NR228 ROK for Final Exam

The nurse is caring for a post liver transplant client? What nutritional considerations would there be for the client? -Total parenteral nutrition or tube feeding may be necessary -Nutrition is not a concern because the client is overweight -Fats and carbohydrates are not a concern long term after transplant -A dietary consult would not be necessary for the client 2. The nurse is caring for a client who has been in a 2nd story fall with multiple broken bones and head trauma. The client is on enteral feeding at 50ml/hr and a water bolus of 100ml every 4hrs. What nursing interventions would be appropriate for this client? Select all that apply -Head of bed elevated 45 degrees - turn client on life side -monitor intake and output -give additional water bolus as needed -check gastric residual -blood glucose monitoring 3. The nutritionist asks the new oncology nurse what is the increase in percentage of energy/ nutrients needed when a patient has an infection? -Greater than 20% -15-20% -5-10% -10-15% 4. The GI tract not only is responsible for digestion and absorption of nutrients it also does the following: Select all that apply. -Can go weeks without food - replaces electrolytes to the body -prevents bacterial imbalance -starts shutting down to stress response -protects immunity -Protects the host from harmful bacteria 5. The nurse is discussing fluid restriction with a client with cirrhosis. The nurse realizes that the client needs further teaching when the client states? -Im limited as to what I can drink and eat due to the fluid building in my abdomen -I can only drink 1200ml of fluid a day but I can have all the jello I want - Ice cream, pudding and milk are considerate fluids as well -I should only drink the fluids on my tray and avoid all other fluids 6.The nurse is caring for a client with acute hepatitis B. The nurse knows what oral feeding would be appropriate for this client. -NGT feedings that are high in fiber and calories This study source was downloaded by from CourseH on :29:27 GMT -05:00 NR228 ROK for Final exam Dec. 2020 -Liquid diet then progression ti small, frequent meals high in calories and protein -Parenteral feedings with high dextrose content and low lipid content -Several large meals daily with focus on high quality protein 7.True or false. Deaths from heart disease have declined. -false -true 8. Which statement best describes the change in nutritional advice? -Low fats and high proteins are now being promoted -Low fats and higher carbohydrates are now being promoted -Variations of carbohydrates and trans fats are being promoted -Healthy fats and moderate portions via the mediterrnean diet are being promoted 9. Which disease is considered a considered a chronic lung disease  Chronic Bronchitis  Acute respiratory failure  Respiratory distress syndrome  Emphysema  Asthma 10.Which of the following responses by the nurse best describes cancer cachexia? -It involves polyphagia even though it results in severe weight loss -It is the thinning of cardiac tissue leading to death -It is the increase in cancer lead the causes anemia -It involves anorexia and results in wasting of lean body mass 11.The nurse understands parenteral nutrition is a standard protocol for stem cell transplantation. Why is it important to maintain some oral and enteral nutrition? -It is not important because parenteral nutrition is adequate throughout hospitalization -only oral nutrition is an acceptable form of nutritional supplementation -Parenteral nutrition is needed to maintain intestinal sterility -Oral or enteral nutrition is important to promote small intestine integrity 12. Resections of which portions of the GI tract can alter nutritional intake and nutrition absorption -Resection of the duodenum, jejunum and ileum -Resection of any portion of the GI tract -Resection of the stomach, ileum and colon -Resection of the stomach of the stomach, duodenum and jejunum 13. The oncology nurse is discussing the difference between acute and chronic weight loss. Which statement below is correct? -A decrease in viral load is noted with chronic weight loss This study source was downloaded by from CourseH on :29:27 GMT -05:00 NR228 ROK for Final exam Dec. 2020 -A decrease in vital load is noted which acute weight loss -There are different energy stores, which are depleted in each weight loss -chronic weight loss can be due to stress 14.Which of the following forms of metabolism produces the greatest amount of carbon dioxide -Protein metabolism -Carbohydrate metabolism -Combination metabolism -Fat metabolism 15. The nurse is educating a patient with newly diagnosed hypertension. What should the nurse include in her client's teaching. SATA -Avoid pickled and smoked meats due to high sodium content -Add salt while cooking the food so it evaporates with heat -Use salt free seasoning like MSG to flavor foods -Avoid instant rice and flavored rice due to high salt content -rinse canned vegetables to decrease the salt content 16. Systemic inflammatory response syndrome is an inflammatory response that occurs in infection. Which is the correct statement -Clients in SIRS are in a hypometabolic state -Clients in SIRS are in a hypermetabolic state -Clients in SIRS should be watched for hypoglycemia -Clients in SIRS should use parenteral nutrition 17. The nurse is caring for a client with 30% TBSA (total body surface area) burns and is on parietal feedings. What is the target blood glucose range for this client?  Less than 150  150-180  None of the above  180-250mg/dl 18. A breast cancer patient has had a reoccurrence. The patient asks the nurse if this is bone cancer because it is in her hip. What is the best response of the nurse? -This is a common area of spreading but it will not be considered a metastasis - Yes, breast cancer can metastasize to the bone and it will be considered bone cancer -Breast cancer can only be in the breast, also known as being breast specific -The bones are a common site of metastasis but it will be called breast cancer 19. The nurse is caring for a client with pancreatitis. What nursing considerations should the nurse have concerning the client. SATA -Take blood glucose very 4-6hours -Malabsorption will not be a problem from the client -early enteral feeding improves outcomes This study source was downloaded by from CourseH on :29:27 GMT -05:00 NR228 ROK for Final exam Dec. 2020 -instruct the client to consume at least half the about of alcohol as they previously did - instruct the client to avoid all alcohol -Abdominal pain will subside with PO feedings 20. The nurse is treating a client with cholecystitis. What is the recommended therapy for symptomatic cholecystitis? -the gallstone will usually pass on its own -client should go on a low fat diet -Surgical removal of the gallbladder -surgical removal only if there is a family history