A nurse is creating a plan of care for a client who has mucositis following head & neck radiation therapyfor cancer.
Which of the following interventions should the nurse include in the plan?
A. Encourage 3 servings of citrus foods daily
B. Provide lemon-glycerin swabs for oral hygiene after meals
C. Increase fluid intake to 2 L/day
D. Heat oral hygiene mouth rinses before use
A nurse is discussing dietary factors to assist in BP management for a client who has HTN. Which of thefollowing
client statements indicates an understanding of the teaching?
A. "I can drink up to 3 glasses of wine/day."
B. "I should choose whole grain pastas when selecting my foods."
C. "I should decrease my consumption of foods high in potassium."
D. "I can eat dairy products because they do not have much sodium."
A nurse is developing a teaching plan for a client who has dysphagia & is being discharged home w/a prescription
for a mechanical soft diet. Which of the following foods should the nurse include in the plan?
A. Raisins
B. Skim milk
C. Apple slices
D. Mashed potatoes
A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which of thefollowing
instructions should the nurse include in the teaching?
A. Consume 20 mcg of vitamin D daily.
B. Avoid foods rich in antioxidants.
C. Increase intake of foods high in purine.
D. Take 150 mg of vitamin E daily.
A nurse is caring for a client who as a new prescription for PN containing a mixture of dextrose, aminoacids, &
lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the
provider?
A. Gelatin
B. Peanuts
C. Shellfish
D. Eggs
A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding.Which of the
following actions should the nurse take?
A. Provide a low-protein formula
B. Elevate the HOB to 30 deg.
C. Switch to intermittent feedings
D. Warm the formula to room temp
A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent dxof HTN.
Which of the following lab findings indicates the client has reached 1 of the goals of the DASH
,diet?
A. Sodium 150 mEq/L
B. Chloride 106 mEq/L
C. Fasting glucose 130 mg/dL
D. Total cholesterol 190 mg/dL
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 Ca & shouldbe limited in
her diet?
A. 1 cup low-fat yogurt
B. 1 oz cheddar cheese
C. 1 egg
D. 1/2 cup spinach
A nurse is teaching a client about maximizing absorption when taking calcium supplements. Which of thefollowing
instructions should the nurse include in the teaching?
A. "Take a supplement that contains vitamin D."
B. "Take the supplement w/a full glass of water."
C. "Take a 1000 mg supplement in the morning w/food."
D. "Take the supplement w/a sublingual vitamin B12 tablet."
A nurse is providing teaching to a client who is at 24 weeks of gestation & reports constipation. Which ofthe
following instructions should the nurse include in the teaching? Select all that apply.
A. Drink eight 240 mL (8 oz) glasses of water daily
B. Eat small amounts of food frequently
C. Increase daily fiber intake
D. Use a glycerin suppository every other day
E. Perform exercises regularly using large muscle groups
A nurse is providing teaching to a client who has DM & an HbA1c of 8.7%. Which of the followingstatements by
the client indicates understanding of this lab value?
A. "I should have gone to my exercise class yesterday."
B. "This shows that my result is finally within normal range."
C. "This shows that I have not been following my diet."
D. "I should have my blood work done 1st thing in the morning."
A nurse is providing info to a client who has a new prescription for atorvastatin. Which of the followingbeverages
should the nurse include in the info as a contraindication for taking this med?
A. Orange juice
B. Coffee
C. Grapefruit juice
D. Milk
A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the followingactions
should the nurse take to prevent aspiration?
A. Monitor gastric residuals every 4 hr
B. Maintain elevation of the head of the bed at 15 deg.
C. Confirm proper tube placement by radiograph every 24 hr
D. Flush tubing w/30 mL water before and after meds
A nurse is providing teaching to a client who is a vegetarian & requires an increase in zinc intake. Which
, of the following foods is the best source of zinc?
