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A nurse is planning care for a client who is receiving EN through
continuous infusion. Which of the following interentions should be
included in the plan of care? (select all that apply)
A. Administer w/an infusion pump
B. Measure residual q8hr
C. Flush feeding tube q4hr
D. Re-instill residual feeding into the stomach
E. Reassess tolerance if residual volume is greater than prescribed
amount
ANS:
A. Administer w/an infusion pump
C. Flush feeding tube q4hr
E. Reassess tolerance if residual volume is greater than prescribed
amount
RATIONALE: Administering continuous drip EN using an infusion
pump ensures the correct volume of feeding is being fused. Flushing
the feeding tube q4hr maintains patency. The client's tolerance of
,the amount and type of formula used should be reassessed if the
residual volume is greater than the prescribed amount as this is an
indication that the amounts infused are not being digested.
A nurse is caring for a client who is prescribed warfarin. The nurse
should teach teh client that which of the following vitamins can
interfere with this medication?
A. vitamin A
B. vitamin D
C. vitamin E
D. vitamin K
ANS: D. Vitamin K
RATIONALE: Vitamin K assists in blood clotting, is used as an
antidote for excess anticoagulants, and can interfere w/warfarin.
The nurse should instruct the client to avoid increasing sources of
vitamin K through supplements or in the diet.
A nurse is educating a client who is taking iron supplements about
foods which aid in iron absorption. Which of thefollowing foods is the
best choice for the client to make?
A. 1 baked potato
B. 1/2 cup orange juice
C. 1/2 cup low-fat milk
D. 2 cups boiled green beans
ANS: B. Vitamin C
RATIONALE: Vitamin C aids in the absorption of iron, and 1/2 cup
orange juice has 62mg of vitamin C. This is the best food choice for
the client to make.
,A nurse is discussing foods that are high in vitamins D with a client
who is unable to be out in the sunlight. Which of the following should
be included in the teaching?
A. 1 cup steamed long-grain brown rice
B. 6 medium raw strawberries
C. 1/2 cup boiled Brussels sprouts
D. 2 large poached eggs
ANS: D. 2 large poached eggs
RATIONALE: The nurse should include eggs as food that is high in
vitamin D.
A nurse is conducting a nutritional class on minerals and
electrolytes. The nurse should include that 1/2 cup of which of the
following foods is the best source of magnesium?
A. Whole almonds
B. Chopped tomatoes
C. Raw spinach
D. Low-fat vanilla yogurt
ANS: A. 1/2 cup whole almonds
RATIONALE: It is the best source b/c it has 193mg of magnesium.
A nurse is discussing health problems associated w/nutrient
deficiencies w/a group of adolescents. The nurse should include that
which of the following conditions is associated w/a deficiency of
vitamin C?
A. Dysrhythmias
B. Scurvy
C. Pernicious anemia
D. Megaloblastic anemia
, ANS: B. Scurvy
A nurse is caring for a client who has hypothyroidism. Which of the
following is associated w/this disorder?
A. decreased metabolic demand
B. weight loss
C. increased HR
D. Diarrhea
ANS: A. decreased metabolic demand
A nurse is reviewing prescribed medication for a newly admitted
client. Which of the following medications decreases the body's rate
of metabolism?
A. Prednisone
B. Levothyroxine
C. Amitriptyline
D. Epinephrine
ANS: C. Amitriptyline
RATIONALE: Amitriptyline is a tricyclic antidepressant used for
treating depression and decreases the body's reat of metabolism.
A charge nurse is conducting a nutritional class for a group of newly
licensed nurses regarding BMR. The charge nurse should inform the
class that which of the following factors increases BMR? (select all
that apply)
A. lactation
B. prolonged stress
C. malnutrition
D. puberty
E. age older than 60 years
ANS: