Question 1

Which intervention is most appropriate for the nursing diagnosis ineffective breastfeeding related to maternal malnutrition?

Accepted Answer

A)  Encourage the mother to eat a diet rich in nutrients and protein. 
B)  Provide a quiet nursing environment to reduce maternal anxiety. 
C)  Allow the infant to room with the mother and breastfeed on demand. 
D)  Avoid supplemental feedings for the infant to promote breastfeeding. 
A)  Encourage the mother to eat a diet rich in nutrients and protein. 
B)  Provide a quiet nursing environment to reduce maternal anxiety. 
C)  Allow the infant to room with the mother and breastfeed on demand. 
D)  Avoid supplemental feedings for the infant to promote breastfeeding.

Question 2

Which intervention is most effective for measuring the patient's fluid balance over time?

Accepted Answer

A)  Measure daily intake and output. 
B)  Figure the patient's body mass index. 
C)  Record daily weights before breakfast. 
D)  Calculate the patient's ideal body weight. 
A)  Measure daily intake and output. 
B)  Figure the patient's body mass index. 
C)  Record daily weights before breakfast. 
D)  Calculate the patient's ideal body weight.

Question 3

Which nursing diagnoses are priorities for a patient receiving parenteral nutrition?

Accepted Answer

A)  Impaired oral mucus membranes related to irritation from nasogastric tube 
B)  Risk for infection related to invasive peripherally inserted central catheter line 
C)  Situational low self-esteem related to presence of gastrostomy tube in abdomen 
D)  Risk for impaired blood glucose levels related to concentrated IV dextrose solution 
E)  Health-seeking behaviors related to desire to manage parenteral nutrition at home 
A)  Impaired oral mucus membranes related to irritation from nasogastric tube 
B)  Risk for infection related to invasive peripherally inserted central catheter line 
C)  Situational low self-esteem related to presence of gastrostomy tube in abdomen 
D)  Risk for impaired blood glucose levels related to concentrated IV dextrose solution 
E)  Health-seeking behaviors related to desire to manage parenteral nutrition at home

Question 4

Which intervention is most appropriate for the patient with the nursing diagnosis imbalanced nutrition: more than body requirements related to overeating?

Accepted Answer

A)  Use of dishware that limits portion sizes 
B)  Menu consisting of purchased premeasured food 
C)  Ketogenic diet that restricts carbohydrate intake 
D)  Crash diet based on lemon juice and cabbage soup 
A)  Use of dishware that limits portion sizes 
B)  Menu consisting of purchased premeasured food 
C)  Ketogenic diet that restricts carbohydrate intake 
D)  Crash diet based on lemon juice and cabbage soup

Question 5

Which is the best reason why a gastrostomy tube is ordered rather than parenteral nutrition for a patient with dysphagia?

Accepted Answer

A)  Parenteral nutrition can only be administered to the patient in the hospital. 
B)  The gastrostomy tube provides more nutrition and protects intestinal function. 
C)  Parenteral nutrition is significantly more expensive than gastrostomy feedings. 
D)  The gastrostomy tube allows for administration of medications as well as nutrition. 
A)  Parenteral nutrition can only be administered to the patient in the hospital. 
B)  The gastrostomy tube provides more nutrition and protects intestinal function. 
C)  Parenteral nutrition is significantly more expensive than gastrostomy feedings. 
D)  The gastrostomy tube allows for administration of medications as well as nutrition.

Exam 35: Nutrition

Which intervention is most appropriate for the nursing diagnosis ineffective breastfeeding related to maternal malnutrition?

Which intervention is most effective for measuring the patient's fluid balance over time?

Which nursing diagnoses are priorities for a patient receiving parenteral nutrition?

Which intervention is most appropriate for the patient with the nursing diagnosis imbalanced nutrition: more than body requirements related to overeating?

Which is the best reason why a gastrostomy tube is ordered rather than parenteral nutrition for a patient with dysphagia?

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