Exam 33: Nutrition

A patient presents to an ambulatory care clinic reporting a lack of energy and tiredness.One of several assessments the nurse wants to make is a diet history.To perform a home diet history the nurse instructs the patient to keep a journal of which of the following?

A patient with head trauma is scheduled for a gastrostomy tube to be inserted.The spouse asks the nurse why an intravenous (IV)cannot be used.What is the nurse's best response?

A patient is receiving parenteral nutrition (PN).While caring for the patient receiving PN what is the nurse's best action?

A 34-year-old mother delivered her third child 1 year ago.She tells the nurse that her New Year's resolution is to lose the 15 pounds that she gained with this pregnancy over the next month.Which of the following is the best statement that the nurse can make to help the patient achieve her weight loss goal?

The patient has been admitted to the cardiac unit with a diagnosis of heart failure.The patient is currently receiving furosemide (Lasix)and is on a low-sodium diet.Which of the following is the best way for the nurse to determine if the patient is retaining fluid?

A patient who has high cholesterol asks the nurse if there is a need to limit all fat in the diet to lower cholesterol.What is the nurse's best response?

The nurse needs to verify feeding tube placement using the gastrointestinal (GI)pH measurement test.The NG tube placement was confirmed via x-ray 6 hours ago.After several attempts,the nurse is unable to aspirate GI fluid from the tube.The tube is secure and the external marking of the tube are in the original place.The patient appears to be tolerating the tube feedings and is not experiencing any distress.What should the nurse do?

A school nurse is presenting a class on nutritional needs to a group of 16-year-old adolescents.When discussing a balanced diet,the objectives for Healthy People 2020,and the goals of the ChooseMyPlate program,the nurse explains to this age group that nutritional goals should include which of the following? (Select all that apply.)

A student nurse is completing a community health rotation.One of the clients is a pregnant teen.The student nurse has been teaching the client about infant nutrition.Which statement indicates to the student nurse that the client needs additional teaching?

A nurse is caring for a patient who is receiving intermittent gravity feedings through a gastrostomy tube.The patient experiences abdominal discomfort.Which action is best for the nurse to take?

A new mother is breastfeeding her infant.The nurse asks the mother if she is getting the correct amounts of dietary reference intakes.Which statement from the mother indicates a correct understanding of dietary guidelines?

A patient wants to lose 17 pounds.The nurse is aware that the most successful long-term weight loss programs are which of the following?

A nurse is asked how many kilocalories per gram (kcal/g)carbohydrates and protein can provide.How should the nurse reply?

A patient is receiving intermittent enteral tube feedings.When introducing a feeding to this patient,what is the first thing the nurse needs to do?

A patient needs nutritional counseling after a myocardial infarction to assist in reducing cholesterol level.The nurse would recommend that the patient should eat foods that are high in which type of fat?

A college student visits the student health center.The student has become a vegan.The nurse assesses that the student is deficient in protein intake.Which food should the nurse suggest as a source of protein?

The patient was admitted with the diagnosis of a stroke.The patient experiences dysphagia and right side paralysis and needs assistance with activities of daily living (ADLs).The nurse caring for the patient has assigned the task of feeding the patient to the new nursing assistant personnel (NAP),and is concerned about aspiration.The nurse knows additional teaching is necessary when NAP states which of the following?

Which information from the patient indicates teaching by the nurse was successful about the vitamin that is synthesized in the intestine?

The nurse caring for a patient with dysphagia has assigned the task of feeding the patient to the new nursing assistant personnel (NAP).The nurse asks the NAP how long the patient should be upright after eating.Which answer indicates the NAP has a correct understanding?

The nurse who works on the oncology unit understands the importance of nutrition and the disease process.Which patient should the nurse be most concerned about from a nutritional standpoint?