A nurse is assessing a client whose cultural practices
include fasting one day each week. Which is an
appropriate question for the nurse to ask re: the practice
of fasting?
"Are you exempt from fasting during illness?""Does fasting
mean refraining from drinking liquids?""Does fasting occur
during certain hrs of day?""Does fasting mean eating only a
certain type of food?"
A nurse is providing education to a client who has
dumping syndrome and weight loss. Which instructions
should nurse include in the education?
Consume liquids btn meals.
A nurse is reviewing the introduction of solid foods w/the
parent of an infant who is 4mo old. Which statements by
parent indicates and understanding of the teaching?
"I will introduce a new solid food every 5 days." rationale:
solids should be introduced q 4-7 days to allow for
appearance of allergies.
A nurse caring for a client who is taking tranylcypromine
(Parnate). Which foods is appropriate for the client to eat?
Blueberries. rationale: clients taking an MAOI, such as
tranylcypromine, can eat blueberries because it does not
contain tyramine and is a good antioxidant.
A nurse in a clinic is reviewing the lab findings of a client
who began a DASH diet following a recent diagnosis of
hypertension. Which lab finding indicates that this dietary
mgmnt approach is effective?
Serum K+ 4.9 mEq/L.rationale: this lab finding is w/in the
Dash diet range and thus indicates compliance of the diet.
A nurse assisting a client who is a vegetarian to increase
zinc intake. Which food should the nurse encourage the
client to consume?
Nutsrational: nuts are a plant source and are high in zinc
A nurse is providing teaching to a client who has chronic
pancreatitis. Which instructions should the nurse include?
Include snacks high in calories.rationale: teach to include
snacks high in calories because high calorie snacks are
needed to increase or maintain weight.
A nurse is planning care for an infant who requires
intermittent gavage feedings. Which of the following
should the nurse include in the plan of care?
provide a pacifier during feedings.
modular supplement
important to increase nutrient intake w/o increasing
volume
nutr tching to pt wants to lose wt. what stmt indicates
behavior change
i make a list before i go grocery shopping
nausea during preg - which stmt indicates understanding
i will eat dry cereal before i get out of bed
hypokalemia - foods high in potassium
oranges
continuous enteral feedings - pt has abdominal bloating,
what should you do 1st
listen to bowel sounds
vegetarian needs zinc - what food
nuts
new mother - breastfeed or not
breastfeeding will reduce risk of food allergies
provide diet instruct to pt on coumadin - which food
should they regulate
green leafy veggies
pt w/anorexia nervosa - assessment finding you might
expect
amenorrhea
anemic pt/ prescrip for iron to increase absorption rate
consume what
tomato juice
tching diet modification to pt w/high risk of CV disease. pt
likes mexican food - you recomm
use canola oil instead of lard
tching about healthly eating - which stmt indicates further
tching
hard, stick margerine is healthier than tub margarine
pt - chronic alcoholic - symptoms of beri-beri (thiamine
def). what foods to increase in diet
whole wheat bread
food safety class for parents of toddlers. which shows
understanding
peas
obese pt to lose 1 lb p/wk, reduce daily cal. by
500 calories
discharge plan for pt w/dysphagia - mech. soft diet, which
food can be included
mashed potatoes
125 lb pt - physical activity & cal. expenditure, which
activity burns most cal p/hr
soccer
wm of childbearing age - highest source of folate
3.5 oz chicken liver
new mom - formula feed newborn - what stmt indicates
need for more tching
i will add more water if baby has diarrhea
Nursing interv. for pt on continuous enteral tube feeding
admin tube feeding at room temp
pt - rad. head/neck resection/cancer - radiation therapy.
