2019 A
A nurse in an acute care facility is planning care for a client who has chosen to follow
Islamic dietary laws during Ramadan. Which of the following actions should the nurse
plan to take? Answer- Provide a snack for the client after sunset
A nurse is creating a plan of care for a client who has mucositis following a head and
neck radiation therapy to treat cancer. Which of the following interventions should the
nurse include in the plan? Answer- Increase fluid intake to 2 L per day
A nurse is providing discharge teaching to a postpartum client about breast milk use
and storage. Which of the following statements should the nurse make? Answer- "You
cannot place thawed breast milk back in the freezer"
R: The nurse should instruct the client that completely thawed breast milk can be stored
in the refrigerator but must be used within 24 hr. Breast milk that has been previously
frozen should not be refrozen once it has thawed completely. Thawing creates a
possibility for bacterial growth and causes a decrease in antibacterial activity, which
destroys antibodies in the milk.
A nurse is caring for a client who adheres to a kosher diet. Which of the following food
choices would be appropriate for this client? Answer- Vegetable salad with cheese
R: Clients who adhere to a kosher diet can eat dairy products combined with non-meat
products at the same meal. Don't eat shellfish or pork.
A community health nurse is planning to teach a class about weight management for
cardiovascular health. Which of the following statements should the nurse plan to
include? Answer- "Plan to lose weight gradually at 1/2 to 1 pound per week."
R: The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5 to 1 lb) per
week is a healthy and attainable weight-loss goal. Setting realistic goals for weight loss
is an important element of success. Trying to lose weight too quickly places clients at
risk for nutritional deficiencies and inadequate energy, which can lead to frustration and
defeat.
A client is experiencing anorexia related to cancer treatment. Which of the following
interventions should the nurse implement to increase the client's nutritional intake?
Answer- Add extra calories and protein to every meal
,R: Adding extra calories and protein to every meal will increase the client's nutritional
intake.
Cancer treatments can cause an increased sensitivity to odors, precipitating nausea
and increasing anorexia.
The nurse should serve cold foods rather than hot foods. Hot foods emit odors that can
further decrease the client's appetite.
The nurse should advise the client to eat small, frequent meals approximately every 2
hr.
A nurse is teaching about nutritional requirements for a client who is starting a
vegetarian diet. Which of the following information should the nurse include in the
teaching? Answer- Include two servings per day of nuts when on a vegetarian diet
R: The nurse should instruct the client to eat two servings of nuts or flaxseed per day to
receive the daily requirement of omega-3 fatty acids.
Consume high-fat cheese to replace meats when on a vegetarian diet........The nurse
should instruct the client to consume low-fat cheese as a protein substitute. High-fat
cheese has more saturated fat and calories than meat.
A vegetarian diet is high in vitamin B12. ......Foods that contain vitamin B12 are animal-
related. The best sources of dietary vitamin B12 are meats and other animal products.
As vitamin B12 is generally not present in plant-based foods, the nurse should instruct
the client to take vitamin B12 supplements or consume foods fortified with B12 to
compensate for a potential deficiency.
Fewer calories are required when on a vegetarian diet.......Clients who are consuming a
vegetarian diet require a deceased intake of dietary fat rather than fewer calories. The
nurse should instruct the client to increase intake of nutrient-dense foods to avoid the
breakdown of the body's protein for energy requirements.
A nurse is teaching a female client about a healthy diet to control hypertension. Which
of the following client statements indicates an understanding of the teaching? Answer- "I
will eat four servings of unsalted nuts per week."
R: Female clients should consume four to five servings of unsalted nuts, seeds, or
legumes per week for a heart-healthy diet.
Should have lots of potassium to control hypertension. Drink alcohol as 1-2 drink per a
day to control hypertension
A nurse is caring for a client who is dehydrated and is receiving intermittent enteral
feeding. Which of the following actions should the nurse plan to take? Answer- Provide
the formula as a continuous infusion
, Use a low-fat formula for administration.
A client who is experiencing distention and bloating should receive a low-fat formula. A
client experiencing dehydration should receive a low-protein formula.
Chill the formula prior to administration.
A chilled formula can cause abdominal distention and cramping. The nurse should
warm the formula to room temperature prior to administration. The temperature of the
formula does not affect the client's dehydration status.
Provide the formula as a continuous infusion.
A client who is experiencing dehydration should receive a continuous infusion to prevent
receiving a high carbohydrate load with each feeding.
Dilute the formula before administration.
A client who is experiencing dehydration should receive additional water, but diluting the
formula will also reduce the amount of nutrients the client receives.
A nurse is providing teaching to a client who has dumping syndrome and is
experiencing weight loss. Which of the following instructions should the nurse include in
the teaching? Answer- Consume liquids between meals
Consume liquids between meals.
The nurse should teach the client to drink liquids between meals to slow movement of
food from the stomach.
Increase intake of simple carbohydrates.
The nurse should teach the client that complex carbohydrates are better tolerated than
simple carbohydrates.
Decrease foods high in fat content.
The nurse should teach the client that high-fat foods are not a cause of dumping
syndrome.
Eat meals low in protein.
The nurse should teach the client that a high-protein diet is not a cause of dumping
syndrome and can improve anemia.
A nurse is providing dietary instructions for a client who has a prescription for warfarin.
Which of the following foods should the nurse recommend the client eat in moderation
while taking this medication? Answer- Leafy green vegetables
Leafy green vegetables
The nurse should recommend the client eat in moderation and maintain consistent
intake of leafy green vegetables, which contain a natural form of vitamin K that can
negate the anticoagulation effects of warfarin.