ATI RN NUTRITION PROCTORED 2024/2025 EXAM TEST BANK 60 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

A nurse is preparing to bottle feed an infant who has a cleft lip. Which of the following actions should the nurse take to reduce the risk of aspiration?

a) burp the infant once at the end of the feeding

b) use a bottle that has a two way valve

c) place a low-flow rate nipple on the bottle

d) squeeze the infants cheeks together while feeding

D) squeeze the infants cheeks together while feeding

* nurse should identify that an infant who has a cleft lip will have difficulty in obtaining an adequate seal during feeding. nurse should gently squeeze the infants cheeks together to decrease the width of the cleft allowing the infant to achieve a better seal, which reduces risk of aspiration

A nurse is preparing a health promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include?

a) consume high-calorie foods and beverages at meal time

b) eat at least 2.5 cups of fruits and vegetables each day

c) plant to perform moderate-intensity exercise for 90 minutes/week

d) limit alcohol consumption to no more than 3 drinks per day

B) Eat at least 2.5 cups of fruits and vegetables each day

* The nurse should include in the teaching that clients should eat at least 2.5 cups of fruits and vegetables daily to help maintain body weight and reduce risk for cancer of the lungs and gastrointestinal system

A nurse is teaching a client about stress management. Which of the following statements by the client indicates an understanding of the teaching?

a) I will take a long walk every evening

b) I will keep a daily diet and activity log

c) I will avoid eating 1 hr before each bedtime

d) I will drink a full glass of water with each meal

a) I will take a long walk every evening

* Exercise has many benefits including reduction of tension, promotion of relaxation and improved sense of well being. All of these will assist the client in stress management

A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication?

a) leafy green vegetables

b) whole grains

c) fruits with skin

d) nuts and seeds

a) leafy green vegetables

* the nurse should recommend the client eat in moderation and maintain consistent intake of leafy green veggies which contain a natural form of vit k that can negate the anticoagulation effects of warfarin

A nurse in a long term care facility is monitoring a client during mealtime who has Parkinson's disease. Which of the following findings should the nurse identify as the priority?

a) the client eats all their cake and a few bites of bread

b) the client drools while eating

c) the clients hand trembles when they hold their spoon

d) the client chooses to sit alone during the meal

b) the client drools while eating

* drooling while eating can indicate that this client is at greatest risk for aspiration of food from dysphagia, which can lead to pulmonary complications: therefore nurse should identify this as a priority problem

A nurse is reviewing the laboratory values of a group of clients. Which of the following clients should the nurse identify as experiencing dehydration?

a) a client who has a potassium level of 4.4 mEq/L

b) a client who has a hematocrit of 45%

c) a client who has a sodium level of 150 mEq/L

d) a client who has a BUN of 18 mg/dL

c) a client who has a sodium level of 150 mEq/L

* the nurse should identify that a sodium level of 150 mEq/L is above expected reference range of 136-145 mEq/L and indicates hypernatremia. Hypernatremia often called water diuretic is a decrease of sodium concentration in blood caused by excess of water. Manifestations of hypernatremia include: confusion, headache, nausea, and fatigue

A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value?

a) I should have gone to my exercise class yesterday

b) This shows that my results is finally within a normal range

c) This shows that I have not been following my diet

d) I should have my blood work done first thing in the morning

c) This shows that I have not been following my diet

* An HbA1c level of 8.7% is not within the expected reference range. The HbA1c goal level for a client who has diabetes is between 6.5-7%

A nurse is caring for a client who has undergone a radical head and neck resection to treat cancer and is receiving radiation therapy. The nurse should monitor for which of the following potential adverse effects?

a) bone marrow suppression

b) radiation enteritis

c) malabsorption of nutrients

d) changes in the production of saliva

d) changes in the production of saliva

* changes in salvation are a potential complication of a head and neck resection and radiation therapy

A nurse is providing dietary teaching to a client who is postoperative following a gastric bypass procedure. Which of the following instructions should the nurse include?

