Question 1

A client with a vision problem needs assistance with meals. Which statement should the nurse make to help this client during meals? (Select all that apply.)

Accepted Answer

A)  "Let's hurry this up a little." 
B)  "Are you anxious about something?" 
C)  "Feel free to use your fingers to pick up your chicken." 
D)  "Your carrots are at the 11 o'clock position on your tray." 
E)  "I'm going to mix your spaghetti and green beans together." 
A)  "Let's hurry this up a little." 
B)  "Are you anxious about something?" 
C)  "Feel free to use your fingers to pick up your chicken." 
D)  "Your carrots are at the 11 o'clock position on your tray." 
E)  "I'm going to mix your spaghetti and green beans together." C, D

Question 2

The nurse is providing palliative nutrition to a client with a terminal illness. Which intervention should the nurse include on the client's plan of care?

Accepted Answer

A)  Scheduled rest periods 
B)  Mouth care and lip lubrication 
C)  A regular balanced diet with snacks 
D)  Range-of-motion exercises every 4 hours 
A)  Scheduled rest periods 
B)  Mouth care and lip lubrication 
C)  A regular balanced diet with snacks 
D)  Range-of-motion exercises every 4 hours B

Question 3

An older client recovering from aspiration is not scheduled for a swallowing evaluation for several days. Which action should the nurse to help this client?

Accepted Answer

A)  Provide a can of liquid nutritional supplement. 
B)  Allow the family to bring in favorite foods to support nutritional needs 
C)  Provide clear liquids and try to reschedule the swallowing test for the next available time slot. 
D)  Inform the healthcare provider that the test has not been done and discuss concerns about malnutrition 
A)  Provide a can of liquid nutritional supplement. 
B)  Allow the family to bring in favorite foods to support nutritional needs 
C)  Provide clear liquids and try to reschedule the swallowing test for the next available time slot. 
D)  Inform the healthcare provider that the test has not been done and discuss concerns about malnutrition D

Question 4

The family of a client with a history of a stroke reports only providing the client with nutritional supplements instead of other food to prevent choking. Which response should the nurse make to the family?

Accepted Answer

A)  "It's better to give the client desired foods instead of forcing to eat a diet of solid food." 
B)  "We will get an evaluation by a nutritionist and speech pathologist to identify the best diet." 
C)  "Nutritional supplements are high is salt and sugar content and are not a healthy choice for people who can still eat." 
D)  "Nutritional supplements contain all of the components of a regular diet in liquid form, and are a good option for people who are at risk for aspiration or choking." 
A)  "It's better to give the client desired foods instead of forcing to eat a diet of solid food." 
B)  "We will get an evaluation by a nutritionist and speech pathologist to identify the best diet." 
C)  "Nutritional supplements are high is salt and sugar content and are not a healthy choice for people who can still eat." 
D)  "Nutritional supplements contain all of the components of a regular diet in liquid form, and are a good option for people who are at risk for aspiration or choking."

Question 5

A resident in a skilled nursing facility eats nutritional pudding supplements throughout the day and refuses and is too full to eat regular meals. Which action should the nurse take?

Accepted Answer

A)  Ask the kitchen to provide the client with small portions of meals since they are discarded anyway 
B)  Ignore the problem since the client probably gets more nutrients eating the supplements than eating the meals 
C)  Inform the client that too many servings of pudding are not good and meals are a better nutritional option 
D)  Post a chart that staff must sign when they give the client pudding, and limit the servings to twice a day at least two hours before or after meals 
A)  Ask the kitchen to provide the client with small portions of meals since they are discarded anyway 
B)  Ignore the problem since the client probably gets more nutrients eating the supplements than eating the meals 
C)  Inform the client that too many servings of pudding are not good and meals are a better nutritional option 
D)  Post a chart that staff must sign when they give the client pudding, and limit the servings to twice a day at least two hours before or after meals

Question 6

The nurse manager plans to improve the nutritional status of clients while receiving hospitalized care. What should each nurse be reminded to do when caring for assigned clients?

Accepted Answer

A)  Offer nutritional supplements when requested 
B)  Provide all clients with a regular diet unless changed by the healthcare provider 
C)  Instruct dietary staff just to leave food trays in the vestibule for clients who need help with feeding 
D)  Carefully evaluate the diet order for each client based on individual needs and discuss the cause of inadequate or over adequate intake with the client, caregiver, healthcare provider and nutritionist 
A)  Offer nutritional supplements when requested 
B)  Provide all clients with a regular diet unless changed by the healthcare provider 
C)  Instruct dietary staff just to leave food trays in the vestibule for clients who need help with feeding 
D)  Carefully evaluate the diet order for each client based on individual needs and discuss the cause of inadequate or over adequate intake with the client, caregiver, healthcare provider and nutritionist

Question 7

The nurse is caring for a client receiving chemotherapy and radiation to treat neck cancer. What should the nurse keep in mind when this client's nutritional support is being determined?

