RN ATI Nutrition

A nurse is caring for a client who is prescribed Captopril. the nurse should recognize that which of the following foods could cause a potential medication interaction?

Cantaloupe
-ACE Inhibitors retain potassium lead to hyperkalemia
-Carrots high aswell

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?

Relieve mouth pain by consuming frozen foods.
-Use straw to minimize contact with sores in mouth
-Consume high calorie and high protein diet to promote healing
-Frozen food helps alleviate the pain
-Use soft bristled tooth brush and rinse mouth out by using .9% sodium chloride and water or baking soda and water

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?

I should take a daily iron supplement during my pregnancy
-Take 30 mg of iron daily to reduce risk of anemia
-Increase protein intake during pregnancy
-Weight gain at most 40 lb. Weight gain based on BMI
-Reduce fat intake during pregnancy

a nurse is caring for a client who has advanced Parkinson's disease and dysphagia. which of the following actions should the nurse take?

offer the client a high- calorie diet
-Muscular rigidity increases metabolic rate
-Eliminate distractions to concentrate on meals
-Don't offer liquids to clear mouth of food can increase risk of aspiration
-Parkinson's should be in high fowlers to avoid aspirations

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.

Albumin 3.0 g/dL
-Hgb 14- 18 Below indicates poor wound healing due to reduced oxygen delivery
Albumin- 3.5-5. Decreased albumin malnutrition impaired wound healing
- Prothrombin 11-12.5 sec.
WBC 5,000 to 10,000 Below indicated impaired healing and risk on infection

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?

Eating a diet rich in potassium
-Impaired kidney function- unable to eliminate potassium. Urine output declines, hyperkalemia develops causes dysrhythmias
-Diet high in fat leads to CAD- increased risk of dysrhythmias
-Client who is ESKD shouldn't consume diet rich in protein to avoid uremia

A nurse is calculating the daily protein allowance of a client who weighs 176 lb. the client's daily protein allowance is 0.8 g/kg. how many grams of protein should the client consume per day?

64 g/day

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?

i will follow a high-protein diet
- Crohns Disease patient should follow high protein diet to prevent malnutrition and obtain required calories to promote healing
- Avoid fiber to minimize bowel stimulation. During periods of remission high fiber can improve elimination
-Reduce fat intake because fatty foods increase diarrhea and steatorrhea (fat in stool)
-Consume small frequent meals

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?

Mashed potatoes
-Cooked fruits and vegetables
-Altered texture
-Softened with liquids
-Thickened for consistency

a nurse is providing nutritional teaching to the guardians of 2 - year - old toddler. which of the following snack food should the nurse recommend including in the toddler's diet?

1 cup of yogurt
-Food with no choking hazards
-Reuire 13 to 16 g of protein each day
-HIGH risk of choking until 4
-Avoid complex sugars

A nurse is providing information regarding breastfeeding to the parents of a newborn. which of the following statements should the nurse make?

breast milk is nutritionally complete for an infant up to 6 months of age
-Iron-fortified is an acceptable substitute for or supplement to breast feeding
-Breast milk and formula provide adequate water to calorie ratio
-Cows milk should not be introduced until after 1 year

a nurse is providing information about cardiovascular risk to a client who has received a lipid panel report. the nurse should include that which of the following findings is within an expected reference range?

HDL 79 mg/dL
-Total cholesterol less than 200
-Greater than 45 males 55 females
-Triglyceride 35-135 males 40-160 females
-LDL less than 130

A nurse is providing teaching regarding diet modifications to a client who is at a risk for cardiovascular disease. the client is accustomed to traditional Mexican foods and wants to continue to include them in her diet. which of the following recommendations should the nurse give the client?

use canola oil instead of lard for frying
-Use monounsaturated fats like canola rather than saturated like lard
-Soy milk not part of traditional mexican diet. Recommend fat free or low fat cows milk
-Increase intake of raw and cooked vegetables
-Limit intake of lean meat, poultry, and fish to 2.5 to 3 oz per meal

a nurse is assessing the meal pattern of a client who has diverticular disease and prescription for a high-fiber diet. which of the following food choices by the client contains the most fiber?

