Nutrition ATI A
a nurse is caring for a client who is receiving total parenteral nutrition (TPN). The current bag
of TPN is empty and 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?
Dextrose 10% in water
B/c - at the same rate it will 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?
include two servings per day of nuts when on a vegetarian diet : or flaxseed to receive daily
requirement 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?
restrict you daily meat intake to 5 ounces : a meat potion should be no greater than the size of a
deck of cards.
fun facts: limit egg yolk consumption to 3 per week
select cheeses that contain no more than 3 g of fat per serving
choose margarine no more than 2 g of saturated fat per tablespoon
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?
i can have tapioca pudding for dessert ; b/c its gluten free
facts: should avoid processed foods including canned soups b/c they have gluten and whole
bread
a nurse is preforming a comprehensive nutritional assessment for a client. after reviewing
the clients lab results which of the following findings should the nurse report to the
provider? pre albumin 8 mg ; indicates severe malnutrition and requires reporting to the
provider
a low T4 level can indicate hypothyroidism or protein
malnutrition low sodium level = malnutrition
elevated WBC dietary deficiencies
a nurse is providing discharge teaching to a client who has parkinson disease and a prescription
for levodopa carbidopa. Which of the following foods should the nurse instruct the client to
consume with the medication ?
1 slice wheat toast : absorption of levodopa+carbidopa decreases when consumed with protein.
one slice of toast is the lowest source of protein
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a nurse is assessing a clients 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?
adequate- 3
a nurse is providing teaching about cancer prevention to a group of clients. Which of the
following client statements indicates and understanding of the teaching?
i will eat 5 servings of fruit and veggies everyday - decreases blood pressure and weight
Facts; woman 1 men 2 alcoholic drinks a day
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?
decrease your sodium intake to 1-2 grams a day. - this decreases fluid retention
a nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which
of the following as a manifestation of hypoglycemia?
confusion
facts:
polydipsia - excessive this or drinking
vomiting
ketonuria-starvation or diabetes 1 - body is producing excess amount of ketones in urine.
is all for hyperglycemia
a nurse is in the ER reviewing the lab report for an older adult client who is confused and reports
nausea and abdominal cramping. Nurse should suspect the clients lab results to indicate a dietary
deficiency of which of the following minerals?
sodium
a nurse is teaching about increasing dietary intake of micronutrients to a client who has difficulty
seeing at night. which micronutrients should nurse include in teaching?
Vitamin A - enables eyes to adapt to light
calcium facilitates nerve transmission and cell membrane permeability
Vitamin B6 assists in formation of hemoglobin and synthesis of neurotransmitters
phosphorus assists in formation of bones and teeth
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a nurse is providing nutritional teaching to parents of 2 yr old. Which snack should she
recommend?
a cup of yogurt
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a nurse is caring for a client who is prescribed captopril. which food can cause a potential
medication interaction?
cantaloupe- high in potassium
a nurse is teaching an adolescent who has a new diagnosis of celiac disease. what indicates that
they understand teaching?
need to eliminate rye from diet
a nurse is providing diet instructions to a client who has a prescription for warfarin. Which of he
following foods should the nurse recommend the client eat in moderation while taking this
medication?
green leafy veggies- they contain natural for of vitamin K the can negate the anticoagulation
effects of warfin
a nurse is creating a plan of care for a client who has anorexia nervosa. Which intervention
should she include?
assign privileges based on direct weight gain-
a nurse is creating a plan of care for a client who has mucositis following head and neck
radiation therapy for cancer. Which intervention should she include?
increase fluid intake to 2 L per day : to promote hydration and peristalsis
a nurse is discussing dietary factors to assist in blood pressure management for a client who has
hypertension. Which of the following client statements indicates an understanding of the
teaching?
i should choose whole grain pastas when selecting my foods.- have ingredients that lower the
risk of cardio vascular disease and improvement of blood pressure
Facts: increased potassium levels decrease blood pressure levels - client should increase the
consumption of food containing potassium
a nurse is developing a teaching plan for a client who has dysphagia and is being discharged
home with a prescription for a mechanical soft diet. Which of the following foods should
the nurse include in the plan?
mashed potatoes
a nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which
of the following instructions should the nurse include in the teaching?
consume 20 mpg of Vitamin D daily
a nurse is caring for a client who has a new prescription for parenteral nutrition containing a
mixture of dextrose amino acids and lipids. Prior to administration of the PN the nurse should
report which of the following food allergies to the provider?
eggs- lipid emulsions are isotonic and are composed of soybean or safflower plus soybean oil,
with egg phospholipid used as an emulsifier
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a nurse is caring for a client who develops diarrhea while receiving a continuous eternal tube
feeding who of the following actions should the nurse take?
warm the formula to room temperature- they have the shits because formula is too cold.
a nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a
recent diagnosis of hypertension . which lab dissing indicates the client has reached one of the
goals of the DASH diet?
total cholesterol 190 :
facts: reduction in sodium intake
a nurse is teaching a client who has chronic kidney disease about limiting her calcium intake .
which of the following food choices should the nurse inform the client contains the highest
amount of calcium and should be limited in her diet?
cup of low fat yogurt
a nurse is teaching a client about maximizing absorption when taking calcium supplements.
Which of the following instructions should the nurse include in the teaching?
take vitamin D
a nurse is providing teaching to a client who is at 24 weeks of gestation and reports constipation .
Which of the following instructions should the nurse include in the teaching? Select all that
apply
drink 8 240 ml of water daily
increase daily fiber intake
preform exercises regularly using large muscle groups
a nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%
Which of the following statements by the client indicates an understanding of this laboratory
value?
i have not been following my diet- for someone who has diabetes normal is between 6.5-7%
a nurse is providing information to a client who has a new prescription for atorvastin. Which of
the following beverages should the nurse include in the information as a contraindication for
taking this medication?
it can increase serum levels of the med
a nurse is caring for a client who is receiving continuous external tube feedings. which of the
following actions should the nurse take to prevent aspiration?
monitor gastric residuals every 4 hours : delayed gastric emptying places the client at risk for
aspiration and can necessitate a decrease in the feeding rate
a nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc
intake. Which of the following foods is the best source of zinc?
Pinto beans;