Deck 30: Nutrition

Question 1

The nurse is providing dietary education to the patient to assist with inclusion of more complex carbohydrates in the diet. The nurse knows which foods would be beneficial to include?

A) Green peas
B) Bananas
C) Beans
D) Potatoes
E) Apples

Answer 1

Green peas
Beans
Potatoes

Question 2

The nurse has received an order from the health care provider to discontinue the nasogastric tube. Which action by the nurse indicates a need for further education?

A) The nurse clears the tube with air prior to discontinuing.
B) The nurse stops the tube feeding.
C) The nurse instructs the patient to cough while pulling out the tube.
D) The nurse clamps the tube while pulling it out.

Answer 2

The nurse instructs the patient to cough while pulling out the tube.

Question 3

The nurse is preparing to insert a nasogastric (NG) tube in a patient. Which step in the process indicates a need for further education?

A) The nurse lubricates 4 inches of the tube prior to insertion.
B) The nurse marks the length of the tube with a marker for insertion.
C) The nurse measures the length of tube needed using the nose-earlobe-xiphoid process.
D) The nurse applies clean gloves for the procedure.

Answer 3

The nurse marks the length of the tube with a marker for insertion.

Question 4

When caring for an adolescent patient with anorexia nervosa, the nurse knows what would be the best treatment option for this patient?

A) Hospitalization with skill nursing care
B) Compulsory tube feedings
C) Individually determined by a collaborative team
D) Outpatient treatment

Question 5

The nurse is performing an oral examination on a patient and notices a beefy-red tongue. The nurse identifies this as a characteristic finding for what condition?

A) Anorexia nervosa
B) Malnutrition
C) Bulimia
D) Pernicious anemia

Question 6

The nurse is educating a patient about a renal diet. Which statement by the patient indicates a need for further education?

A) "I need to eat a low-sodium diet."
B) "I can have limited amounts of meat."
C) "I can drink unlimited cola if it is diet."
D) "I should avoid or limit bananas."

Question 7

A new UAP is measuring a patient's height. Which step of the procedure indicates a need for the registered nurse to provide further education on this skill?

A) The UAP instructs the patient to remove shoes.
B) The UAP measures from the top of the patient's head to the bottom of the patient's foot arch.
C) The UAP positions the head against the headboard or measuring device.
D) The UAP makes sure the patient is standing erect.

Question 8

The nurse recognizes which outcome statement to be appropriate for the nursing diagnosis Impaired swallowing?

A) Patient will consume 50% of each meal.
B) Patient will gain 2 lb a week.
C) Patient will not show any signs of aspiration during meals.
D) Patient will demonstrate using an assistive device to feed self.

Question 9

When the nurse is caring for a patient who is receiving total parenteral nutrition (TPN), the nurse will change the tubing at which interval?

A) Every 72 hours
B) Every 48 hours
C) Every 24 hours
D) Every 12 hours

Question 10

The nurse is providing education to a patient about the difference between simple and complex carbohydrates. Which statement by the patient indicates a need for further education?

A) "Simple carbohydrates give me quick energy."
B) "Complex carbohydrates come from fruit."
C) "Complex carbohydrates take longer to break down."
D) "Simple carbohydrates come from milk products."

Question 11

The nurse is providing education to an older adult around a healthy diet to support the challenges related to aging. Which statement indicates a need for further education?

A) "I should choose foods that are nutrient dense."
B) "High-fiber foods minimize the risk of constipation."
C) "I should eat more calories to avoid malnutrition."
D) "I can add spices to enhance the taste of food."

Question 12

The nurse has delegated the feeding of a patient who has recently had a stroke to the UAP. Which procedure that the UAP performs would demonstrate a need for further education?

A) Uses thickened liquids.
B) Puts the bed at 25 degrees.
C) Encourages slow eating.
D) Has the patient alternate between food and sips of fluid.

Question 13

The nurse knows that initial verification of a nasogastric placement is important. Which method is considered the only reliable method to determine enteral tube placement?

A) Auscultation of air bolus
B) Measurement of pH of the aspirate
C) Radiographic image
D) Aspirate contents to visually inspect appearance

Question 14

The nurse is educating a patient about including more omega-3 fatty acids in the diet and knows which food sources should be included?

A) Salmon
B) Flaxseed
C) Mackerel
D) Steak
E) Crayfish

Question 15

The nurse is planning dietary education for the patient. What food labeling considerations should the nurse be aware of when planning that education?

A) Ask patient if food labels are read routinely.
B) Assess patient's level of understanding of food labels.
C) Encourage patient to read the food labels.
D) Explain to patient all food labels are different.
E) Assess patient's understanding of recommended daily allowance

Question 16

Based on research on aging, the nurse knows that improper nutrition may result in the onset of which specific diseases?

A) Type 2 diabetes
B) Atherosclerosis
C) Osteoporosis
D) Rheumatoid arthritis
E) Chronic asthma

Question 17

The nurse is helping a patient understand the difference between macronutrients and vitamins and minerals. The nurse identifies which items that should be included in the list of macronutrients?

A) Water
B) Potassium
C) Starches
D) Fiber
E) Riboflavin

Question 18

The nurse teaches the family member to provide the patient with how much dietary fiber per day?

A) 25 to 35 g
B) 20 to 35 g
C) 25 to 40 g
D) 20 to 40 g

Question 19

The nurse is explaining to the UAP that the patient is on a full-liquid diet. Which statement by the UAP indicates a need for reorientation?

A) "I can give the patient orange juice."
B) "I can give the patient yogurt."
C) "I can give the patient oatmeal."
D) "I can give the patient milk."

Question 20

The nurse is attempting to open an occluded PEG tube. Which intervention by the nurse requires re-education?

A) Flushes the tube with a small amount of air.
B) Flushes the tube using a 50- to 60-mL syringe and warm water.
C) Reinserts the stylet to break up the clot.
D) Flushes the tube with a special enzyme solution.

Question 21

The nurse is completing a nutrition assessment on a patient. What are some important considerations?

A) The nurse should include the patient's cultural influences in the assessment.
B) The food diary accuracy is better for a 24-hour recall than a 3 to 5 day food journal.
C) The nurse should be nonjudgmental in the nutritional review.
D) A consultation with a registered dietitian may be indicated.
E) A gathering of anthropometric measurements may be necessary.

Question 22

The nurse is completing documentation after feeding a patient with aspiration precautions. Which items should the nurse document?

A) Episodes of coughing or gagging
B) Hesitation or fear of eating
C) Amount eaten
D) Aspiration protocol used
E) Respiratory status
F) None of above

Question 23

The nurse is teaching a patient about the impact of obesity and a high body mass index (BMI). The nurse identifies that as the BMI increases, so does the risk for which conditions?

A) Increase in blood pressure
B) Increase in HDL
C) Increase in total cholesterol
D) Development of atherosclerosis
E) Decrease in triglycerides

Question 24

When the nurse is caring for a patient receiving enteral feedings, which tasks can that nurse delegate to the UAP?

A) Verify tube placement
B) Perform oral care
C) Administer tube feeding
D) Obtain vital signs and report results
E) Measure oxygen saturation

Question 25

The nurse knows that a deficiency in vitamin C can result in which conditions?

A) Stiff joints
B) Osteopenia
C) Petechiae
D) Loose teeth
E) Bleeding gums

Question 26

The nurse is educating the patient about the risk of heart disease from metabolic syndrome and describes a cluster of which symptoms?

A) Elevated blood glucose
B) High waist circumference
C) History of smoking
D) Hypertension
E) Elevation serum cholesterol