C HAPTER 19: N UTRITIONAL C ONCEPTS AND
R ELATED T HERAPIES
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse cautions a patient with a pancreatic disorder that the disorder
will interfere with the digestion of fats and may lead to a clotting
disorder. What is the cause of these potential problems?
a. Inabilit y to use vitamin B
b. Inabilit y to use vitamin C
c. Inabilit y to use vitamin D
d. Inabilit y to use vitamin K
ANS: D
Vitamins A, D, E, and K are fat -soluble. Difficult y with fat metabolism
will result in the inabilit y to use fat -soluble vitamins. Vitamin K plays
a role in blood clotting. It is important in maintaini ng four of the
eleven clotting factors found in the blood.
DIF: Cognitive Level: Comprehension REF: p. 532
OBJ: 7 TOP: Fat-soluble vitamins KEY: Nursing
Process Step: Assessment MSC: NC LEX: Health Promotion
and Maintenance
,2. The home health nurse i s caring for a patient that has undergone removal
of a part of the stomach. What condition associated with partial stomach
removal should the nurse look for when assessing the patient?
a. A stomach ulcer
b. Digestive problems
c. Pernicious anemia
d. Malabsorption
ANS: C
Pernicious anemia results when the intrinsic factor is missing due to
surgery on the stomach.
DIF: Cognitive Level: Application REF: p. 535 OBJ: 17
TOP: Pernicious anemia KEY: Nursing Process Step:
Assessment MSC: NC LEX: Health Promotion and Maintenance
3. A patient taking a diuretic is assessed by the nurse as having an erratic
pulse and muscle weakness. What electrolyte should the nurse suspect is
deficient?
a. Sodium
b. Potassium
c. Chloride
d. Iron
ANS: B
Diuretics can deplete potassium through urine excretion and lead to
muscle weakness and cardiac arrhythmias.
, DIF: Cognitive Level: Application REF: p. 538 OBJ: 9
TOP: Potassium depletion KEY: Nursing Process
Step: Assessment MSC: NC LEX: Health Promotion and
Maintenance
4. A patient who has hype rtension is complaining about the lack of taste with
the low-sodium diet that has been prescribed. What should the nurse
emphasize that sodium may do?
a. Contribute to hypertension.
b. Interfere with blood clotting.
c. Produce stomach ulcers.
d. Decrease calcium in t he bones.
ANS: A
Sodium may contribute to hypertension.
DIF: Cognitive Level: Comprehension REF: p. 538
OBJ: 1 TOP: Sodium-induced hypertension KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Health Promotion and Maintenance
5. The young woman who is breastfeeding will need an increase of calories
and protein. What foods should the nurse suggest as sources of protein?
a. Green, leafy vegetables
b. Citrus fruits
c. Asparagus
d. Nuts
R ELATED T HERAPIES
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse cautions a patient with a pancreatic disorder that the disorder
will interfere with the digestion of fats and may lead to a clotting
disorder. What is the cause of these potential problems?
a. Inabilit y to use vitamin B
b. Inabilit y to use vitamin C
c. Inabilit y to use vitamin D
d. Inabilit y to use vitamin K
ANS: D
Vitamins A, D, E, and K are fat -soluble. Difficult y with fat metabolism
will result in the inabilit y to use fat -soluble vitamins. Vitamin K plays
a role in blood clotting. It is important in maintaini ng four of the
eleven clotting factors found in the blood.
DIF: Cognitive Level: Comprehension REF: p. 532
OBJ: 7 TOP: Fat-soluble vitamins KEY: Nursing
Process Step: Assessment MSC: NC LEX: Health Promotion
and Maintenance
,2. The home health nurse i s caring for a patient that has undergone removal
of a part of the stomach. What condition associated with partial stomach
removal should the nurse look for when assessing the patient?
a. A stomach ulcer
b. Digestive problems
c. Pernicious anemia
d. Malabsorption
ANS: C
Pernicious anemia results when the intrinsic factor is missing due to
surgery on the stomach.
DIF: Cognitive Level: Application REF: p. 535 OBJ: 17
TOP: Pernicious anemia KEY: Nursing Process Step:
Assessment MSC: NC LEX: Health Promotion and Maintenance
3. A patient taking a diuretic is assessed by the nurse as having an erratic
pulse and muscle weakness. What electrolyte should the nurse suspect is
deficient?
a. Sodium
b. Potassium
c. Chloride
d. Iron
ANS: B
Diuretics can deplete potassium through urine excretion and lead to
muscle weakness and cardiac arrhythmias.
, DIF: Cognitive Level: Application REF: p. 538 OBJ: 9
TOP: Potassium depletion KEY: Nursing Process
Step: Assessment MSC: NC LEX: Health Promotion and
Maintenance
4. A patient who has hype rtension is complaining about the lack of taste with
the low-sodium diet that has been prescribed. What should the nurse
emphasize that sodium may do?
a. Contribute to hypertension.
b. Interfere with blood clotting.
c. Produce stomach ulcers.
d. Decrease calcium in t he bones.
ANS: A
Sodium may contribute to hypertension.
DIF: Cognitive Level: Comprehension REF: p. 538
OBJ: 1 TOP: Sodium-induced hypertension KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Health Promotion and Maintenance
5. The young woman who is breastfeeding will need an increase of calories
and protein. What foods should the nurse suggest as sources of protein?
a. Green, leafy vegetables
b. Citrus fruits
c. Asparagus
d. Nuts