a) eat 6 small meals per day

b) begin each meal with a protein

c) finish each meal even if feeling full

d) plan to eat each meal over 15 min

b) begin each meal with a protein

* the nurse should instruct the client to begin each meal by eating a protein. the client should consume 60-120 g of protein each day

A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium?

a) 1 cup avocado

b) 2 tablespoons peanut butter

c) 1/2 cup roasted sunflower seeds

d) 1/2 cup of roasted almonds

d) 1/2 cup of roasted almonds

* nurse should determine that 1/2 cup roasted almonds is the best food source to recommend bc 1/2 cup of almonds contains 185 mg of calcium. Calcium helps to prevent bone loss in clients who have osteoporosis

A nurse is caring for an adolescence who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon?

a) monitor blood glucose levels during the night

b) check for urinary ketones at the same time each day for 1 week

c) perform oral glucose tolerance test after administering dose of insulin

d) compare current glycosylated hemoglobin level with the level at time of diagnosis

a) monitor blood glucose levels during the night

* somogyi phenomenon is fasting hyperglycemia that occurs in the morning in response to hypoglycemia during the nighttime. nurse should assess this phenomenon by monitoring blood glucose levels during the night

A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider?

a) gelatin

b) peanuts

c) shellfish

d) eggs

d) eggs

* lipid emulsions are isotonic and are composed of soybean or safflower plus soybean oil, with egg phospholipid used as an emulsifier. Client who are allergic to eggs can have a reaction to the emulsifier. Therefore, the nurse should report this finding to the provider

A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect?

a) weak peripheral pulses

b) increased hematocrit

c) crackles in the lungs

d) weight loss from baseline

c) crackles in the lungs

* s/s shortness of breath, dyspnea

A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the teaching?

a) use soy sauce as a marinade for meats

b) season foods with herbs and spices

c) select processed cheese products when available

d) choose a frozen dinner for a quick meal option

b) season foods with herbs and spices

* nurse should instruct client to replace salt with herbs and spices when seasoning foods

A nurse is developing an educational program about the glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index?

a) sweet corn

b) macaroni

c) baked potato

d) peanuts

c) baked potato

* baked potato has highest glycemic index. the glycemic index of potato is 85-90. Glycemic index is a tool used to rank foods according to degree in which food raises serum glucose levels

A nurse is caring for a client who is at 8 weeks gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. Nurse should advise client to do which of the following?

a) maintain her current bmi

b) gain approximately 6.8 kg ( 15lbs)

c) lower her BMI to 30

d) gain 12.7 to 15.8 (28-35lbs)

b) gain approximately 6.8 kg (15 lbs)

* she should gain 4.9 to 9.1 kg (11-20lbs)

A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc intake. Which of the following foods should nurse include in teaching of best source of zinc?

a) pineapple

b) green grapes

c) cauliflower

d) pinto beans

d) pinto beans

* highest amount zinc per serving

A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss. Which of the following instructions should the nurse include in the teaching?

a) consume liquids between meals

b) increase intake of simple carbohydrates

c) decrease foods high in fat content

d) eat meals low in protein

a) consume liquids between meals

* slows movement of food from the stomach

A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the clients nutritional intake?

a) recommend cooking aromatic foods to stimulate appetite

b) serve hot foods rather than cold foods

c) instruct client to eat 3 meals per day

d) add extra calories and protein to every meal

d) add extra calories and protein to every meal

*increases clients nutritional intake

A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take?

a) use a low-fat formula for administration

b) chill the formula prior to administration

c) provide the formula as a continuous infusion

d) dilute the formula before administration

c) provide the formula as a continuous infusion

*prevents receiving high carbohydrate load with each feeding

A nurse is assessing clients risk for pressure injuries using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale?

a) 1 ( very poor)

b) 2 ( probably inadequate)

c) 3 ( adequate)

d) 4 ( excellent)

c) 3 ( adequate)

* only eats about half of meals or snacks and only occasionally takes dietary supplements