1/2 cup of bran cereal

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?

high calorie
-High protein to prevent malnutrition
-Low to moderate amounts of carbohydrates
-High in fats to meet energy needs and caloric needs

a nurse is providing dietary teaching for a client who has COPD. which of the following instructions should the nurse include in the teaching?

consume foods that are soft in texture and easy to chew
-Eat 6 small meals
-High protein high caloric formulas
-Add gravy and sauces to prevent dry mouth
-Soft diet and avoiding foods that are difficult to chew will decrease shortness of breath while eating

a nurse is caring for a client who is receiving total parenteral nutrition (TPN). the current bag of TPN is empty and a new bag is not available on the unit. which of the following solutions should the nurse infuse until a new bag of TPN is available?

Dextrose 10% in water
-Prevent hypoglycemia

A nurse is providing teaching about cancer prevention to a group of clients. which of the following client statements indicates an understanding of the teaching?

I will eat five servings of fruits and vegetables each day
-Eating variety of fruits and vegetables assist in decreasing BP and weight
-Limit alcohol to 1 to 2 drinks per day causes excessive weight gain
-Consume whole grain foods over refined foods to prevent GI cancers.
-Limit consumption of processed meats. Choose lean cut meat without skin

A nurse is preparing to administer an influenza vaccine to an adult client who reports food allergies. which of the following food allergies could place the client at risk for a reaction.

Eggs

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?

Prealbumin 8 mg/dL
-WBC 5,000-10,000
-Sodium 136-145
-Prealbumin 15-36
-Thyroxine(T4) 4-12

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?

Glucose 238 mg/dL
-Potassium 3.5- 5.0
-Calcium 9-10.5
-Sodium 136-145

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?

Assign privileges based on direct weight gain.
-Weight at same time each day
-Remain with client at least 1 hr
-Nurse schedules meal time
-Gives patient control in achieving desired priviledges

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?

I can have tapioca pudding for dessert
-Tapioca pudding does not contain gluten
-Lifetime diet
-Avoid processed food
-Avoid gluten like whole wheat bread

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?

Prealbumin 30 mg/dL
-Calcium 9-10.5 Doesn't indicate TPN effective
-Hemoglobin- 14-18, 12-16 Doesn't indicate TPN effective
- Prealbumin 15-36
-Cholesterol less than 200 indicated malnutrition

a nurse is teaching a client about managing irritable bowel syndrome (IBS). which of the following information should the nurse include in the teaching?

Take peppermint oil during exacerbation of manifestations
-Peppermint relaxes the smooth muscle of the GI tract and can decrease the manifestations of IBS
-Fruit high in fructose such as pears can increase IBS
-Increase foods containing probiotics decrease bacteria and decrease the manifestations of IBS
-Honey causes manifestations of IBS

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?

I can take this medication with juice
-Take between meals with juice. With meals if gastric upset

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?

Tomato juice
-Calcium impairs iron absorption
-Contains vitamin C such as Tomato juice or orange juice. Enhances iron absorption
-Caffeine impairs iron absorption

A nurse is caring for a client who has age-relate macular degeneration (AMD) and asks the nurse if there are any nutritional changes to consider. which of the following responses should the nurse make?

Increase dietary intake of lutein
- Soy doesn't contain antioxidants, lutein or vitamin E
-Niacin aids in lowering LDL no affect on AMD
-Lutein slows progression of AMD. Found un kale, spinach, collards, and mustard greens
-Foods low in glycemic index

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?

Cottage cheese
Incomplete proteins- Legumes, Peanut Butter, and Whole grain cereal
Complete- cottage cheese, meat, poultry, eggs

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 should expect the client's laboratory results to indicate a dietary deficiency of which of the following minerals?

Sodium
Sodium deficit- confusion, headache, nausea, dizziness, and abdominal cramping.
-Phosphorus- numbness and tingling around the mouth and extremities and tetany
-Potassium- Heart beat, muscle weakness, cardiac dysrhythmias
Chloride- Emotion, anorexia, and muscle cramps

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?

Two poached eggs and a banana
-Limits amount of stool traveling through intestine
-Avoid whole grains, fatty meats, and high fiber

A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and as receiving chemotherapy. which of the following client statements indicates an understanding of the teaching?

I will use leftovers within 24 hours
-Thaw food in refrigerator to reduce risk of infection from foodborne pathogen
-Use canned foods within 1 year of canning and cook for 10 minutes
-Cook food kept at least 140 F

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?