monitor for which adverse effect
changes in production of saliva
pt in ER - confused, muscle weakness, irregular heartbeat,
imbalance of what mineral
potassium
MM** tching pt w/chronic kidney disease - nutr - food
choices. what stmt = further pt tching
cheese, broccoli, salmon
well baby assess - 5 mo old infant, birth wt 6 lb9oz, which
wt reflects expected growth
13 lb 2 oz (about doubles)
pt - radiation therapy/cancer is exper. stomatitis - food
choice
scrambled eggs
level I dysphagic diet - ready to progess to level II - ground
diet
when patient is able to chew and swallow food
healthy food guidelines for toddler serving size
tablespoon of food p/yr of age
nutr class - informs group that frozen entree is 166
calories, 15 gr carbs, 4 gr protein, 10 gr fat - how much %
of fat does entree contain
carb & protein - 4 gr/ fat - 9 gr ----- 15 x 4 - 60/ 4 x 4 = 16/ 10
x 9 = 90 90/166 = 54 cal
pt has prescript for captopril (capoten) - which food could
cause reaction
cantaloupe (high in potassium - ACE inhibitors should
avoid)
woman trying to become preg - which nutrient will reduce
risk of neural tube defects
folic acid
breastfeeder asks how her milk is affected by diet. which
nutrient in breast milk is dependent on maternal intake
vitamins
DM#1 - insulin pump - tching pt about prevent
hyperglycemia after meals. which stmt indic.
understanding
my carb intake at every meal should be consistent
MM*** pt w/hypernatremia - nutrition - what food
choices indic. understanding
orange wedges/ tomato slices/ brown rice
vegan - nutr choices to improve protein intake
peanut butter w/apple slices
dysphagic pt - rt hemiplegia - CV accident. prescript soft
diet. which action is appr. when assist w/meal
ask pt to swallow small amt of pudding from spoon
pt w/hypertension - low sodium diet - which food has
least amt of sodium
1/2 c fruit cocktail
pt 60 kg (132 lb), BMI 26- strategies
decrease caloric intake 600 cal p/day
pt rec contin. enteral tube feedings. NI's to prevent
aspiration
monitor gastric residuals every 4 hrs
chronic kidney - how many gr of protein p/day
170 lb/ 2.2 kg/lb = 77.3 kg x 0.6g (daily protein) = 46.38
gr/p/day
group of pts - which condition has increased protein
requirement
pressure ulcer
educ pt w/diverticulis - food to encourage
cottage cheese & canned peaches (no seeds or husks)
overwt pt - which assess finding indicates incr. risk for
heart disease or DM2
excess adipose tissue in abdomen
pt - iron def. anemia - which food choice by pt indic.
needs further tching
plain yogurt w/walnuts
MM*** pt - radiation therapy - pt says metallic taste in
mouth - NI's
offer: citrus fruits, pickles, gargle w/mouthwash
flu vaccine to adult - which food allerby is a
contraindication
eggs
pt - intermit. enteral tube feedings. pts fasting glucose
a.m. - 150 mg/dL. nurse should anticipate
order to initiate capillary blood glucose checks every 6 hrs
tching interpr food labels - food item has 120 cals plus 5
fat gr p/serving. how many fat calories
1 gr fat = 9 cals x 5 = 45 calories
educ women about vit & min during preg. which should
women avoid at same time as iron suppl
calcium
highest osteop. rate in women
caucasians
pt doesn't like taste of nutrition shakes - suggestion/
chill shake before serving
preg BMI 29 - recomm gestational wt gain
15 - 25 lb
DM#1 - mngmt of carbs. based on 1800 cal /day, how
many servings of carbs
4 (this is based on 1600-2000 p/day meal plan)
BMI = 65" T - 176 lb
wt in kg / ht in m2: convert ht from " to meters by x 2.54 cm
to get cm and then x that # by 0.01 m/cm to get meters. 65
x 2.54 = 165.1cm x 0.01 m/cm = 1.651m THEN divide lbs by
2.2 lb/kg to get wt in kg SO 17616/2.2kg = 80 kg//////sq ht in
meters 1.651 x 1.651 = 2.72580m 2///// divide wt in kg by sq
ht - meters//// 80 kg/ 2.725801 = 29.3 kg/m 2 ***** this will
be one wrong for me!!!!