Accepted Answer

A)  Parenteral nutrition would be the easiest to manage in an outpatient setting 
B)  Enteral nutrition would be more difficult to administer on an outpatient basis 
C)  Clients receiving parenteral nutrition require daily monitoring by a home care nurse 
D)  Enteral nutrition would be the best choice because the client has a functional digestive tract 
A)  Parenteral nutrition would be the easiest to manage in an outpatient setting 
B)  Enteral nutrition would be more difficult to administer on an outpatient basis 
C)  Clients receiving parenteral nutrition require daily monitoring by a home care nurse 
D)  Enteral nutrition would be the best choice because the client has a functional digestive tract

Question 8

A client with chronic pancreatitis is prescribed enteral nutritional supplements with a polymeric formula. For which reason should the nurse question this prescription?

Accepted Answer

A)  Isotonic formulas can cause diarrhea and should be avoided 
B)  Modular formulas would better address nutritional requirements 
C)  Clients with chronic pancreatitis require formulas with predigested macronutrients 
D)  Polymeric formulas contain nutrients which are partially digested and easy to absorb 
A)  Isotonic formulas can cause diarrhea and should be avoided 
B)  Modular formulas would better address nutritional requirements 
C)  Clients with chronic pancreatitis require formulas with predigested macronutrients 
D)  Polymeric formulas contain nutrients which are partially digested and easy to absorb

Question 9

A client is prescribed a mechanical soft diet. When preparing the diet at home, what should the nurse emphasize to the family?

Accepted Answer

A)  Avoid meats which could cause choking or aspiration 
B)  Add extra salt and fat to improve the taste of the foods 
C)  Add extra fiber to prevent the material from becoming too soft 
D)  Include all food groups in the diet to assure that it is nutritionally adequate 
A)  Avoid meats which could cause choking or aspiration 
B)  Add extra salt and fat to improve the taste of the foods 
C)  Add extra fiber to prevent the material from becoming too soft 
D)  Include all food groups in the diet to assure that it is nutritionally adequate

Question 10

The nurse notes that a client receiving enteral feedings has a residual volume of 315 mL. Which action should the nurse take?

Accepted Answer

A)  Hold tube feeding formula 
B)  Change tube feeding setup 
C)  Add blue food dye to formula 
D)  Increase the head-of-bed to a 45-degree angle 
A)  Hold tube feeding formula 
B)  Change tube feeding setup 
C)  Add blue food dye to formula 
D)  Increase the head-of-bed to a 45-degree angle

Question 11

A client with a critical illness is prescribed parenteral nutrition. Which action should the nurse take when caring for this client?

Accepted Answer

A)  Decrease the amount of infusion slowly based on the oral intake of the client 
B)  Stop the infusion in the morning and resume oral feeding beginning with clear liquids 
C)  Follow the facility protocol for tapering the solution, especially monitoring blood glucose levels 
D)  Follow the facility protocol for tapering the infusion and monitor the input and output for the client each shift 
A)  Decrease the amount of infusion slowly based on the oral intake of the client 
B)  Stop the infusion in the morning and resume oral feeding beginning with clear liquids 
C)  Follow the facility protocol for tapering the solution, especially monitoring blood glucose levels 
D)  Follow the facility protocol for tapering the infusion and monitor the input and output for the client each shift

Question 12

The daughter of a client with terminal brain cancer wants a feeding tube placed so that the client will have nutrition to be cured of the disease. Which response should the nurse make to this daughter?

Accepted Answer

A)  "What does your father want?" 
B)  "If your father is hungry he will find a way to eat without a stomach tube." 
C)  "Intravenous fluid contains enough nutrients to meet his nutritional needs." 
D)  "Palliative nutrition is focused on relieving discomfort and symptoms rather than cure." 
A)  "What does your father want?" 
B)  "If your father is hungry he will find a way to eat without a stomach tube." 
C)  "Intravenous fluid contains enough nutrients to meet his nutritional needs." 
D)  "Palliative nutrition is focused on relieving discomfort and symptoms rather than cure."

Question 13

A client is prescribed peripheral parenteral nutrition. For signs of which complication should the nurse monitor this client?

Accepted Answer

A)  Edema 
B)  Nausea 
C)  Diarrhea 
D)  Thrombophlebitis 
A)  Edema 
B)  Nausea 
C)  Diarrhea 
D)  Thrombophlebitis

A client with a vision problem needs assistance with meals. Which statement should the nurse make to help this client during meals? (Select all that apply.)