Warm the formula to room temperature
-Low fat formula if diarrhea
-Elevating head prevents aspirations
-Diarrhea patients should receive
continuous internal feeding
Diarrhea if served cold

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?

Grapefruit juice

A nurse is providing nutritional teaching to a client who reports wanting to lose weight. the nurse should identify that which of the following client statements indicates an understanding of the teaching?

I will make a list before i go grocery shopping
-Don't taste to avoid overeating
-Control portion size rather than restricting certain foods
-Eat three to 5 meals a day

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?

tomato juice

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?

i will use leftovers within 24 hours.

A nurse is teaching a client who has BMI of 22 about dietary recommendations during pregnancy. which of the following statements by the client indicates an understanding of the teaching?

i should plan to gain a total of 25-35 pounds
-Well balanced vegetarian diet
- Increase protein intake
-BMI of 22 to increase daily intake by 400 calories. 600 would lead to obesity

A nurse is caring for a client who has cirrhosis and ascites. which of the following dietary instructions should the nurse provide for this client?

decrease your sodium intake to 1-2 g per day.
-Decrease fluid retention limit sodium intake to 2,000
-Limit fluid intake to 1.5 L
-Vitamin K essential for blood coagulation

A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. which of the following statements should the nurse plan to include?

increase your intake of foods containing pectin
-Return to regular diet after 6 weeks
-Eat low fiber food
-Drink at least 8-10 cups
-Consume foods that thicken feces such as foods containing pectin

A nurse is providing teaching to a client who reports nausea during pregnancy. which of the following statements by the client indicates an understanding of the teaching?

i will eat dry cereal before i get out of bed
-Drinking water leads to nausea
-Carbs reduce nausea
-High fat foods delay gastric emptying
-Caffeine heart burn

A nurse is providing dietary teaching about increased zinc intake for a a client who has chronic skin ulcers of the lower extremities. which of the following foods should the nurse recommend as containing the highest amount of zinc?

4 oz ground beef patty
-Ground beef best choice

a nurse is admitting a client who has diabetic ketoacidosis. which of the following findings should the nurse expect?

increased urination
-DKA fruity breath, Kuussmaul respirations, excessive thirst and orthostatic hypotension
-Hypoglycemia- Palpitations, diaphoresis, tremors, confusion, irritability,

a nurse is teaching an older adult client about nutritional recommendations. which oft eh following statements should the nurse make?

you should increase your daily protein intake.
-Fewer daily calories
-Increased protein for wound healing
-Take supplements to maintain healthy bones
-Take 1,000 to 2,000 a day with sun exposure

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?

one slice of wheat toast
-Cannot consume with foods high in protein
-Absorption decreased when taken with protein

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?

ankle edema
-Lower extremity edema manifestation of malnutrition and is indicative of a protein deficiency in the client
-Paresthesia and weak hands manifestations of malnutrition
-Dry conductive manifestation of malnutrition

a nurse is caring for a client who is being treated for cancer using chemotherapy. which of the following interventions should the nurse suggest to aid in the management of treatment-related changes in taste?

use plastic utensils
-Increase fluid intake
-Eat food served cold or at room temp to improve taste
-Try tart foods and seasoning to improve taste

a nurse is planning dietary interventions for a client who is prescribed external radiation for laryngeal cancer. the client reports manifestations of stomatitis. which of the following interventions should the nurse include?

provide meals at room temperature
-Room tea food less irritating on mucosa
-AVOID Citrus and acidic foods irritate mucosa. Citrus for dry mouth
-Avoid seasoning irritate mucosa
-High protein supplements encouraged.
-Tomato juices AVOIDED due to acidic and salt levels

a nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes mellitus. which of the following findings indicates the clients plan of care is effective?

HbA1c 6.5%
HbA1c less than 7
-Serum creatinine .6-1.3 doesn't affect diabetes
-BUN- 10-20 uninfected in diabetes
-Pre meal BG- 70-110

A nurse is educating a group of clients about vitamin and mineral intake during pregnancy. which of the following supplements should the nurse instruct the clients to avoid taking with iron?

calcium
Calcium interferes with iron absorption

A nurse is caring for a group of clients. a client who has which of the following conditions has an increased protein requirement?

pressure injury
-Additional protein for healing
-Renal disease decrease protein
-

a nurse is conducting dietary teaching for a group of clients who are trying to become pregnant. which of the following food items should the nurse include as containing the highest amount of folate?

