of Crohn's disease should follow a high-protein diet for better management of symptoms.
Mechanical Soft Diet Recommendations
- Mashed potatoes are suitable for clients on a mechanical soft diet, while whole fruits and whole grains should be avoided.
Ideal Snack for Toddlers
- Yogurt is recommended as a nutritious snack for a 2-year-old toddler.
Breastfeeding Benefits
- Breast milk is nutritionally complete for infants up to 6 months, providing essential nutrients.
Cardiovascular Risk Factors
- An HDL level of 79 mg/dL is within an expected reference range, indicating lower cardiovascular risk.
Diet Modifications for Cardiovascular Health
- Replacing lard with canola oil for frying can reduce cardiovascular risk for clients accustomed to traditional Mexican foods.
High-Fiber Food Choices
- A 1/2 cup of bran cereal provides the highest fiber content among food choices, important for managing diverticular disease.
Enteral Feeding Formulas
- High-calorie formula is appropriate for patients with chronic bronchitis receiving enteral feedings.
Dietary Guidelines for COPD Clients
- It’s important for clients with COPD to consume foods that are soft in texture and easy to chew.
TPN Temporary Solutions
- In the absence of a new total parenteral nutrition (TPN) bag, dextrose 10% in water should be infused as a temporary solution.
Cancer Prevention Practices
- Eating five servings of fruits and vegetables daily is a vital cancer prevention strategy.
Allergy Awareness with Vaccines
- Clients with egg allergies may be at risk for reactions to influenza vaccines.
Reporting Laboratory Findings
- A prealbumin level of 8 mg/dL should be reported to the provider during nutritional assessments.
Monitoring TPN Effects
- A prealbumin level of 30 mg/dL indicates that TPN therapy is effective, reflecting good protein status.
IBS Management
- Peppermint oil can be taken during exacerbations to relieve symptoms of irritable bowel syndrome (IBS).
Iron Supplement Absorption
- Taking ferrous sulfate supplements with juice can enhance iron absorption.
Nutritional Needs for Macular Degeneration
- Increasing dietary intake of lutein is recommended for clients with age-related macular degeneration (AMD).
Recommendations for Lactating Clients
- Cottage cheese is an excellent source of protein for lactating clients, supporting their increased nutritional needs.
Identifying Sodium Deficiency
- Dizziness, weakness, and shakiness in clients may indicate a dietary deficiency in sodium, necessitating further evaluation.
Low-Residue Diet Choices
- Two poached eggs and a banana align with low-residue dietary guidelines pre-bowel surgery.
Reducing Infection Risks in Cancer Treatment
- Using leftovers within 24 hours is critical for managing the risk of infection for clients receiving chemotherapy.
Interventions for Enteral Feeding Diarrhea
- Warming the enteral feeding formula to room temperature can help reduce diarrhea in clients.
Medications and Food Interactions
- Clients taking Nifedipine should avoid grapefruit juice due to potential interactions.
Grocery Shopping Strategies for Weight Loss
- Creating a grocery list before shopping supports better dietary choices and weight management.
Recognizing Malnutrition Symptoms
- Ankle edema is a significant indicator of malnutrition, particularly in hospitalized clients experiencing weight loss.
Enhancing Taste during Chemotherapy
- Using plastic utensils can help mitigate taste changes for clients undergoing chemotherapy.
Dietary Considerations for Radiation Therapy
- Providing meals at room temperature can benefit clients enduring external radiation for laryngeal cancer.
Diabetes Monitoring Indicators
- An HbA1c level of 6.5% reflects effective diabetes management and should be regularly monitored.
Calcium Restrictions with Iron
- Calcium should be avoided when taking iron supplements, as it can inhibit absorption.
Increased Protein Needs
- Clients with pressure injuries have heightened protein requirements for effective healing.
Folate-Rich Food Sources
- Chicken liver is one of the highest sources of folate, ideal for clients planning to become pregnant.
Diabetes Responses
- Checking blood glucose levels is the priority action for clients with diabetes exhibiting symptoms of hypo- or hyperglycemia.
Aspiration Risk Reduction during Feedings
- Placing clients receiving NG tube feedings in a semi-Fowler’s position reduces aspiration risk.
Dietary Management for an Ileostomy
- Clients with an ileostomy should prepare meals on a consistent schedule to aid digestion and regularity.
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Description
Test your knowledge on nutrition care for patients undergoing radiation therapy. This quiz focuses on effective nursing interventions and dietary suggestions to manage side effects such as metallic taste. Enhance your understanding of patient care in a clinical setting.