The nurse is providing palliative nutrition to a client with a terminal illness. Which intervention should the nurse include on the client's plan of care?

An older client recovering from aspiration is not scheduled for a swallowing evaluation for several days. Which action should the nurse to help this client?

The family of a client with a history of a stroke reports only providing the client with nutritional supplements instead of other food to prevent choking. Which response should the nurse make to the family?

A resident in a skilled nursing facility eats nutritional pudding supplements throughout the day and refuses and is too full to eat regular meals. Which action should the nurse take?

The nurse manager plans to improve the nutritional status of clients while receiving hospitalized care. What should each nurse be reminded to do when caring for assigned clients?

The nurse is caring for a client receiving chemotherapy and radiation to treat neck cancer. What should the nurse keep in mind when this client's nutritional support is being determined?

A client with chronic pancreatitis is prescribed enteral nutritional supplements with a polymeric formula. For which reason should the nurse question this prescription?

A client is prescribed a mechanical soft diet. When preparing the diet at home, what should the nurse emphasize to the family?

The nurse notes that a client receiving enteral feedings has a residual volume of 315 mL. Which action should the nurse take?

A client with a critical illness is prescribed parenteral nutrition. Which action should the nurse take when caring for this client?

The daughter of a client with terminal brain cancer wants a feeding tube placed so that the client will have nutrition to be cured of the disease. Which response should the nurse make to this daughter?

A client is prescribed peripheral parenteral nutrition. For signs of which complication should the nurse monitor this client?

Nursing and Nutrition Care

Nutrition Recommendations and Standards

Carbohydrates

Protein

Fats

Vitamins

Minerals

Fluid, Caffeine, and Alcohol

Energy Balance

Nutritional Assessment

Nutrition and Health Promotion

Cultural Considerations in Nutrition

Nutrition in Sports

Pregnancy and Lactation

Infants, Children, and Adolescents

Adult and Older Adult

Food, Nutrient, and Drug Interactions

Dietary Supplements in Complementary Care

Weight Management

Cardiovascular Diseases and Lipid Disorders

Diabetes Mellitus

Disorders of the Gastrointestinal Tract, Liver, Pancreas, and Gallbladder

Renal Disease

Physiological Stress

Cancer and Human Immunodeficiency Virus Hiv Infection

Filters

Exam 17: Nutrition Care and Support

A client with a vision problem needs assistance with meals. Which statement should the nurse make to help this client during meals? (Select all that apply.)

The nurse is providing palliative nutrition to a client with a terminal illness. Which intervention should the nurse include on the client's plan of care?

An older client recovering from aspiration is not scheduled for a swallowing evaluation for several days. Which action should the nurse to help this client?

The family of a client with a history of a stroke reports only providing the client with nutritional supplements instead of other food to prevent choking. Which response should the nurse make to the family?

A resident in a skilled nursing facility eats nutritional pudding supplements throughout the day and refuses and is too full to eat regular meals. Which action should the nurse take?

The nurse manager plans to improve the nutritional status of clients while receiving hospitalized care. What should each nurse be reminded to do when caring for assigned clients?

The nurse is caring for a client receiving chemotherapy and radiation to treat neck cancer. What should the nurse keep in mind when this client's nutritional support is being determined?

A client with chronic pancreatitis is prescribed enteral nutritional supplements with a polymeric formula. For which reason should the nurse question this prescription?

A client is prescribed a mechanical soft diet. When preparing the diet at home, what should the nurse emphasize to the family?

The nurse notes that a client receiving enteral feedings has a residual volume of 315 mL. Which action should the nurse take?

A client with a critical illness is prescribed parenteral nutrition. Which action should the nurse take when caring for this client?

The daughter of a client with terminal brain cancer wants a feeding tube placed so that the client will have nutrition to be cured of the disease. Which response should the nurse make to this daughter?

A client is prescribed peripheral parenteral nutrition. For signs of which complication should the nurse monitor this client?

Nursing and Nutrition Care

Nutrition Recommendations and Standards

Carbohydrates

Protein

Fats

Vitamins

Minerals

Fluid, Caffeine, and Alcohol

Energy Balance

Nutritional Assessment

Nutrition and Health Promotion

Cultural Considerations in Nutrition

Nutrition in Sports

Pregnancy and Lactation

Infants, Children, and Adolescents

Adult and Older Adult

Food, Nutrient, and Drug Interactions

Dietary Supplements in Complementary Care

Weight Management

Cardiovascular Diseases and Lipid Disorders

Diabetes Mellitus

Disorders of the Gastrointestinal Tract, Liver, Pancreas, and Gallbladder

Renal Disease

Physiological Stress

Cancer and Human Immunodeficiency Virus Hiv Infection

Filters