3.5 oz of chicken liver
-Red meat
-Folate is found mainly in dark green leafy vegetables, beans, peas and nuts

a nurse is caring for a client who has diabetes mellitus and reports feeling dizzy, weak, and shaky. which of the following is the priority action by the nurse?

check the client's blood glucose level
-ADPIE

a nurse is caring for a client who is receiving intermittent enteral feedings ever 4 hr via an ng tube. which of the following actions should the nurse take to reduct the risk for aspiration?

place the client in semi-fowler's position
-Check NG tube prior to feeding to reduce risk of aspirations
-Semi Fowler to prevent aspirations and for at least 30 post feeding
-Flush with 40- 50 ML of water
-Room temp to reduce abdominal cramps

a nurse is providing discharge teaching to a client who has anew ileostomy. which of the following dietary guidelines should the nurse include in the teaching?

prepare meals on a schedule
-Increase salt
-Increased amounts of pasta can thicken stool
-Regular bowel movement patterns when meals are on schedule
-Vitamin B12 necessary to prevent anemia related malabsorption

a client reports constipation during a routine checkup. the client was previously encouraged to increase their intake of mineral supplements. which of the following minerals should the nurse identify as the possible cause of constipation?

calcium
Potassium- can cause vomiting
-Magnesium can cause diarrhea and cramping
-Calcium lead to constipation by decreasing peristalsis

a nurse is caring for a client who is receiving continuous enteral feedings via NG tube. the nurse notices that the tube feeding has stopped infusing. which of the following actions is the nurse's priority?

flush the tube with warm water.
-First action is to flush tube with warm water.

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

Confusion

A nurse is a clinic is reviewing the laboratory findings of a client who recently began a Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following laboratory findings indicates the client has reached one fo the goals of the DASH diet?

Total cholesterol 190 mg/dL
Range should be less than 200

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?

Plan to lose weight gradually at 1/2 to 1 pound per week

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

Diaphoresis
(sweating)
-Diaphoresis, irritability, and tremors
-Tachycardia and hunger

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?

Changes in the production of saliva

A nurse is creating a lan 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?

Increase fluid intake to 2 L per day
-Client with mucositis should increase fluid intake to promote hydration and peristalsis

A nurse is caring for a client who is receiving 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?

Consume at least 60% of diet orally before TPN dicontinued.

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.

Vegetable salad with cheese
- Can't eat dairy and meat together
-Dont eat pork
-No shellfish

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

Chedder Cheese
-Clients who take MAOI should avoid consumption of most cheese and other foods high in tyramine. Can lead to hypertensive crisis

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

Select grains with less than 2 g fiber per serving.
-Clients at risk for dumling syndrome better toleratr low fiver grains thst contain less than 2g fiber per serving to slow gastric emptying
-Eat small frequent meals
-Lie down after eating to slow mobement
-Avoid simple sugars and sugar alchols

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?

"I will introduce a new solid food every 5 days."
- New food items introfuced every 4-7 days to monitor food allergies
-Fruit juice introduced at 6 months limited to 120 ml and in cup
-Recieve most calories from formula or breast milk
-1 to 2 teaspoons of solid food at each feeding

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?

Begin each meal with a protein.
-60-120 g each day
-Eat slowly stop once full
-take fine chew food well and plan 30-60 minutes
-3 meals two snacks

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?

hydrolyzed formula- provides protein and other nutrients in their simplest form requiring little or no digestion and decreasing stimulation of the bowel

facts: polymeric formula contains complex nutrient molecules and is not indicated for clients who have impaired digestion

milk based supplement contain lactose and are poorly tolerated by clients who have inflammatory bowel disease

modular product supplement formula - increase the intake of a specific nutrient without increasing volume they are not intended for client who have impaired digestion

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 following instructions should the nurse include?

Restrict your daily meat intake to 5 ounces
-At least 90% lean meat
-Limit meat intake to about 5 oz per day
-select cheese with no more than 3 g
-Select margarine that contains no more than 2g

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?

Leafy green vegetables

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?

"I should choose whole grain pastas when selecting my foods."
- consume alchohol in moderation
-whole grain healthy choice of carbohydrates improve BP
-increased potassium decrease BP
-Low salt not sodium free have half as much as table salt

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?

Half a cup roasted almonds

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?

