1. A nurse is caring for a client.
For each assessment finding, click to specify if the finding is consistent with dumping
syndrome, hypoglycemia, or refeeding syndrome. Each finding may support more
than one condition.
- Diarrhea
- Timing of manifestations after eating
- Muscle weakness
- Nausea
- Abdominal cramping
- Sweating: Dumping Syndrome:
- Abdominal cramping
- Muscle weakness
- Nausea
- Diarrhea
- Sweating
Hypoglycemia:
- Muscle weakness
- Sweating
Refeeding Syndrome:
- Muscle weakness
2. A nurse is caring for a client.
,Click to highlight the findings that indicate an improvement in the client's condition. T
deselect a finding, click on the finding again.
- Client is alert and oriented to person, place, time, and situation.
- Denies dizziness upon standing.
- Heart rhythm regular, S1 and S2 present.
- Respirations even and non-labored.
- Lungs clear anterior and posterior.
- Abdomen soft and rounded with normoactive bowel sounds active in all 4
quadrants.
- Urine output of 300 mL in past 8 hr.
- Skin warm, dry, and intact.
- Capillary refill 3 seconds.: - Client is alert and oriented to person, place, time,
,and situation.
- Denies dizziness upon standing.
- Abdomen soft and rounded with normoactive bowel sounds active in all 4 quad- rants.
- Urine output of 300 mL in past 8 hr.
- Skin warm, dry, and intact.
- Capillary refill 3 seconds.
3. A client reports constipation during a routine checkup. The client was pre- viously
encouraged to increase their intake of mineral supplements. Which of the following
minerals should the nurse identify as the possible cause of the constipation?
- Phosphorus
- Potassium
- Magnesium
- Calcium: - Calcium
Rationale: Calcium can lead to constipation by decreasing peristalsis.
4. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is
prescribed an oral diet. The client asks the nurse why the TPN is being continued
since they are now eating. Which of the following responses should the nurse make?
- "Your blood glucose levels need to be within a normal range before the
parenteral nutrition can be stopped."
- "You should consume at least 60 percent of your calories orally before the
parenteral nutrition can be discontinued."
- "You should have a weight gain of at least 1 kilogram per day before the
therapy is stopped."
, - "Your bowel movements need to be regular before the therapy can be
discontinued.": - "You should consume at least 60 percent of your calories orally before
the parenteral nutrition can be discontinued."
Rationale: TPN can be discontinued when oral intake exceeds at least 60% of the client's
estimated daily caloric requirements.
5. A nurse is assessing the meal pattern of a client who has diverticular disease and
a prescription for a high-fiber diet. Which of the following food choices by the client
contains the most fiber?