QUESTIONS WITH SOLUTIONS GRADED A+
◉ Normal functioning of the nervous system depends on adequate
levels of the B-complex vitamins, especially:
and also adequate levels of ____and _____for regulators of nerve
responses. Answer: thiamin, niacin, vitamin B6 and B12
calcium and sodium
◉ normal BMI: Answer: 18.5-24.9
◉ obesity BMI is classified as: Answer: BMI greater than or equal to
30
◉ Basic food choices for kosher (orthodox Judaism) diets: Answer: -
meat
-no mixing meat and diary (cheeseburger)
-no pork or shellfish
-fish must have scales & fins to be kosher
,◉ A client who follows seventh-day Adventist dietary laws will eat a
strict:
They also avoid: Answer: vegetarian diet, some are lacto-ovo, some
are vegan.
they avoid alcohol, coffee, tea and caffeinated beverages.
◉ Managing nausea following chemo: Answer: -eat cold or room
temp foods
-high carb, low fat foods
-avoid fried foods
-do not eat prior to chemo/radiation
-take prescribed antiemetic, zofran
◉ A nurse is teaching a client who has cancer about appropriate
food choices. The nurse determines that the client understands the
information when she chooses which of the following snacks? Select
all that apply.
A. Peanut butter sandwich on whole wheat bread w/2% milk
B. Popcorn w/soda
C. Yogurt topped w/granola & a banana
D. Meat lasagna w/buttered garlic bread
E. Plain baked potato Answer: A, C, D
,◉ Dumping syndrome interventions: Answer: o Drink liquid to slow
movement
o Complex carbs better than simple
o Not associate w/ fat or protein content of food
o Lie down after eat to slow food movement via GI
o Decrease fiber to slow gastric emptying
◉ When beginning a new prescription for enteral nutrition by
intermittent tube feeding how should you first initiate this feeding?
Answer: Increase the formula over the first 4 to 6 feedings until the
prescribed volume is achieved
◉ Three complications of TPN: Answer: Diarrhea
Polyuria
Hypocalciumia
◉ Patients who adhere to a kosher diet do eat dairy products
combined with what: Answer: Non-meat products at the same meal
i.e. noodles (no shellfish or pork)
◉ What has more calcium: yogurt or cheese?
What has more salt? Answer: yogurt
, cheese has more salt
◉ Niacin is found in sources such as: Answer: Beef liver
nuts
legumes
whole-grain enriched breads and cereals
◉ Two medications may be added to PN solutions however
administering any IV medication through a PN IV line or port is
contraindicated. What are the two medications? Answer: Heparin
and insulin
◉ TPN is commonly used for patients who are undergoing treatment
for cancer, bowel disorders and... Answer: Those suffering from
trauma or extensive burns
◉ Expected reference range for pre-albumin: Answer: 23-43
◉ If the PN solution is unavailable what is administered to avoid
hypoglycemia? Answer: IV of dextrose 10% to 20% in water
◉ How often should the bag and tubing be changed with a central
line? Answer: q 24 hr or per facility protocol