A nurse is assessing a client who has an elevated blood pressure, headache, and is sweating. The client recently stated taking an MAOI. The nurse should question the client regarding the consumption of which of the following foods?

a) grapefruit juice

b) whole milk

c) whole grain bread

d) cheddar cheese

d) cheddar cheese

* clients who take MAOIs should avoid consumption of most types of cheese and other foods that contain high levels of tyramine which can lead to hypertensive crisis

A nurse is providing teaching about lowering solid fat intake to an adolescent client who usually consumes about 2,000 calories per day. Which of the following instructions should nurse include?

a) choose ground beef that is at least 70% lean

b) restrict your daily meat intake to 3 oz

c) select cheeses that contain no more than 6 grams of fat per serving

d) choose margarine that contains no more than 4 grams of saturated fat per tablespoon

b) restrict your daily meat intake to 3 oz

* limit to 5 oz per day. meat portion should be no larger than a size of a deck of cards

A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding?

a) flatulence

b) bloody stools

c) hyperemesis

d) steatorrhea

a) flatulence

* bloating, cramping and diarrhea are expected

A nurse is teaching about increasing dietary intake of micronutrients to a client who has difficulty seeing at night. Which of the following micronutrients should nurse include in the teaching?

a) vit a

b) calcium

c) vit b6

d) phosphorous

a) vit a

* enables eyes to adapt to dim lighting more rapidly at night ( improves night vision)

A nurse is teaching a client who has chronic kidney disease about limiting dietary calcium intake. Which of the following food choices should the nurse include in the teaching as having the highest amount of calcium?

a) 1 cup low-fat yogurt

b) 1 oz cheddar cheese

c) 1 egg

d) 1/2 cup spinach

a) 1 cup of low-fat yogurt

* low fat yogurt contains 314 mg of calcium per cup

A nurse is providing teaching to a client who has dumping syndrome. Which of the following information should the nurse include?

a) drink liquids with meals

b) apply pectin to foods

c) remain active after eating a meal

d) replace sugars with honey

b) apply pectin to foods

* it is a dietary fiber that helps delay gastric emptying to foods

A nurse in a providers office is assessing a client who has HIV. The nurse should identify which of the following findings as an indication to increase the client's nutritional intake?

a) T-helper (CD4+) cells 700/mm3

b) Presence of herpes simplex virus infection

c) HIV viral load below detectable levels

d) Increased lean body mass

b) presence of herpes simplex virus infection

* secondary infection triggers inflammatory responses that increase the clients metabolic rate.

A nurse is providing discharge teaching to a postpartum client about breast milk use and storage. Which of the following statements should the nurse make?

a) refrigerate unused breast milk immediately after bottle feeding

b) you cannot place thawed breast milk back in the freezer

c) you can store expressed breast milk in the freezer for up to 18 months

d) defrost frozen breast milk on the lowest defrost setting in the microwave

b) you cannot place thawed breast milk in the freezer

* thawed breast milk should be stored in refrigerator but most can be used within 24 hrs. breast milk that has been previously frozen should not be refrozen once it has thawed completely. Thawing creates a possibility for bacterial growth and causes a decrease in antibacterial activity which destroys antibodies in the milk

A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration?

a) monitor gastric residuals every 4 hr

b) maintain elevation of the head of the clients bed at 15 degrees

c) confirm proper tube placement by radiograph every 24 hr

d) flush tubing with 30 mL of water before and after medications

a) monitor gastric residuals every 4 hr

* nurse can identify delayed gastric emptying by monitoring gastric residuals regularly. Delayed gastric emptying places client at risk for aspiration and can necessitate a decrease in the feeding rate

A nurse is assessing a client for dysphagia following a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia?

a) the client reports abdominal pain after eating

b) the client has an increase in bowel sounds after eating

c) client has increased interest in eating

d) clients voice changes after eating

d) clients voice changes after eating

* hoarseness or change in voice after eating is a manifestation of dysphagia because partially swallowed food can alter the client's voice

A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should nurse include in clients plan of care?

