Question 1

Nursing Exam Review Multiple Choice The hospitalized patient's diet prescription was for a clear liquid diet. The nurse knew this patient's diet was not correctly delivered when she saw which items on the patient's tray?

Accepted Answer

A)  c herry gelatin, ginger ale, and coffee 
B)  c ranberry juice, strawberry fruit ice, and soft drink 
C)  b ouillon, apple juice, tea, and sugar 
D)  s trained orange juice, Popsicle, and tomato juice 
E)  c onsommé, lemon-lime soda, and a frozen juice bar

Question 2

Nursing Exam Review Multiple Choice In terms of implementation of care plans, the nurse recognizes that her/his major role is to:

Accepted Answer

A)  deliver appropriate foods to the patient. 
B)  identify expected outcomes and plan strategies that can correct problems. 
C)  plan the diet for the patient. 
D)  ensure that the appropriate foods are prepared for the patient. 
E)  change the consistency of the food to meet the patient's dietary needs.

Question 3

The most common biologically based therapy is the use of:

Accepted Answer

A)  vitamin and mineral supplements and herbal remedies. 
B)  chiropractic medicine. 
C)  massage therapy. 
D)  aromatherapy. 
E)  acupuncture.

Question 4

Drug complications that reduce food intake are significant only when they continue for a long period.

Accepted Answer

A) True 
 B)False

Question 5

Nursing Exam Review Multiple Choice A patient who suffers from migraine headaches wants to take feverfew to prevent their recurrence. What adverse effect has been associated with the use of feverfew?

Accepted Answer

A)  m outh and tongue sores 
B)  l iver failure 
C)  h ypotension 
D)  c ardiac arrest 
E)  e xcess bleeding

Question 6

Sodium restriction is difficult to implement on a long-term basis because:

Accepted Answer

A)  sodium is found in large amounts in nearly all foods. 
B)  many patients find the diet unpalatable. 
C)  dehydration may result. 
D)  sodium is not an essential nutrient. 
E)  sodium restriction can lead to hypomagnesemia.

Question 7

Medications that reduce stomach acid may impair the absorption of:

Accepted Answer

A)  vitamin C. 
B)  vitamin B12. 
C)  glucose. 
D)  calcium. 
E)  vitamin K.

Question 8

Nursing Exam Review Multiple Choice The nurse removes a patient's meal tray from the food cart and discovers that the food is not appropriate for the diet order. The nurse should:

Accepted Answer

A)  substitute another patient's meal tray that contains the appropriate foods. 
B)  ask a family member to go to the kitchen and request another meal tray. 
C)  order a new food tray from the kitchen. 
D)  call the dietitian to come address the problem. 
E)  give the patient what foods he is able to eat from the tray.

Question 9

There are no known interactions between herbal supplements and medications.

Accepted Answer

A) True 
 B)False

Question 10

Jose Salazar has been hospitalized following a motor vehicle accident. He has several broken bones, including his left jaw, two ribs on the left side, and a compound fracture of his left leg. According to his medical record, he is 47 years old, his height is 5'9", and his weight is 171 pounds. His current medications include lovastatin to lower his cholesterol and an MAO inhibitor to treat depression.
Mr. Salazar will need a higher _____ intake to meet his nutritional needs for recovery.

Accepted Answer

A)  potassium 
B)  kcalorie 
C)  iron 
D)  vegetable 
E)  fiber

Question 11

Using the Harris-Benedict equation for women (below), estimate the resting metabolic rate of Mrs. Clements, who is 72 years old, is 157 cm tall, and weighs 53 kg. RMR = 655.1 + [9.563 x  weight (kg)] + [1.85  x  height (cm)] - [4.676  x  age (years)]

Accepted Answer

A)  662 kcal 
B)  1116 kcal 
C)  1436 kcal 
D)  1789 kcal 
E)  2208 kcal

Question 12

A ground/minced diet is useful for patients with chewing problems.

Accepted Answer

A) True 
 B)False

Question 13

Nursing Exam Review Multiple Choice A patient is discouraged by the dietary restrictions for her low-sodium diet. The most appropriate response from the nurse is to:

Accepted Answer

A)  emphasize foods the patient can eat . 
B)  agree that the diet is unpalatable. 
C)  allow the family to bring food to the patient. 
D)  explain why the diet is necessary. 
E)  tell the patient the she will contact the dietitian.

Question 14

What drug is not affected by intake of grapefruit juice?

Accepted Answer

A)  Erythromycin 
B)  Diazepam 
C)  Lovastatin 
D)  Haloperidol 
E)  Cyclosporine

Question 15

In order to minimize fecal volume, a patient may be placed on a _____ diet prior to surgery.

Accepted Answer

A)  low-fiber 
B)  fat-restricted 
C)  low-sodium 
D)  high-kcalorie, high-protein 
E)  blenderized

Question 16

To improve food intakes among hospitalized patients, health professionals should ensure that the patient's room is stimulating for the patient, with access to television and sounds from the hallway or surrounding areas.

Accepted Answer

A) True 
 B)False

Question 17

The drug warfarin is structurally similar to:

Accepted Answer

A)  vitamin C. 
B)  vitamin K. 
C)  vitamin D. 
D)  vitamin E. 
E)  vitamin A.

Question 18

Megestrol acetate is best described as a(n):

Accepted Answer

A)  appetite enhancer. 
B)  weight-loss drug. 
C)  antidepressant. 
D)  pain reliever. 
E)  anti-inflammatory drug.

Question 19

Jose Salazar has been hospitalized following a motor vehicle accident. He has several broken bones, including his left jaw, two ribs on the left side, and a compound fracture of his left leg. According to his medical record, he is 47 years old, his height is 5'9", and his weight is 171 pounds. His current medications include lovastatin to lower his cholesterol and an MAO inhibitor to treat depression.
Because Mr. Salazar is taking lovastatin, he should be counseled to avoid:

Accepted Answer

A)  apple juice. 
B)  sauerkraut. 
C)  green leafy vegetables. 
D)  milk. 
E)  grapefruit juice.

Question 20

The effects of grapefruit juice last for short periods, so the interaction between it and medication can be avoided when a patient waits several hours after taking medication to drink grapefruit juice.

Accepted Answer

A) True 
 B)False

Exam 14: Nutrition Intervention and Diet-Drug Interactions

Nursing Exam Review Multiple Choice The hospitalized patient's diet prescription was for a clear liquid diet. The nurse knew this patient's diet was not correctly delivered when she saw which items on the patient's tray?

Nursing Exam Review Multiple Choice In terms of implementation of care plans, the nurse recognizes that her/his major role is to:

The most common biologically based therapy is the use of:

Drug complications that reduce food intake are significant only when they continue for a long period.

Nursing Exam Review Multiple Choice A patient who suffers from migraine headaches wants to take feverfew to prevent their recurrence. What adverse effect has been associated with the use of feverfew?

Sodium restriction is difficult to implement on a long-term basis because:

Medications that reduce stomach acid may impair the absorption of:

Nursing Exam Review Multiple Choice The nurse removes a patient's meal tray from the food cart and discovers that the food is not appropriate for the diet order. The nurse should:

There are no known interactions between herbal supplements and medications.

Using the Harris-Benedict equation for women (below) , estimate the resting metabolic rate of Mrs. Clements, who is 72 years old, is 157 cm tall, and weighs 53 kg. RMR = 655.1 + [9.563 x weight (kg) ] + [1.85 x height (cm) ] - [4.676 x age (years) ]

A ground/minced diet is useful for patients with chewing problems.

Nursing Exam Review Multiple Choice A patient is discouraged by the dietary restrictions for her low-sodium diet. The most appropriate response from the nurse is to:

What drug is not affected by intake of grapefruit juice?

In order to minimize fecal volume, a patient may be placed on a _____ diet prior to surgery.

To improve food intakes among hospitalized patients, health professionals should ensure that the patient's room is stimulating for the patient, with access to television and sounds from the hallway or surrounding areas.

The drug warfarin is structurally similar to:

Megestrol acetate is best described as a(n) :

The effects of grapefruit juice last for short periods, so the interaction between it and medication can be avoided when a patient waits several hours after taking medication to drink grapefruit juice.