A nurse is creating a dietary plan for an adult female who has a hemoglobin level of 9.8 g/dL. Which of
the following foods will help to improve this result?
A. Carrots
B. Raisins
C. Maple Syrup
D. Orange Juice
Nurs 225 Comprehensive Summer 2016 - Answers *B. Raisins*
- High in iron: Raisins
Nurs 225 Comprehensive Summer 2016
A nurse is providing dietary teaching for a client who has just leanred that she has type 2 diabetes
mellitus. The nurse should explain that which of the following sweeteners will add calories to the
client's carbohydrate count?
A. Sorbitol
B. Sucralose
C. Aspartame
D. Acesulfame-K
Nurs 225 Comprehensive Summer 2016 - Answers *A. Sorbitol*
- Sorbitol is a nutritive sweetener that provides calories just as sucrose does. However, it can have
benefits for clients who must restrict caloric intake. This is because it causes less elevation in blood
glucose levels than sucrose does.
Nurs 225 Comprehensive Summer 2016
Sucralose
Nurs 225 Comprehensive Summer 2016 - Answers Non-nutritive sweetener
Nurs 225 Comprehensive Summer 2016
Aspartame
Nurs 225 Comprehensive Summer 2016 - Answers Non-nutritive sweetener
Nurs 225 Comprehensive Summer 2016
Acesulfame-K
Nurs 225 Comprehensive Summer 2016 - Answers Non-nutritive sweetener
Nurs 225 Comprehensive Summer 2016
A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At
which of the following times of day should the nurse plan to offer a snack?
A. 0500
B. 0900
C. 1000
D. 1500
Nurs 225 Comprehensive Summer 2016 - Answers *D. 1500*
, - 8 hours after NPH administration is the middle of the peak time for intermediate acting insulins. The
client is at greatest risk for hypoglycemia and this may require a snack at this time. Clients should be
educated to check blood glucose about 8-10 hours after administration of NPH insulin, and if
hypoglycemic, consume a small snack of 15 grams of carbohydrates, followed by rechecking of the
blood glucose in 15 minutes. If the blood glucose has returned to normal at this time, the client
should then consume a small amount of protein to maintain a steady-state glucose level. All clients
should receive education on signs and symptoms of hypoglycemia and hyperglycemia.
Nurs 225 Comprehensive Summer 2016
A nurse is preparing a teaching plan for a client who has hemorrhoids. Which of the following should
the nurse plan to include in the teaching?
A. The client should use a stimulant laxative to prevent constipation.
B. The client should follow a high-fiber diet to establish bowel regularity.
C. The client should practice a high carbohydrate diet to prevent hemorrhoid enlargement.
D. The client should limit the intake of fruit juices to prevent loose stools.
Nurs 225 Comprehensive Summer 2016 - Answers *B. The client should follow a high-fiber diet to
establish bowel regularity.
- The client who has hemorrhoids should be encouraged to follow a high-fiber diet to help promote
regular, soft stools. High-fiber food choices include bran and complex carbohydrates.
Client with hemorrhoids should avoid stimulant laxatives and increase fluid intake. High-carbohydrate
diet does not affect hemorrhoid enlargement.
Nurs 225 Comprehensive Summer 2016
A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the
management of gout. Which of the following statements indicates the client understands the
teaching?
A. "I will need to limit the number of fruit servings each day."
B. "Liver must be eliminated from my diet."
C. "I can drink only white wine."
D. "I should choose red meat instead of poultry."
Nurs 225 Comprehensive Summer 2016 - Answers *B. "Liver must be eliminated from my diet."*
- The nurse should encourage the client who has gout to avoid organ meats, such as liver due to high
levels of purine.
Wine can trigger an exacerbation.
Nurs 225 Comprehensive Summer 2016
A nurse at a health fair is assessing clients who may have the greatest risk to develop an obesity-
related disease. Which of the following clients are at risk?
A. A female client with a body mass index of 24 and a waist circumference of 30 inches.
B. A male client with a body mass index of 32 and a waist circumference of 38 inches.
C. A female client with a body mass index of 32 and a waist circumference of 40 inches.
D. A male client with a body mass index of 29 and a waist circumference of 38 inches.
Nurs 225 Comprehensive Summer 2016 - Answers *C. A female client with a body mass index of 32
and a waist circumference of 40 inches.*
- A female client who has a BMI of 32 and a waist circumference of 40 inches is obese; therefore, the
client is at risk for developing obesity-related diseases.