nurse is counseling pt who is trying to lose wt. client has
lost 0.45 kg (1 lb) over 2 wks. appr. response by nurse
congrats on what you have accomplished
nurse is assisting pt to choose food high in magnesium.
which food is a good source
almonds
educ pt who is trying to conceive. BMI 22, how much wt
should she gain when preg.
you should gain 2-4 lb during 1st 3 mo
pt - aids & wasting. nurse should tell pt to do what to
prevent further wasting
increase protein in diet
care plan for pt - anorexia w/cancer
limit liquids w/meals
MM*** pt w/dumping syndrome after gastric bypass -
which clinical findings are potential nutritional
complications
iron def. anemia/ steatorrhea/ osteomalacia
pt prescrip - tranylcypromine (Parnate) (MAOI) - which
food can you eat
blueberries (avoid aged, pickled, smoked, etc w/ MAOIs)
modular supplement
important to increase nutrient intake w/o increasing
volume
nutr tching to pt wants to lose wt. what stmt indicates
behavior change
i make a list before i go grocery shopping
nausea during preg - which stmt indicates understanding
i will eat dry cereal before i get out of bed
hypokalemia - foods high in potassium
oranges
continuous enteral feedings - pt has abdominal bloating,
what should you do 1st
listen to bowel sounds
vegetarian needs zinc - what food
nuts
new mother - breastfeed or not
breastfeeding will reduce risk of food allergies
provide diet instruct to pt on coumadin - which food
should they regulate
green leafy veggies
pt w/anorexia nervosa - assessment finding you might
expect
amenorrhea
anemic pt/ prescrip for iron to increase absorption rate
consume what
tomato juice
tching diet modification to pt w/high risk of CV disease. pt
likes mexican food - you recomm
use canola oil instead of lard
tching about healthly eating - which stmt indicates further
tching
hard, stick margerine is healthier than tub margarine
pt - chronic alcoholic - symptoms of beri-beri (thiamine
def). what foods to increase in diet
whole wheat bread
food safety class for parents of toddlers. which shows
understanding
peas
obese pt to lose 1 lb p/wk, reduce daily cal. by
500 calories
discharge plan for pt w/dysphagia - mech. soft diet, which
food can be included
mashed potatoes
125 lb pt - physical activity & cal. expenditure, which
activity burns most cal p/hr
soccer
wm of childbearing age - highest source of folate
3.5 oz chicken liver
new mom - formula feed newborn - what stmt indicates
need for more tching
i will add more water if baby has diarrhea
Nursing interv. for pt on continuous enteral tube feeding
admin tube feeding at room temp
pt - rad. head/neck resection/cancer - radiation therapy.
monitor for which adverse effect
changes in production of saliva
pt in ER - confused, muscle weakness, irregular heartbeat,
imbalance of what mineral
potassium
MM** tching pt w/chronic kidney disease - nutr - food
choices. what stmt = further pt tching
cheese, broccoli, salmon
well baby assess - 5 mo old infant, birth wt 6 lb9oz, which
wt reflects expected growth
13 lb 2 oz (about doubles)
pt - radiation therapy/cancer is exper. stomatitis - food
choice
scrambled eggs
level I dysphagic diet - ready to progess to level II - ground
diet
when patient is able to chew and swallow food
healthy food guidelines for toddler serving size
tablespoon of food p/yr of age
nutr class - informs group that frozen entree is 166
calories, 15 gr carbs, 4 gr protein, 10 gr fat - how much %
of fat does entree contain
carb & protein - 4 gr/ fat - 9 gr ----- 15 x 4 - 60/ 4 x 4 = 16/ 10
x 9 = 90 90/166 = 54 cal
pt has prescript for captopril (capoten) - which food could
cause reaction
cantaloupe (high in potassium - ACE inhibitors should
avoid)
woman trying to become preg - which nutrient will reduce
risk of neural tube defects
folic acid
breastfeeder asks how her milk is affected by diet. which
nutrient in breast milk is dependent on maternal intake
vitamins
DM#1 - insulin pump - tching pt about prevent
hyperglycemia after meals. which stmt indic.