a) use simple sugars to sweeten foods

b) remain upright for 1 hr following meals

c) limit eating to 3 large meals per day

d) select grains with less than 2 g fiber per serving

d) select grains with less than 2 g fiber per serving

* clients at risk for dumping syndrome better tolerate low-fiber grains that contain less than 2 g fiber per serving to slow gastric emptying

A nurse is providing education to an adolescent about making nutrient dense food choices. Which of the following statements by the client indicates an understanding of the teaching?

a) pasta with white sauce is a better choice than pasta with red sauce

b) sweetened fruit yogurt is a healthy breakfast choice

c) canned pinto beans are a better choice than refried beans

d) sausage is a healthy choice of protein

c) canned pinto beans are a better choice than refried beans

*contain less fat than refried beans

A nurse is administering a continuous tube feeding at 60 mL/hr of water every 4 hr. What should the nurse document as the total mL of enteral fluid administered during the 8 hr shift?

580 mL

* 8 hr x 60 mL/hr-480 plus 100 (50ml water x2)=580 mL

A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching?

a) i am including vegetables as starch items in my carbohydrate count

b) i am limiting the number of carbohydrates to 4 carbohydrate choices or 60 grams per day

c) i know the serving size can affect the number of carbohydrates I eat

d) i know the carbohydrate count is dependent on the calories in the food item

c) I know the serving size can affect the number of carbohydrates I eat

* portion size affects number of carbohydrates

A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

a) diaphoresis

b) bradycardia

c) abdominal cramps

d) acetone breath

a) diaphoresis

* irritability, and tremors are hypoglycemia

A nurse is reviewing the introduction of solid foods with the guardian of a 4-month old infant. Which of the following statements by the guardian indicates an understanding of the teaching?

a) my baby should consume 2 tablespoons of solid food at each feeding

b) the majority of by babys calories should come from solid food

c) i will give my baby one bottle of fruit juice each day

d) i will introduce a new solid food every 5 days

d) i will introduce a new solid food every 5 days

* new food items should be introduced every 4-7 days to monitor for indications of allergies

A nurse is creating a plan of care for a client who has mucositis following head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan ?

a) encourage 3 servings of citrus foods daily

b) provide lemon-glycerin swabs for oral hygiene after meals

c) increase fluid intake to 2 L per day

d) heat oral hygiene mouth rinses before use

c) increase fluid intake to 2 L per day

* a client who has mucositis should increase fluid intake to promote hydration and peristalsis

A nurse is caring for a client who expresses a desire to loose weight. Which of the following actions should the nurse take first?

a) recommend checking weight once weekly

b) obtain a 24hr dietary recall

c) assist with creating an exercise plan

d) initiate a plan for diet modification

b) obtain a 24 hr dietary recall

* first step is to obtain diet history, such as 24 hr dietary recall . Having the client write down everything consumed over 24 hr period is crucial component of the assessment process to identify eating behaviors and therefore be able to recommend dietary modifications based on data received

A nurse is teaching a prenatal education class about breastfeeding, Which of the following instructions should the nurse include in the teaching ?

a) offer supplemental formula until the milk supply is established

b) offer newborn 30 mL (1 oz) of glucose water after first breastfeeding session

c) plan to breastfeed the newborn every 4 hr

d) plan 5 min feedings on each breast on the first day after birth

d) plan 5 min feedings on each breast on the first day after birth

* promotes milk production

A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following is an expected finding?

a) increased calcium

b) decreased bilirubin

c) increased glucose

d) decreased alkaline phosphatase

c) increased glucose

* nurse should expect increased glucose level due to decreased insulin production by pancreas

A nurse in a clinic is reviewing the laboratory findings of a client who has recently began a dietary approaches to stop hypertension (DASH) diet. Which of the following laboratory findings indicates the client has reached one of the goals of the DASH diet?

