Question 1

What would be the diet order for an ER patient with GI complaints who is awaiting admission?

Accepted Answer

In an emergency setting, when a patient is suffering from GI complaints, the best initial order would be to keep them NPO, which means nothing per oral. This will give the gastrointestinal tract time to rest and heal before starting any further interventions. The patients can be started on clear liquids or full liquids only after the doctor assesses the patient and decides that it is safe for them to tolerate these items. The regular diet can be started once the patient is stable and ready for discharge.

Question 2

The most common biologically based therapy is the use of:

Accepted Answer

Vitamin/mineral supplements and herbal remedies are the most commonly used biologically based therapies. These products are derived from natural sources and are often seen as a way to promote health and wellness.

Question 3

The nurse removes a patient's meal tray from the meal cart and is not certain that it contains the correct foods for the diet order.The nurse should:

Accepted Answer

Checking the diet manual is the best choice as it provides the specific details on what foods are allowed or restricted for the patient's particular diet order. This ensures that the patient receives the correct meal according to their dietary needs. Calling the kitchen or asking the patient may not provide accurate information and checking the care plan may not include the specific diet order details.

Question 4

In terms of implementation of care plans, the nurse recognizes that her major role is to:

Accepted Answer

The nurse's major role in implementing care plans is to identify expected outcomes and plan strategies that can correct problems. Planning the patient's diet and ensuring the appropriate foods are prepared are important tasks, but they are a part of the nurse's larger role in implementing the care plan.

Question 5

The nurse notices that an elderly patient is experiencing difficulty chewing.Which of the following diets would be most appropriate?

Accepted Answer

The mechanical soft diet would be the most appropriate for an elderly patient experiencing difficulty chewing because it includes foods that are easy to chew, such as ground or finely diced meats, cooked vegetables, and soft fruits. The clear liquid diet and blenderized liquid diet are not appropriate long-term diets and do not provide adequate nutrition. The low sodium diet may be appropriate depending on the patient's medical history, but it does not address the difficulty with chewing.

Question 6

One example of a CAM therapy involving physical manipulation is _____.

Accepted Answer

Chiropractic is a CAM therapy that involves physical manipulation of the spine and other joints to improve the functioning of the musculoskeletal and nervous systems. Qi gong and therapeutic touch involve energy-based interventions rather than physical manipulation, while biofeedback involves the use of sensors to monitor physiological responses and teach self-regulation techniques.

Question 7

The hospitalized patient's diet prescription was for a clear liquid diet.The nurse knew this patient's diet was not correctly delivered when she saw these items on the patient's tray:

Accepted Answer

Strained orange juice and tomato juice are not considered clear liquids because they contain pulp and are not transparent.

Question 8

Which of the following factors would cause the nurse to reconsider allowing progression of the diet following surgery?

Accepted Answer

The answer of Which of the following factors would cause...

Question 9

The hospitalized patient is on a progressive diet following surgery.One day the patient experiences nausea and vomiting after consuming lunch.The nurse recognizes that it is his responsibility to:

Accepted Answer

The nurse's responsibility in this situation is to monitor the patient's tolerance and readiness to advance the diet. Withholding all foods or reporting foodborne illness are not appropriate actions in this scenario. Contacting the dietitian may be appropriate, but it is not the best choice in this situation.

Question 10

A patient is taking an MAO inhibitor and is on a tyramine-restricted diet.Which of the following foods should be avoided?

Accepted Answer

Cheddar cheese contains high levels of tyramine, which can cause hypertensive crisis in patients taking MAO inhibitors.

Question 11

Of the following diet prescriptions, the nurse recognizes this one as the most appropriately written one:

Accepted Answer

The answer of Of the following diet prescriptions, the nurse...

Question 12

A patient is discouraged by the dietary restrictions for her low-sodium diet.The most appropriate response from the nurse is to:

Accepted Answer

Emphasizing the foods the patient can eat encourages positive behavior and helps the patient understand that the diet is manageable. It is important for the patient to receive education on the purpose of the low-sodium diet and the risks associated with not following it, but this should be done in a positive and supportive manner. Allowing the family to bring food may not adhere to the dietary restrictions, and agreeing with the patient that the diet is unpalatable may discourage adherence.

Question 13

The nurse recognizes that a patient placed on the anticoagulant drug warfarin will need:

Accepted Answer

Patients on warfarin need education regarding diet-drug interactions as warfarin interacts with many foods high in vitamin K, leading to decreased effectiveness. It is important for patients to maintain consistent dietary intake of vitamin K-containing foods to avoid fluctuations in warfarin effectiveness. Supplements of vitamin K should be avoided unless specifically recommended by the healthcare provider. A high-calorie diet and increasing iron intake are not specific interventions needed for patients on warfarin.

Question 14

A patient is scheduled for bowel surgery tomorrow.The appropriate diet order today is:

Accepted Answer

The appropriate diet before bowel surgery is clear liquid. This helps to empty the bowel and reduce the risk of complications during surgery. Blended liquid, low fat, and low protein diets are not appropriate for bowel surgery preparation.

Question 15

The nurse removes a patient's meal try from the food cart and discovers that the food is not appropriate for the diet order.The nurse should:

Accepted Answer

The nurse should order a new food tray from the kitchen to ensure the patient receives the correct diet as per the diet order. This is the most direct and appropriate action to take.

Question 16

Which of the following menu selections would be appropriate for a patient placed on a clear liquid diet?

Accepted Answer

A clear liquid diet consists of fluids that are easily digested and leave little residue in the intestinal tract. Chicken broth, apple juice, and popsicles are all examples of clear liquids that are appropriate for this type of diet. Yogurt, cranberry juice, beef broth, scrambled eggs, Jell-O, and ice cream are not considered clear liquids and would not be appropriate choices for a clear liquid diet.

Question 17

One of the problems with determining the effectiveness of an herbal remedy is:

Accepted Answer

Different samples of an herb can have different chemical compositions, making it difficult to determine the effectiveness of an herbal remedy. This variability can be influenced by factors such as location, climate, and time of harvest, as well as methods of processing and storage. As a result, it can be challenging to ensure consistent quality and dosage of herbal remedies, and to compare different studies or products.

Question 18

Which of the following nutritional interventions is most appropriate for a patient in a coma?

Accepted Answer

The answer of Which of the following nutritional interventions is...

Question 19

Which of the following patients would most benefit from indirect calorimetry?

Accepted Answer

Indirect calorimetry is most beneficial for critically ill patients, such as those in the critical care unit for sepsis, to accurately assess their energy needs for proper nutritional support.

Question 20

Concerns about the use of CAM by consumers include all of the following except:

Accepted Answer

CAM therapies are often less expensive than traditional medical care, which is why many consumers are drawn to them.

Quiz 14: Nutrition Intervention and Diet-Drug Interactions