ANSWERS GRADED A+
A nurse is calculating the protein need of a young adult client who weights 132 lb. The RDA for
proteinfor an adult who has no medical conditions is 0.8g/kg. How many grams of protein per day
should the nurse recommend for this client?
48g 132/2.2=60 kg
60 kg x 0.8 g =48 g
A nurse is providing teaching about calcium intake to a client who is breastfeeding. What is
therecommended daily calcium intake for a client who is breastfeeding?
1,000 mg
The nurse should instruct the client that 1,000 mg of calcium is recommended for women age 19
andolder, as well those who are lactating. This amount of calcium is sufficient to meet the needs of
the client and the infant because additional calcium is absorbed from the intestines during this
time.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the
followingactions should the nurse take?
• Administer 0.9% sodium chloride until TPN is available from the pharmacy.
• Check the client's capillary blood glucose level every 4 hours
• Obtain the client's weight each week
• Change the IV tubing every 3 days
B. The nurse should check the client's capillary blood glucose level every 4 hours or according to
facility policy due to the client's risk of hyperglycemia while receiving TPN. The dextrose
concentration in TPN increase the risk of this complication.
The nurse should administer 10% dextrose in water or 20% dextrose in water if TPN is temporarily
unavailable from the pharmacy.
The nurse should monitor the clients weight daily.
The IV tubing should be changed every 24 hours to decrease the clients risk of infection.
A nurse is completing dietary teaching with a client who has heart failure and is prescribed a 2g
sodiumdiet. Which of the following statements by the client indicates an understanding of the
teaching.
• "I should use salt sparingly while cooking"
, • "I can have yogurt as a dessert"
• "I should use baking soda when I bake"
• "I should use canned vegetables instead of frozen"
B. "I can have yogurt as a dessert"
Salt should be eliminated from the client's diet. Spices or vinegar, which are low in sodium, can be
usedto season the client's food.
Baking soda is high in sodium and should be eliminated from the client's diet.
Canned vegetables are high in sodium and should be eliminated from the diet.
A nurse is teaching dietary-modification strategies to a client who has been newly diagnosed
withcirrhosis. Which of the following foods should the nurse recommend?
• Grilled Chicken
• Potato Soup
• Fish Sticks
• Baked Ham
A. Grilled Chicken
The nurse should identify that a client who has cirrhosis requires protein to compensate for
disease- related weight loss. Increasing proteins intake from animal or plant sources will also
provide the clientwith more energy.
A client who has cirrhosis should avoid foods that are high in sodium content; especially if ascites
ispresent.
A client who has cirrhosis should avoid foods that are high in fat; especially if steatorrhea is present.
A nurse is reviewing the laboratory results of a client who has end-stage renal disease and reports
fatigue. The client's hemoglobin level is 8 g/dL. The nurse should expect a prescription for which of
thefollowing medications?
• Erythropoietin
• Erythromycin
• Filgrastim
• Calcitriol
A. Erythropoietin
Erythropoietin stimulates the production of RBC's and is used to treat anemia associated with
chronicrenal failure.