a) sodium 150 mEq/L

b) chloride 106 mEq/L

c) fasting glucose 130 mg/dL

d) total cholesterol 190 mg/dL

d) total cholesterol 190 mg/dL

* A feature of the DASH diet is a reduction in total cholesterol. This laboratory finding is within the expected reference range of cholesterol less than 200 mg/dL, and indicates client has achieved on of the goals of DASH diet

A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching?

a) consume high-fat cheese to replace meals when on a vegetarian diet

b) a vegetarian diet is high in vitamin b 12

c) fewer calories are required when on a vegetarian diet

d) include 2 servings per day of nuts when on a vegetarian diet

d) include 2 servings per day of nuts when on a vegetarian diet

* nurse should instruct client to eat 2 servings of nuts or flaxseed per day to receive the daily requirements of omega-3 fatty acids.

A nurse is discussing dietary factors to assist in blood pressure management for a client who has hypertension. Which of the following client statements indicates an understanding of the teaching?

a) I can drink up to 3 glasses of wine each day

b) I should choose whole grain pastas when selecting my foods

c) I should decrease my consumption of foods high in potassium

d) I can use low-sodium salt substitutes when I cook my food

b) I should choose whole grain pastas when selecting my foods

* Whole grains are a healthy choice of carbohydrate because they contain ingredients that lower risk of cardiovascular disease and improve blood pressure

A home health nurse is providing dietary teaching to the guardians of a 3 year old child. Which of the following statements by the guardians should the nurse identify as understanding of the teaching?

a) I will offer my child a cup of peanut butter to dip her celery in

b) I can leave her grapes whole so she can practice getting them with her fork

c) I can give her popcorn as a snack to provide a serving of whole grains

d) I will put low-fat milk in her cup for her to drink

d) I will put low-fat milk in her cup for her to drink

* Whole milk provides necessary fat for neurological development for children up to 2 years of age , after which the child should consume low-fat or skim milk. Therefore, the nurse should identify this statement as indicating an understanding of the teaching

A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take?

a) Place the client on NPO status during nighttime hours

b) Provide a snack for the client after sunset

c) Offer the client hot tea with daytime meals

d) Allow the client to eat privately with their family each day at 1300

b) provide a snack for the client after sunset

* During Ramadan clients who follow Islamic dietary laws consume meals before dawn and after sunset. Nurse should offer client a snack or light meal after sunset

A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching?

a) I need to decrease the amount of oil I use in cooking

b) I need to eat fewer acidic foods such as tomatoes and oranges

c) I need to eliminate rye from my diet

d) I need to eliminate milk products from my diet

c) I need to eliminate rye from my diet

* Gluten, barley or rye increases manifestations of celiac disease

A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following information should the nurse include?

a) replace legumes with broiled meats

b) consume 1/2 cup of bran daily

c) leave the skin on when eating fruit

d) decrease fluid intake while increasing fiber

c) leave the skin on when eating fruit

* nurse should instruct client that skin on fruits and veggies contain fiber to diet

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take?

a) slow the rate of the current infusion

b) infuse 0.9% sodium chloride when the current infusion ends

c) infuse dextrose 10% in water when the current infusion ends

d) remove the tubing and flush the access device when the current infusion ends

c) infuse dextrose 10% in water when the current infusion ends

* TPN contains high concentration of dextrose and proteins. To avoid hypoglycemia, the nurse should infuse dextrose 10% or 20% in water until the next bag of TPN solution arrives

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral diet. The client asks the nurse why the TPN is being continued since he is now eating. Which of the following responses should the nurse make?

a) your blood glucose levels need to be within a normal range before the parenteral nutrition can be stopped

b) you should consume at least 60% of your calories orally before the parenteral nutrition can be discontinued

c) you should have a weight gain of at least 1 kg per day before the therapy is stopped

d) your bowel movements need to be regular before the therapy can be discontinued

b) you should consume at least 60% of your calories orally before the parenteral nutrition can be discontinued

*TPN can be discontinued when oral intake exceeds at least 60% of the clients estimated daily caloric requirements

A nurse is performing a cultural nursing assessment for a client whose religious practices including fasting 1 day each week. Which of the following questions should the nurse ask the client ? ( select all that apply)

a) are you exempt from fasting during illness?

b) does fasting mean refraining from drinking liquids?

c) does your fasting occur during certain hours of the day ?

d) is vegetarianism a form of fasting?

e) does fasting mean only a certain type of food?

a) are you exempt from fasting during illness?

b) does fasting mean refraining from drinking liquids?

c) does your fasting occur during certain hours of the day ?

e) does fasting mean eating only a certain type of food?

