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Question 1)A nurse Is providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant

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Question 1)A nurse Is providing dietary teaching about prevention of neural tube defects in the fetus to a client who is pregnant. Which of the following nutrients should the nurse recommend?
?    Calcium
?    Folate
?    Vitamin B12
?    Magnesium
 
Question 2: A nurse is caring for a client who had a stroke and has manifestations of dysphagia. Which of the following interventions should the nurse take?
?    Tilt the clients head backward to facilitate swallowing.
?    Use liquids to clear food from the client's mouth
?    Add a thickening agent to liquids
?    Place the client in a semi Fowler's position.
 
Question 3: A nurse is providing discharge teaching to an older adult client who lives alone. Which of the following strategies should the nurse include to address the client's decreased sense of taste and smell?
?    Maintain consistent food textures at mealtimes.
?    Use kosher salt in place of table salt.
?    Label and date food in the refrigerator.
?    Wait 1 hour after eating to consume fluids.
 
Question 4: A nurse is teaching a client who has a goiter appropriate food choices related to dietary needs. Which of the following client statements indicates an understanding of the teaching?
?    'I will eat more tuna"
?    "I will eat more red meat"
?    "I will eat bananas for a snack"
?    "I would eat blueberries every morning"
 
Question 5: A nurse is reviewing the laboratory findings of a client who has Clostridium difficile. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
?    Potassium 3.5 mEq/L
?    HCT 53%
?    Sodium 145 mEq/L
?    HbA1c 5%
 
Question 6: A client in the oliguric phase of acute renal failure had a urinary output of 420 ml during the preceding 24-hour period. How much fluid should the nurse plan to provide the client over the next 24 hr?
?    2,550 ml
?    1,530 ml
?    920 ml
?    2,040 ml
 
Question 7: A nurse is teaching a client ways to manage anorexia while receiving radiation therapy. Which of the following instructions should the nurse include in the teaching?
?     "Limit High-kilocalorie supplements to between meals."
?     "Eat hot food rather than cold foods."
?     "Avoid overeating during "good" days."
?     "Consume nutrition-dense foods first."
 
Question 8: A nurse is teaching a client who is receiving bolus feeding through a nasogastric tube about dumping syndrome. The nurse should instruct the client to report which of the following manifestations?
?     Constipation
?     Bradycardia
?     Drowsiness
?     Dizziness
 
Question 9: A client is receiving a thiazide diuretic for treatment of hypertension. Which of the following foods selected by the client reflects understanding of the nurses teaching regarding this medication?
?    Navy beans and ham
?    Baked potato
?    Cheddar cheese
?    Beef broth
 
Question 10: A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?
?    Limit calcium intake
?    Increase potassium intake
?    Limit protein intake
?    Increase phosphorus intake
 
Question 11: A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take?
?    Discourage the use of a straw.
?    Offer the client frozen bananas as a snack.
?    Serve the client hot meals.
?    Avoid serving sauces or gravies.
 
Question 12: A nurse is teaching the Guardians of a school-age child about nutrition. Which of the following statements should the nurse make?
?    You should have your child skip breakfast
?    You should eat meals together most of the time
?    You should provide your child with whole fat milk
?    You should reward good behavior with food
 
Question 13: A nurse is assessing an older adult client who has dysphagia and is experiencing dehydration. Which of the following findings should the nurse expect?
?    Tachycardia
?    Distended neck veins
?    Decrease respiratory rate
?    Hypertension
 
 Question 14: A nurse is teaching a client who has a new prescription for tetracycline. Which of the following nutritional considerations should the nurse include in the teaching?
?    Increase vitamin C intake while taking this medication
?    Avoid taking this medication with milk products
?    Eliminate raw fruits and vegetables until 2 weeks after completing this medication
?    Take a folic acid supplement while on this medication
 
 Question 15: A nurse is planning care for a client who had a stroke and is having difficulty eating. Which of the following interventions should the nurse include in the plan?
?     Describe food locations as if the clients plate were a clock.
?      Encourage the client to chew on both sides of their mouth.
?     Place the head of the clients bed to 30 degrees for meals.
?     Provide the client with wide grip adaptive utensils.
 
