A nurse is caring for a client who is receiving TPN. The current bag of TPN is empty
& a new bag is not available on the unit. Which of the following solutions should the
nurse infuse until a new bag of TPN is available?
A. Dextrose in 10% water
B. 0.45% sodium chloride
C. Dextrose 5% in LR
D. 0.9% sodium chloride
RATIONALE: A
To prevent hypoglycemia
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?
A. Consume high-fat cheese to replace meats when on a vegetarian diet
B. A vegetarian diet is high in vitamin B12
C. Fewer calories are required when on a vegetarian diet
D. Include 2 servings per day of nuts when on a vegetarian diet
RATIONALE: D.
to receive daily recommended intake of omega 3 fatty acids
A nurse is providing teaching about lowering solid fat intake to an adolescent who is
overweight. Which of the following instructions should the nurse include?
A. "Limit egg yolks to a total of 5 per week."
B. "Restrict your daily meat intake to 5 oz."
C. "Select cheeses that contain no more than 6 g of fat per serving."
D. "Choose margarine that contains no more than 4 g of saturated fat per
tablespoon."
RATIONALE: B.
A meat portion should be restricted to no more than the size of a deck of cards.
,A nurse is providing dietary teaching to a client who has celiac disease. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I can return to my normal diet after I follow this diet for 1 month."
B. "I can have tapioca pudding for dessert."
C. "I will choose canned soups that don't contain meat products."
D. "I will eat my sandwiches on whole wheat bread."
RATIONALE: B
tapioca doesn't contain gluten, all other choices do, diet is lifelong
A nurse is performing a comprehensive nutritional assessment for a client. After
reviewing the client's lab results, which of the following findings should the nurse
report to the provider?
A. WBC count of 6000/mm3
B. Sodium 139 mEq/L
C. Prealbumin 8 mg/dL
D. Thyroxine (t4) 9.2 mcg/dL
RATIONALE: C
This indicates a critical level that indicates severe malnutrition
A nurse is providing discharge teaching to a client who has Parkinson's disease & a
prescription for levodopa-carbidopa. Which of the following foods should the nurse
instruct the client to consume w/the med?
A. 6 oz greek yogurt
B. 1 oz cheddar cheese
C. 6 peanut butter crackers
D. 1 slice wheat toast
RATIONALE: D
this is the lowest protein option since the med effectiveness decreases w/protein
absorption
,A nurse is assessing a client's risk for pressure ulcers using the Braden scale. The
client eats more than half of most meals but occasionally refuses a meal. Which of
the following information should the nurse document on the nutrition category of the
Braden scale?
A. 1 (very poor)
B. 2 (Probably Inadequate)
C. 3 (Adequate)
D. 4 (Excellent)
A nurse is providing teaching about cancer prevention to a group of clients. Which
of the following client statements indicates an understanding of the teaching?
A. "I will eat 5 servings of fruits & veggies each day."
B. "I should limit my alcohol intake to a max of 3 drinks daily."
C. "I should eat more refined wheat & oat products."
D. "I will eat processed meats to achieve my required protein intake."
A nurse is caring for a client who has cirrhosis and ascites. Which of the following
dietary instructions should the nurse provide for this client?
A. "Decrease your sodium intake to 1-2 grams/day"
B. "Increase your daily fluid intake to 3 L/day"
C. "Consume 0.5 gram per kg of protein/day"
D. "Eliminate foods that contain vitamin K."
RATIONALE: A
A client with cirrhosis should limit sodium intake to 2000 mg
A nurse is assessing a client who has type 2 DM. The nurse should recognize which
of the following as a manifestation of hypoglycemia?
A. Confusion
B. Polydipsia
C. Vomiting
D. Ketonuria
, A nurse is an ED is reviewing the lab report for an older adult client who is confused
& reports nausea & abd. cramping. The nurse should suspect the client's lab results to
indicate a dietary deficiency of which of the following minerals?
A. Sodium
B. Phosphorus
C. Potassium
D. Chloride
RATIONALE: A
Sodium deficit manifestations include: confusion, headache, adb cramping, and
dizziness.
A nurse is teaching about dietary intake of micronutrients to a client who has difficulty
seeing at night. Which of the following micronutrients should the nurse include in the
teaching?
A. Vitamin A
B. Calcium
C. Vitamin B6
D. Phosphorus
RATIONALE: A.
Vitamin A enables the eyes to adapt to dim lighting more rapidly at night, which
improves night vision.
A nurse is providing nutritional teaching to the parents of a 2-year-old toddler.
Which of the following snack foods should the nurse recommend?
A. 1 cup fruit gel bites
B. 1 cup yogurt
C. 1/2 of a hot dog
D. 1/2 of a peanut butter sandwich
RATIONALE: B.
good source of protein, little risk of choking