A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following client statements indicates an understanding of the teaching?

a) I will drink two glasses of whole milk daily

b) I will decrease the potassium in my diet

c) I will eat 4 servings of unsalted nuts per week

d) I will limit alcohol consumption to 3 drinks per day

c) I will eat 4 servings of unsalted nuts per week

* female clients should consume 4 to 5 servings of unsalted nuts, seeds, or legumes per week for a heart-healthy diet

A home health nurse is receiving the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing?

a) the clients hemoglobin is 15 g/dL

b) the clients peripheral pulses are +3 distal to the affected extremity

c) the client consumes 1,000 kcal daily

d) the client takes zinc supplements

c) the client consumes 1,000 kcal daily

* adults who have had surgery require at least 1,500 kcal daily to meet energy needs and build protein for tissue healing . The nurse should recognize that a 1,000 kcal/day intake is below the clients needs

A nurse is teaching a client about measures to reduce risk of osteomalacia. Which of the following instructions should the nurse include in the teaching?

a) consume 20 mcg of vitamin d daily

b) avoid foods with copious amounts of antioxidants

c) increase intake of foods high in purine

d) take 150 mg of vitamin e daily

a) consume 20 mcg of vitamin d daily

* osteomalacia is characterized by a lack of vitamin D which leads to insufficient bone mineralization. The disorder coincides with osteoporosis thereby increasing the risk of falls leading to fractures in older adult clients. Vitamin D supplements are recommended for clients age 65 and older to decrease bone loss and maintain bone mineralization thereby reducing risk of a softening of the bones

A nurse is providing information to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the information as contraindicated while taking this medication?

a) orange juice

b) coffee

c) grapefruit juice

d) milk

c) grapefruit juice

* can increase serum levels of the medication which can increase the risk for rhabdomyolysis and toxicity

A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would be appropriate for this client?

a) vegetable salad with cheese

b) lean cuts of pork

c) turkey and cheese on rye bread

d) shrimp salad and crackers

a) vegetable salad with cheese

* kosher diets can eat dairy products combined with non-meat products at the same meal

A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea. Which of the following actions should the nurse take to reduce the client's diarrhea?

a) flush the clients feeding tube

b) administer promethazine to the client

c) decrease the rate of the feeding

d) check the clients gastric residual

c) decrease the rate of the feeding

* to prevent diarrhea nurse should decrease rate of the tube feeding which allows for better absorption of the eternal formula

A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia?

a) confusion

b) polydipsia

c) vomiting

d) ketonuria

a) confusion

* manifestation of hypoglycemia

A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include?

a) limit your sodium intake to 1,800 milligrams per day

b) reduce your daily intake of foods that contain protein

c) taking a daily multivitamin will prevent cardiovascular disease

d) plan to loose weight gradually at 1/2 to 1 lb per week

d) plan to loose weight gradually at 1/2 to 1 lb per week

* nurse should inform participants that loosing 0.23-0.45 kg ( .5-1 lb) per week is a healthy and attainable weight loss goal. Setting realistic goals for weight loss is an important element of success. Trying to loose weight too quickly places clients at risk for nutritional deficiencies and inadequate energy, which can lead to frustration and defeat.

A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client?

a) hydrolyzed formula

b) polymeric formula

c) milk-based supplement formula

d) modular product supplement formula

a) hydrolyzed formula

* provides protein and other nutrients in their simplest form, requiring little or no digestion and decreasing stimulation of the bowel. This type of formula is beneficial for clients who have impaired digestion due to conditions such as inflammatory bowel disease