Deck 21: Nursing Care of People With Nutritional Disorders

Question 1

A person is being assessed for malnutrition. What laboratory test findings indicate malnutrition? Select all that apply.

A)Elevated serum albumin
B)Low serum sodium
C)Low white blood cell count
D)Low transferrin

Answer 1

Low white blood cell count
Low transferrin

Question 2

A person is admitted for treatment of malnutrition. Which of the following assessment findings would suggest to the nurse the person is experiencing a vitamin C deficiency? Select all that apply.

A)Easy bruising
B)Depression
C)Hepatomegaly
D)Dyspnoea
E)Delayed wound healing

Answer 2

Easy bruising
Depression
Delayed wound healing

Question 3

An overweight person tells the nurse, 'Every Monday at work we have croissants. I can't stop myself! Sometimes I eat two!' What is this person describing?

A)Satiety
B)Carbohydrate addiction
C)Appetite stimulation by external cues
D)Metabolic syndrome

Answer 3

Appetite stimulation by external cues

Question 4

An elderly person who uses a walker tells the nurse, 'I'm so alone now that my family is gone.' What is this person at risk of developing?

A)Obesity
B)Malnutrition
C)Inappropriate coping
D)Immobility

Question 5

A 45-year-old male says, 'I'm gaining weight but I'm not eating any differently than I did years ago.' Which of the following is correct about this person? The person is:

A)seeking approval for his weight gain.
B)probably not aware of how his eating pattern has changed over the years.
C)demonstrating a change in metabolism with ageing.
D)justifying his weight gain.

Question 6

Which waist-to-hip ratio increases the risk of a female developing stroke, elevated insulin levels, and an abnormal lipid profile?

A)0)2
B)0)3
C)0)5.
D)0)8

Question 7

A malnourished person is demonstrating ongoing diarrhoea that occurs after every meal. What might this person be experiencing?

A)Gallbladder disease
B)Lactose intolerance
C)Carbohydrate intolerance
D)Malabsorption

Question 8

An overweight female states, 'I'm trying to stick to my diet and exercise plan, but my husband tells me that I'm fine the way I am.' What would be an appropriate nursing diagnosis for this person?

A)Chronic low self-esteem
B)Activity intolerance
C)Imbalanced nutrition: more than body requirements
D)Ineffective therapeutic regimen management

Question 9

A female learns that she has regained 7 kg that she had lost the previous year. Which of the following would be the best response by the nurse?

A)'Even with the weight gain you are still not obese.'
B)'I can teach you about a new diet that would help you lose the weight within 2 weeks.'
C)'Weight swings like this are perfectly normal and very common.'
D)'Return to the diet, exercise, and behaviour change techniques that have worked for you in the past.'

Question 10

A male who lives alone has a BMI of 34. Which of the following strategies could the nurse suggest to help this person reduce overeating?

A)Eat out more often to control portion size.
B)Cook once a week and store the leftovers to reduce the need to cook again.
C)Purchase ready-to-eat meals from the supermarket.
D)Prepare a meal and eat it in the dining room.

Question 11

A person has been receiving parenteral nutrition for many months. The nurse is aware that the person is at an increased risk of developing what condition?

A)Cardiomyopathy
B)Grave's disease
C)Liver disease
D)Diabetes

Question 12

A 33-year-old female states, 'I eat anything I want and just have a laxative for dessert!' What is this person exhibiting?

A)Bulimia
B)Anorexia
C)Distorted body image
D)Binge-eating disorder

Question 13

A 19-year-old female is being assessed for bulimia. The mother asks what diagnostic tests can be done to determine the presence of bulimia. What is the nurse's best response?

A)'She will need a psychiatric evaluation to determine the diagnosis.'
B)'There is no specific test that can determine bulimia.'
C)'We will need a blood sample to look at serum electrolyte levels.'
D)'She needs a gag reflex test.'

Question 14

A person with a BMI of 29 says, 'I cut out all my sweet snacks last week and I still can't lose any weight.' Which of the following would be appropriate for the nurse to do or say in response?

A)'It takes a while to lose weight.'
B)Document that 'person states no longer eating sweet snacks.'
C)Refer the person to a dietician.
D)'Let's calculate how many calories you are eating each day.'

Question 15

During a physical assessment, the nurse suspects that the person might be experiencing metabolic syndrome. Which of the following assessment findings would provide evidence for this nurse's assumption?

A)Blood pressure of 150/96
B)Hypoglycaemia
C)High HDL cholesterol
D)Bradycardia

Question 16

The nurse hears a mother say to her child, 'If you behave, we'll stop and get you an ice cream cone when we're done here.' What is this mother doing? She is:

A)negotiating with her child.
B)using food as a reward.
C)frustrated with the child's behaviour.
D)anxious.

Question 17

A female has a body mass index (BMI)of 27. Which of the following would be an appropriate documentation by the nurse?

A)Underweight
B)Normal weight
C)Overweight
D)Obese

Question 18

The mother of a 12-year-old female child states, 'My daughter saw an older child who was extremely overweight. Ever since that time my daughter won't eat.' What might the child be experiencing?

A)An irrational fear of gaining weight
B)Ineffective coping strategies
C)Normal preadolescent behaviour
D)Bulimia

Question 19

The nurse assesses the person for which common manifestation of malnutrition?

A)Diabetes
B)Hypertension
C)Gallbladder disease
D)Petechiae

Question 20

The nurse is reviewing the serum lipids of a person with a BMI of 31. Which of the following would be expected in this person?

A)Low HDL
B)Low serum triglycerides
C)Elevated HDL
D)Low LDL