understanding
my carb intake at every meal should be consistent
MM*** pt w/hypernatremia - nutrition - what food
choices indic. understanding
orange wedges/ tomato slices/ brown rice
vegan - nutr choices to improve protein intake
peanut butter w/apple slices
dysphagic pt - rt hemiplegia - CV accident. prescript soft
diet. which action is appr. when assist w/meal
ask pt to swallow small amt of pudding from spoon
pt w/hypertension - low sodium diet - which food has
least amt of sodium
1/2 c fruit cocktail
pt 60 kg (132 lb), BMI 26- strategies
decrease caloric intake 600 cal p/day
pt rec contin. enteral tube feedings. NI's to prevent
aspiration
monitor gastric residuals every 4 hrs
chronic kidney - how many gr of protein p/day
170 lb/ 2.2 kg/lb = 77.3 kg x 0.6g (daily protein) = 46.38
gr/p/day
group of pts - which condition has increased protein
requirement
pressure ulcer
educ pt w/diverticulis - food to encourage
cottage cheese & canned peaches (no seeds or husks)
overwt pt - which assess finding indicates incr. risk for
heart disease or DM2
excess adipose tissue in abdomen
pt - iron def. anemia - which food choice by pt indic.
needs further tching
plain yogurt w/walnuts
MM*** pt - radiation therapy - pt says metallic taste in
mouth - NI's
offer: citrus fruits, pickles, gargle w/mouthwash
flu vaccine to adult - which food allerby is a
contraindication
eggs
pt - intermit. enteral tube feedings. pts fasting glucose
a.m. - 150 mg/dL. nurse should anticipate
order to initiate capillary blood glucose checks every 6 hrs
tching interpr food labels - food item has 120 cals plus 5
fat gr p/serving. how many fat calories
1 gr fat = 9 cals x 5 = 45 calories
educ women about vit & min during preg. which should
women avoid at same time as iron suppl
calcium
highest osteop. rate in women
caucasians
pt doesn't like taste of nutrition shakes - suggestion/
chill shake before serving
preg BMI 29 - recomm gestational wt gain
15 - 25 lb
DM#1 - mngmt of carbs. based on 1800 cal /day, how
many servings of carbs
4 (this is based on 1600-2000 p/day meal plan)
BMI = 65" T - 176 lb
wt in kg / ht in m2: convert ht from " to meters by x 2.54 cm
to get cm and then x that # by 0.01 m/cm to get meters. 65
x 2.54 = 165.1cm x 0.01 m/cm = 1.651m THEN divide lbs by
2.2 lb/kg to get wt in kg SO 17616/2.2kg = 80 kg//////sq ht in
meters 1.651 x 1.651 = 2.72580m 2///// divide wt in kg by sq
ht - meters//// 80 kg/ 2.725801 = 29.3 kg/m 2 ***** this will
be one wrong for me!!!!
nurse is counseling pt who is trying to lose wt. client has
lost 0.45 kg (1 lb) over 2 wks. appr. response by nurse
congrats on what you have accomplished
nurse is assisting pt to choose food high in magnesium.
which food is a good source
almonds
educ pt who is trying to conceive. BMI 22, how much wt
should she gain when preg.
you should gain 2-4 lb during 1st 3 mo
pt - aids & wasting. nurse should tell pt to do what to
prevent further wasting
increase protein in diet
care plan for pt - anorexia w/cancer
limit liquids w/meals
MM*** pt w/dumping syndrome after gastric bypass which clinical findings are potential nutritional
complications
iron def. anemia/ steatorrhea/ osteomalacia
pt prescrip - tranylcypromine (Parnate) (MAOI) - which
food can you eat
blueberries (avoid aged, pickled, smoked, etc w/ MAOIs)
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