A. Pineapple
B. Green grapes
C. Cauliflower
D. Pinto beans
A nurse is assessing the meal pattern of a client who has diverticular disease & a prescription for a high-fiber diet.
Which of the following food choices by the client contains the most fiber?
A. 1 medium banana
B. 1/2 cup cooked oatmeal
C. 1 medium apple w/skin
D. 1/2 cup bran cereal
A nurse is providing teaching to a client who is lactating about increasing her protein intake. Which of thefollowing
foods should the nurse recommend as the best source of protein?
A. Legumes
B. Cottage cheese
C. Peanut butter
D. Whole grain cereal
A nurse is teaching an older adult client about nutritional recommendations. Which of the followingstatements
should the nurse make?
A. "You should increase your daily calorie intake."
B. "You should increase your daily protein intake."
C. "You receive an adequate amount of calcium from your diet, so a supplement is not recommended."
D. "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a
supplement."
A nurse is evaluating a client who is receiving continuous enteral feeding & has diarrhea. Which of thefollowing
actions should the nurse take to reduct the client's diarrhea?
A. Flush the client's feeding tube
B. Administer promethazine to the client
C. Decrease the rate of the feeding
D. Check the client's gastric residual
A nurse is providing dietary teaching for a client who is postop following gastric bypass. Which of thefollowing
instructions should the nurse include?
A. Eat 6 small meals per day
B. Start each meal w/a protein
C. Complete each meal even if feeling full
D. Plan to eat each meal over 15 min
A nurse is caring for a client who has DM and reports feeling dizzy, weak, and shaky. Which of thefollowing is the
priority action by the nurse?
A. Offer the client 180 mL (6 oz) of orange juice
B. Document the client's intake from the most recent meal
C. Teach the client about manifestations of hypoglycemia
D. Check the client's blood glucose level
A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in hismouth while
eating. Which of the following actions should the nurse take? Select all that apply.
Which of the following interventions should the nurse include in the plan?
A. Encourage 3 servings of citrus foods daily
B. Provide lemon-glycerin swabs for oral hygiene after meals
C. Increase fluid intake to 2 L/day
D. Heat oral hygiene mouth rinses before use
A nurse is discussing dietary factors to assist in BP management for a client who has HTN. Which of thefollowing
client statements indicates an understanding of the teaching?
A. "I can drink up to 3 glasses of wine/day."
B. "I should choose whole grain pastas when selecting my foods."
C. "I should decrease my consumption of foods high in potassium."
D. "I can eat dairy products because they do not have much sodium."
A nurse is developing a teaching plan for a client who has dysphagia & is being discharged home w/a prescription
for a mechanical soft diet. Which of the following foods should the nurse include in the plan?
A. Raisins
B. Skim milk
C. Apple slices
D. Mashed potatoes
A nurse is teaching an older adult client about measures to reduce the risk of osteomalacia. Which of thefollowing
instructions should the nurse include in the teaching?
A. Consume 20 mcg of vitamin D daily.
B. Avoid foods rich in antioxidants.
C. Increase intake of foods high in purine.
D. Take 150 mg of vitamin E daily.
A nurse is caring for a client who as a new prescription for PN containing a mixture of dextrose, aminoacids, &
lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the
provider?
A. Gelatin
B. Peanuts
C. Shellfish
D. Eggs
A nurse is caring for a client who develops diarrhea while receiving a continuous enteral tube feeding.Which of the
following actions should the nurse take?
A. Provide a low-protein formula
B. Elevate the HOB to 30 deg.
C. Switch to intermittent feedings
D. Warm the formula to room temp
A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent dxof HTN.
Which of the following lab findings indicates the client has reached 1 of the goals of the DASH
,diet?
A. Sodium 150 mEq/L
B. Chloride 106 mEq/L
C. Fasting glucose 130 mg/dL
D. Total cholesterol 190 mg/dL
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 Ca & shouldbe limited in
her diet?
