Deck 31: Oral Nutrition

Question 1

The nurse is admitting a person to the unit and is assessing the patient's nutritional status.In assessing the patient's nutritional status,the nurse realizes that

A) body mass index (BMI)is the main indicator of obesity.
B) ideal body is the standard gauge for nutritional status.
C) clinical judgement is required,along with other indicators.
D) the amount of weight change is the main nutritional indicator.

Answer 1

clinical judgement is required,along with other indicators.

Question 2

The Nutrition Care Process (NCP)provides structure for the provision of nutritional care to all patients and provides a framework for the registered dietitian (RD)to make decisions regarding medical nutrition therapy.The steps involved in this process include which of the following? (Select all that apply.)

A) Nutrition assessment
B) Nutrition diagnosis
C) Nutrition intervention
D) Nutrition evaluation
E) None of the above

Answer 2

Nutrition assessment
Nutrition diagnosis
Nutrition intervention
Nutrition evaluation

Question 3

The patient is on the puree/extremely thick stage (stage 4)of the international dysphagia diet.Which of the following foods may the patient select?

A) Mashed potatoes
B) Toast and peanut butter
C) Well-cooked noodles in gravy
D) Milkshake

Answer 3

Mashed potatoes

Question 4

The nurse is admitting a patient to the medical unit.Which of the following are reasons the nurse may perform a nutritional screening on this patient? (Select all that apply.)

A) To assess risk for malnutrition
B) To assist with feeding
C) To identify risk for aspiration
D) To determine body weight

Question 5

The nurse will collaborate with a ___________ to develop a nutritional plan for a patient identified as being at nutritional risk.

A) physician
B) registered dietitian
C) nutritionist
D) respiratory therapist

Question 6

What is an appropriate technique for the nurse to use to prevent aspiration when assisting a patient with meals?

A) Keep the patient's head back and straight.
B) Offer thin-consistency foods.
C) Provide large amounts of fluids.
D) Have the patient sit up for 30 minutes after eating.

Question 7

The patient is admitted with a diagnosis of stroke.The nurse attempts to feed the patient,but the patient coughs and gags when food is placed in his mouth.What should the nurse do to assist this patient?

A) Feed the patient more slowly.
B) Feed the patient more quickly.
C) Contact the speech pathology department.
D) Ignore the cough and try again later.

Question 8

The nurse is caring for a patient 2 days after surgery.The prescribed diet is a mechanical soft diet.Which of the following foods may the patient choose to eat?

A) Salad
B) Baked potato without skin
C) Cooked cereal
D) Soft peeled apples

Question 9

The nurse is caring for a patient who requires assistance with eating.The patient repeatedly apologizes to the nurse,saying,"I'm so sorry.I'm like a baby.I'm such a burden since I can't even feed myself." What is the most appropriate strategy for the nurse to use?

A) Feed all of the solid foods first,and then offer liquids.
B) Feed the patient quickly so as not to make the patient feel like it is taking a great deal of time out of the nurse's day.
C) Minimize conversation so that the patient can eat faster.
D) Appear unhurried,sit at the bedside,and encourage the patient to feed himself as much as possible.

Question 10

The patient is placed on a clear liquid diet after surgery.Which of the following foods may the patient select?

A) Coffee with milk and sugar
B) Gelatin,popsicles,apple juice
C) Water,orange juice,Jell-O
D) Black coffee,popsicles,ice cream

Question 11

A patient is admitted to the hospital for evaluation for sleep apnea.The nurse calculates his body mass index (BMI)at 42 kg/m².What does this indicate about the patient's weight?

A) The patient is overweight.
B) The patient falls into the class 1 range of obesity.
C) The patient falls into the class 2 range of obesity.
D) The patient falls into the class 3 range of extreme obesity.

Question 12

Which of the following is a sign of vitamin C deficiency?

A) Cheilosis (redness/swelling of the lips)
B) Glossitis
C) Spongy,bleeding,abnormal redness of the gingiva
D) Spoon-shaped,brittle,ridged fingernails

Question 13

The nurse is caring for an infant who is 3 months old and is being bottle-fed human milk.Will the nurse need to provide the infant with any additional sources of nutrition or fluids?

A) The infant will need extra water in between feedings.
B) The infant will need juice in between feedings.
C) No additional fluids will be needed between meals.
D) The child will need to start on infant cereal.

Question 14

The nurse is preparing to assess the nutritional status of an 80-year-old patient in a long-term care facility.What screening tool would best suit this purpose?

A) The Malnutrition Universal Screening Tool (MUST)
B) Mini Nutritional Assessment (MNA)
C) Anthropometric measurements
D) A daily nutrition intake log

Question 15

The nurse is caring for a patient who is 6 feet 2 inches tall and weighs 250 pounds.What is the patient's body mass index (BMI)?

A) 18.5 kg/m²
B) 30.2 kg/m²
C) 32.13 kg/m²
D) 40.11 kg/m²

Question 16

The nurse recognizes that the patient is exhibiting signs of ______________ when he or she notices that the patient has difficulty holding food and fluid in his mouth and experiences difficulty moving it to his esophagus.

A) stroke
B) dysphagia
C) getting older
D) oral cancer

Question 17

______________ are measures of height; weight; head,arm,and muscle circumferences; and skinfold thickness.

A) Anthropometrics
B) Body mass index readings
C) Growth curves
D) Obesity scales

Question 18

A patient has residual dysphagia after stroke.The nurse notes that the prescribed diet is the international dysphagia diet.He or she knows this diet comprises which of the following levels? (Select all that apply.)

A) Slightly thick
B) Mildly thick
C) Minced and moist
D) Regular
E) None of the above

Question 19

What must the nurse do before assisting the patient with feeding?

A) Assess the patient's gag reflex.
B) Make sure that the consistency of the food is thin.
C) Remove the patient's dentures to prevent gagging.
D) Prepare the patient to be fed by a staff member.

Question 20

The nurse is caring for a patient who is believed to be suffering from malnutrition.The nurse calculates that the patient's body mass index (BMI)is 16.4 kg/m².What does this indicate about the patient's weight?

A) The patient is underweight.
B) The patient's weight is normal.
C) The patient is overweight.
D) The patient is obese (class 1).

Question 21

Which of the following are signs of nutritional status alteration? (Select all that apply.)

A) Pale eye membranes
B) Cheilosis (redness/swelling)of the lips
C) Yellow-tinged skin
D) Glossitis

Question 22

Which of the following patients is at elevated nutritional risk? (Select all that apply.)

A) A person with a cancer diagnosis
B) A person with infected or draining wounds
C) A person with burns on 60% of their body
D) A person who has had a fever for more than 2 days
E) None of the above

Question 23

A nurse's role includes performing a nutritional screening,which includes (Select all that apply.)

A) assessing a patient's risk status for malnutrition.
B) collecting patient history.
C) reviewing laboratory results.
D) a focused physical assessment.
E) None of the above