 Question16: A nurse is caring for a client who has malnutrition. Which of the following findings should the nurse report to the provider?
?     BMI of 18.5
?     Potassium 3.7 mEq/L
?     Phosphorus 3.5 mg/dL
?     Albumin 2.5 g/dL
 
Question 17: A nurse is assessing a client who is postoperative. Which of the following findings places the client at risk for delayed wound healing?
?     Decreased albumin level
?     Increase zinc level
?     Increase vitamin A level
?     Decrease calcium level
 
Question 18: A nurse is selecting food items for a client who follows a lacto-vegetarian diet. Which of the following foods should the nurse include in the meals?
?     Eggs
?     Shrimp
?     Cheese
?     Hamburger
 
Question 19: A nurse is caring for a client who has dysphagia. Which of the following instructions should the nurse give to the client to decrease the risk of choking?
?    Tilt your head forward while you eat
?     Let food cool to room temperature before consuming
?     Drink water with each bite of food
?     Obtain your vitamins in liquid form
 
Question 20: A nurse is assisting a client who has a wound that is not healing. Which of the following dietary supplements should the nurse recommend?
?     Vitamin C
?     Potassium
?     Vitamin D
?     Calcium
 
Question 21: A nurse is teaching a client who is at 10 weeks of gestation about increasing folate in her diet. Which of the following food choices should the nurse recommend as the best source of folate?
?     ½ cup cooked asparagus
?     1 small banana
?     ½ cup plain low-fat yogurt
?     1 medium Apple
 
Question 22: A nurse is providing discharge teaching to a client who was in the first trimester of pregnancy and has chronic nausea. Which of the following statements by the client indicates an understanding of the teaching?
?     I will include a high-fat food with each meal
?     I will eat a high-carbohydrate diet
?      I will lie down for one hour after eating
?     I will drink 12 oz of water with breakfast
 
Question 23: A nurse is reviewing the laboratory findings of an older adult client. The nurse should identify which of the following findings as an indication of malnutrition?
?    RBC count 5 million/mm3
?    Hemoglobin 16 G / DL
?    Prealbumin 10 mg / DL
?    WBC count 7,000 / mm3
 
Question 24: A nurse is teaching a client who has a new colostomy about nutrition. Which of the following client statements indicates an understanding of the teaching?
?     I would chew gum to decrease gas formation
?     I will eat a large evening meal
?     I will try new foods one at a time
?     I will drink 4 to 6 cups of fluid per day
 
Question 25: A nurse is teaching a parent about appropriate snack choices for her 9 month old infant. Which of the following food choices should the nurse recommend?
?     Raw carrots
?     Skim milk
?     Unsalted popcorn
?     Graham crackers
 
Question 26: A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
?     Creatinine 0.8 mg / DL
?     BUN 10 mg / DL
?     Hgb 15 g/dL
?     Sodium 140 mEq/L
 
Question 27: A nurse is planning a mechanical soft diet for a client who has difficulty chewing. Which of the following foods should the nurse plan to include on the client's meal tray?
?     Peas
?     Dried apricots
?     Canned pears
?     Cashews
 
 Question 28: A nurse is assessing a client who is receiving Total parenteral Nutrition(TPN). The nurse should identify which of the following findings as an adverse effect of TPN?
?    Temperature 36.1C (97F)
?     Weight gain of 1.5 kg (3.3 lb) per day
?     Hemoglobin 16 g/dL
?     Blood glucose 98 mg / DL
 
Question 29: A nurse is planning nutritional care for a group of clients. The nurse should recommend a high protein, commercially prepared liquid nutritional supplement for which of the following clients?
?    A client who has chronic kidney disease
?    A client who has dumping syndrome
?     A client who has burns over 21% of total body surface area
?     A client who has cholelithiasis and a BMI of 31
 
Question 30: A nurse is providing dietary teaching to a client about sources of protein. The nurse should identify which of the following items as a complete protein?
?     Legumes
?     Salmon
?     Almonds
?     Gelatin
 
Question 31 a nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?
?     Serve low carbohydrate meals
?     Administer antiemetics on a schedule
?     Ensure foods are served hot
?     Provide a snack 30 minutes before treatments
 
Question 32: A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?
?     Poached eggs with wheat bagel
?     Rice cereal with sliced bananas
?     Graham crackers with peanut butter
?     Rye toast with herbal tea
 
Question 33: A nurse is assisting a client at mealtime who is at risk for aspiration following a stroke. Which of the following actions should the nurse take?
?     Instruct the client to tuck her chin when swallowing
?     Encourage the client to rest 10 min before meal time
?     Place the client in a semi Fowler's position to eat
?     Tell the client to lie down after eating a meal
 
 question 34 a nurse is caring for a client who has dysphagis and requires a level 2 dysphagia diet. Which of the following foods should the nurse provide for the client?
?    Dried cranberries
?    Canned corn
?    Pineapple chunks
?    Cottage cheese
 
Question 35: A nurse is teaching a client about foods high in vitamin A. Which of the following food choices by the client indicates an understanding of the teaching?
?     Baked sweet potato
?     Egg white omelet
?     Cauliflower
?     Brown rice