"You cannot place thawed breast milk back in the freezer."
-Milk left in bottle from feeding should be discarded
-Maximum length of breast milk im freezer 12 months
-Place in fridge to slowly thaw. Needed sooner warm running water. Never thaw in microwave

A nurse is caring for a client who has a new prescription of the parenternal nuttition PN containing a mixture of dextrose,amino acid, and lipids. Prior to the administation of the PN, the nurse should report which of the following food allergies to the provider?

Eggs
-Lipid Emulsions contain soybean, safflower and egg

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

Increased glucose
-Increased glucose due to the decreased undulin production by the pancreas
-Increase alkaline phophatase
-Increased billirubin
-Decrease of calcium

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

1 cup low-fat yogurt
-Yogurt contains milk

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?

Consume liquids between meals
-Complex carbs better tollerated
-high fats not a cause of dumping
-High protein not a cause and can improve anemia

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?

Eat at least 2.5 cups of fruits and vegetables each day.
-Avoid consuming high calorie foods and beverages to decrease risk for cancer
-150 min per week to decrease risk of cancer
-Limit alchol to 1 to two drinks

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?

The client's voice changes after eating
-Hoarsness or change in voice after eating
-Clients with dyphagia can be come discouraged while eating and comsume less food
-Painful swallowing manifestation of dysphagia

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

Add extra calories and protein to every meal.
-Increased sensitivity to food causes nausea increasing anorexia
-consume cold food to eliminate aroma
-Eat small frequent meals every 2 hours

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?

"I will put low-fat milk in her cup for her to drink."
-Avoid giving celery and peanut butter because of choking
-Cut items into small pieces to decrease risk of chokinh
-Avoid food easy to swallow like popcorn and pretzel until 4

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?

"I need to eliminate rye from my diet."
-Oil content of food need to be decreased
-Acidic foods do not affrct manifestations of celiac disease

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?

I know the serving size can affect the number of carbohydrates I eat
-3 to 5 carb choices or 45 grams allowed per meal
-Difference in starchy and non starchy vegetables
-

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

-Monitor blood glucose levels at night
Somogyi phenomenon- fasting hyperglycemia that occurs in the korning in resposne to hypoglycemia during night time

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?

Decrease the rate of the feeding.
-Prevent diarrhea decrease rate of feeding
-check gastric residual to reduce risk for aspiration and monitor absorption of feeding
-Promethazine treatement of nausea and vomiting
-Only flush when clogged or before and after giving meds

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 the nurse include in the teaching as best source of Zinc?

Pinto Beans

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

"Are you exempt from fasting during illness?"
"Does fasting mean refraining from drinking fiquids?"
"Does your fasting occur during certain hours of the day?
"Does fasting mean eating only a.certain tyne of foaod

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?

Provide the formula as a continuous infusion.
-Distention snd bloating should recieve low fat formula
-chilled formula cause abdominal distention and cramping. Warm to room temp
-dehydrated client should recieve extta water.

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?

Season foods with herbs and spices.
-Avoid sodium
-Processed food high in sodium
-Avoid processed food

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

Consume 20 mcg of vitamin D daily.
-Characterized by lack of vitamin D

A home health nurse is reviewing 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 facyor of impaired wound healing?

The client consumes 1,000 kcal daily.
-1500 kcal to meet energy beeds to and builf protein for tissue healing
-Hemoglobin exoected go be beterrn 14-18 in men 12-16 in women

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?

Leave the skin on while eating fruit
-Adds fiber
-Add small amount os bran 3 tablespoons
-Increase fluid intake and cosume 8 glasses of water daily
-Dried peas or beans adds fiber

A nurse in a provider's 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?

Presence of herpes simplex virus infection
-Secondary infection triggers inflammatory responses that increased the clients metabolic rate.

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?

The client drools while eating.
-Aspirations of food

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

"I will take a long walk every evening."

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?

Squeeze the infant's cheeks together while feeding.
-Could have trouble sealing. Squeeze to decrease width of cleft
-Low flow rate- trouble with seal. Decreases suction and increase risk of aspiration
-Burp 2-3 times during feeding

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

Flatulence
-Flatulence Bloating cramping snd diarrhea expected findinf

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?

"Canned pinto beans are a better choice than refried beans."
-Canned pinto less fat
-Pasta red sauce better choice
-Canadian bacon