A. 1 cup low-fat yogurt
B. 1 oz cheddar cheese
C. 1 egg
D. 1/2 cup spinach
A nurse is teaching a client about maximizing absorption when taking calcium supplements. Which of thefollowing
instructions should the nurse include in the teaching?
A. "Take a supplement that contains vitamin D."
B. "Take the supplement w/a full glass of water."
C. "Take a 1000 mg supplement in the morning w/food."
D. "Take the supplement w/a sublingual vitamin B12 tablet."
A nurse is providing teaching to a client who is at 24 weeks of gestation & reports constipation. Which ofthe
following instructions should the nurse include in the teaching? Select all that apply.
A. Drink eight 240 mL (8 oz) glasses of water daily
B. Eat small amounts of food frequently
C. Increase daily fiber intake
D. Use a glycerin suppository every other day
E. Perform exercises regularly using large muscle groups
A nurse is providing teaching to a client who has DM & an HbA1c of 8.7%. Which of the followingstatements by
the client indicates understanding of this lab value?
A. "I should have gone to my exercise class yesterday."
B. "This shows that my result is finally within normal range."
C. "This shows that I have not been following my diet."
D. "I should have my blood work done 1st thing in the morning."
A nurse is providing info to a client who has a new prescription for atorvastatin. Which of the followingbeverages
should the nurse include in the info as a contraindication for taking this med?
A. Orange juice
B. Coffee
C. Grapefruit juice
D. Milk
A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the followingactions
should the nurse take to prevent aspiration?
A. Monitor gastric residuals every 4 hr
B. Maintain elevation of the head of the bed at 15 deg.
C. Confirm proper tube placement by radiograph every 24 hr
D. Flush tubing w/30 mL water before and after meds
A nurse is providing teaching to a client who is a vegetarian & requires an increase in zinc intake. Which
, of the following foods is the best source of zinc?
A. Pineapple
B. Green grapes
C. Cauliflower
D. Pinto beans
A nurse is assessing the meal pattern of a client who has diverticular disease & a prescription for a high-fiber diet.
Which of the following food choices by the client contains the most fiber?
A. 1 medium banana
B. 1/2 cup cooked oatmeal
C. 1 medium apple w/skin
D. 1/2 cup bran cereal
A nurse is providing teaching to a client who is lactating about increasing her protein intake. Which of thefollowing
foods should the nurse recommend as the best source of protein?
A. Legumes
B. Cottage cheese
C. Peanut butter
D. Whole grain cereal
A nurse is teaching an older adult client about nutritional recommendations. Which of the followingstatements
should the nurse make?
A. "You should increase your daily calorie intake."
B. "You should increase your daily protein intake."
C. "You receive an adequate amount of calcium from your diet, so a supplement is not recommended."
D. "You receive an adequate amount of vitamin D from sun exposure, so it is not necessary to take a
supplement."
A nurse is evaluating a client who is receiving continuous enteral feeding & has diarrhea. Which of thefollowing
actions should the nurse take to reduct the client's diarrhea?
A. Flush the client's feeding tube
B. Administer promethazine to the client
C. Decrease the rate of the feeding
D. Check the client's gastric residual
A nurse is providing dietary teaching for a client who is postop following gastric bypass. Which of thefollowing
instructions should the nurse include?
A. Eat 6 small meals per day
B. Start each meal w/a protein
C. Complete each meal even if feeling full
D. Plan to eat each meal over 15 min
A nurse is caring for a client who has DM and reports feeling dizzy, weak, and shaky. Which of thefollowing is the
priority action by the nurse?
A. Offer the client 180 mL (6 oz) of orange juice
B. Document the client's intake from the most recent meal
C. Teach the client about manifestations of hypoglycemia
D. Check the client's blood glucose level
A nurse is caring for a client who is receiving radiation therapy. The client reports a metallic taste in hismouth while
eating. Which of the following actions should the nurse take? Select all that apply.
