Deck 12: Nutritional Care Orders

Question 1

A therapeutic diet:

A)must be ordered by the patient's doctor.
B)must be requested by the patient.
C)may be ordered by the registered dietician (RD).
D)may be requested by the nurse.

Answer 1

must be ordered by the patient's doctor.

Question 2

A patient who is returning from major surgery would be likely to have which diet until fully awake and not nauseated?

A)Sips (of coke)and (potato)chips
B)Forced fluids
C)Dietician to determine diet
D)Sips (water)and (ice)chips

Answer 2

Sips (water)and (ice)chips

Question 3

A tube feeding is also known as:

A)intravenous (IV)hyperalimentation.
B)enteral feeding set.
C)gavage.
D)a therapeutic diet.

Answer 3

gavage.

Question 4

When transcribing an order for,"Limit fluids to 1000 mL per day," the HUC would:

A)only notify the nurse so the patient's fluids may be monitored.
B)only notify the nursing assistants to monitor the patient's fluids.
C)notify the nutritional care department so it will limit the fluid on patient trays.
D)not need to let the nurse know;the fluid restriction is limited to what the patient receives on the meal trays,not what is given on the floor.

Question 5

A patient who needs rehydration would receive:

A)a high-calorie diet.
B)fluids orally and/or intravenously.
C)a low-fat diet.
D)a low-calorie diet.

Question 6

The diet progression for a patient starting with a cl liq diet and who has an order for DAT would likely be:

A)TPN→ NKFA → NPO.
B)reg → low chol →ADA.
C)full liq → soft → reg.
D)reg → NAS→ full liq.

Question 7

Energy generated in the body by the heat produced after food is eaten is called:

A)the theory of relativity.
B)calories.
C)thermodynamics.
D)nutrients.

Question 8

A patient cannot eat lobster because it causes a skin rash.This is an example of:

A)a food intolerance.
B)a food allergy.
C)a food preference.
D)the fact that you do not need to report to his nurse because the hospital normally does not serve lobster.

Question 9

An order for a PEG would involve:

A)a diet consisting of proteins,eggs,and greens.
B)providing all necessary nutrients intravenously.
C)feeding by means of a tube inserted into the stomach,duodenum,or jejunum through the nose.
D)inserting a tube through the abdominal wall into the stomach under endoscopic guidance.

Question 10

When transcribing an order for DAT,the HUC would:

A)send the DAT order to the nutritional care department.
B)ask the patient's nurse.
C)ask the patient what he or she feels like eating.
D)order the diet that would be next in the consistency progression.

Question 11

An order for a cl liq diet would consist of:

A)nutrition for patients who cannot tolerate solid foods;it includes broth,jello,and clear juices.
B)liquids that are modified to vary in calorie content;these include milk,cream soups,ice cream,and puddings.
C)liquefied nutrients administered directly into the stomach.
D)the patient's choice of liquids,including ice cream,creamed soup,and vegetable juices.

Question 12

An order for 2.5 g Na for a patient on a soft diet would:

A)cancel the soft diet.
B)have to be clarified by the doctor for a consistency order.
C)be added to the soft diet.
D)have to be clarified by the nurse for a consistency order.

Question 13

BOOST Plus is an example of a:

A)tube-feeding preparation.
B)pharmaceutical preparation that heightens a patient's energy level.
C)therapeutic diet.
D)sodium-restricted diet.

Question 14

The usual measurement that defines overweight and obesity is the:

A)DRI.
B)PEG.
C)RDA.
D)BMI.

Question 15

Which of the following diets could the nurse request for a patient who has a diet as tolerated (DAT)order written by the doctor?

A)Low-fat diet
B)Full liq diet
C)1200-calorie diet
D)High-fiber diet

Question 16

The patient has been unable to eat because of a severe intestinal problem and recent surgery.The doctor may order a:

A)regular diet with no restrictions.
B)high-fiber diet.
C)tube feeding.
D)renal diet.

Question 17

A patient who is having surgery in the morning has a diet order,"NPO MN." This means :

A)no proteins only after midnight (patient may eat fats and carbohydrates).
B)nutrients postoperatively;may nibble.
C)nothing by mouth after midnight.
D)nothing preoperatively;afterward,many nutrients.

Question 18

A patient may request which diet because of religious beliefs?

A)Dysphagia diet
B)Bland diet
C)Bananas,rice,applesauce,and toast (BRAT)diet
D)Kosher diet

Question 19

If the patient is not aware of any food allergies or intolerances,which abbreviation may be written in the chart?

A)NKFA
B)NPO
C)NPH
D)NAS

Question 20

CHO is the abbreviation for:

A)carbohydrate.
B)protein.
C)an essential fatty acid.
D)coronary health organization.

Question 21

A diet that is commonly used as short-term dietary treatment for diarrhea,gastroenteritis,and some incidents of food poisoning is the _____ diet.

A)vegan
B)high-protein
C)low-cholesterol
D)BRAT

Question 22

Stage 4 of the postoperative diet for the gastric bypass procedure consists of which of the following?

A)Pureed foods
B)Clear liquids
C)Soft solids
D)Gastric bypass liquids

Question 23

A diet that includes all plant foods,dairy,and eggs is the _____ diet.

A)ovolactovegetarian
B)lactovegetarian
C)flexitarian
D)kosher

Question 24

Changes in total parenteral nutrition (TPN)orders need to be sent to the pharmacy as soon as possible because:

A)the pharmacist works short hours.
B)the nutrients need to be ordered.
C)it takes the pharmacist a long time to remake the solution.
D)it is very expensive.

Question 25

An HUC may order a "late tray" for a patient by which of the following methods?

A)Asking one of the nurses to bring the tray when returning from a break
B)Notifying a diet aide when the aide is stocking the nursing unit diet kitchen
C)Sending a request via computer to the nutritional care department
D)Calling the dietician

Question 26

It is important that the HUC communicate which of the following information to the nutritional care department?

A)Patient food allergies and intolerances
B)Patient food likes and dislikes
C)List of foods brought to patient by patient's family
D)List of foods consumed by patient from nursing diet kitchen

Question 27

The dysphagia diet that is most severely restricted is

A) IV.
B) I.
C) III.
D) II.