Deck 27: Nutrition and Fluids
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Deck 27: Nutrition and Fluids
1
Remember the following when selecting foods from the meat and beans group:
A) Choose lean or low-fat meat and poultry.
B) Processed meats are low in sodium.
C) Liver and other organ meats are low in cholesterol.
D) Eggs are low in cholesterol and fat.
A) Choose lean or low-fat meat and poultry.
B) Processed meats are low in sodium.
C) Liver and other organ meats are low in cholesterol.
D) Eggs are low in cholesterol and fat.
Choose lean or low-fat meat and poultry.
2
Anorexia is the:
A) Loss of appetite
B) Breathing of fluid,food,vomitus,or an object into the lungs
C) Backward flow of food from the stomach to the mouth
D) Swelling of body tissues with water
A) Loss of appetite
B) Breathing of fluid,food,vomitus,or an object into the lungs
C) Backward flow of food from the stomach to the mouth
D) Swelling of body tissues with water
Loss of appetite
3
Which vitamin is needed for vision?
A) Vitamin A
B) Vitamin B1
C) Vitamin B3
D) Vitamin D
A) Vitamin A
B) Vitamin B1
C) Vitamin B3
D) Vitamin D
Vitamin A
4
The MyPlate food guidance system recommends which of the following for children?
A) Engage in at least 60 minutes of physical activity on every day of the week.
B) Offer 100% fruit juices instead of soda.
C) Top cereal with sugar to add flavor.
D) Mix vegetables together.
A) Engage in at least 60 minutes of physical activity on every day of the week.
B) Offer 100% fruit juices instead of soda.
C) Top cereal with sugar to add flavor.
D) Mix vegetables together.
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5
Aspiration is:
A) Loss of appetite
B) Breathing of fluid,food,vomitus,or an object into the lungs
C) Backward flow of food from the stomach into the mouth
D) Swelling of body tissues with water
A) Loss of appetite
B) Breathing of fluid,food,vomitus,or an object into the lungs
C) Backward flow of food from the stomach into the mouth
D) Swelling of body tissues with water
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6
A graduate is:
A) A tube feeding
B) A measuring container for fluid
C) A tube inserted through the nose and into the stomach
D) Giving nutrients through the gastro-intestinal system
A) A tube feeding
B) A measuring container for fluid
C) A tube inserted through the nose and into the stomach
D) Giving nutrients through the gastro-intestinal system
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7
Which nutrient is needed for tissue growth and repair?
A) Protein
B) Carbohydrate
C) Fat
D) Vitamins
A) Protein
B) Carbohydrate
C) Fat
D) Vitamins
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8
Dysphagia is:
A) Difficulty swallowing
B) A decrease in the amount of water in body tissues
C) The swelling of body tissues with water
D) The backward flow of food from the stomach into the mouth
A) Difficulty swallowing
B) A decrease in the amount of water in body tissues
C) The swelling of body tissues with water
D) The backward flow of food from the stomach into the mouth
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9
Which nutrient adds flavor to food?
A) Protein
B) Carbohydrate
C) Fat
D) Vitamins
A) Protein
B) Carbohydrate
C) Fat
D) Vitamins
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10
A calorie is:
A) How a serving fits into the daily diet
B) The fuel or energy value of food
C) A container used to measure fluid
D) The process involved in the ingestion,digestion,absorption,and use of foods and fluids by the body
A) How a serving fits into the daily diet
B) The fuel or energy value of food
C) A container used to measure fluid
D) The process involved in the ingestion,digestion,absorption,and use of foods and fluids by the body
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11
Edema is:
A) Difficulty swallowing
B) A decrease in the amount of water in body tissues
C) The swelling of body tissues with water
D) The backward flow of food from the stomach into the mouth
A) Difficulty swallowing
B) A decrease in the amount of water in body tissues
C) The swelling of body tissues with water
D) The backward flow of food from the stomach into the mouth
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12
Daily value is:
A) How a serving fits into the daily diet
B) The amount of intake and output in 24 hours
C) A substance that is ingested,digested,absorbed,and used by the body
D) The amount of energy produced when the body burns food
A) How a serving fits into the daily diet
B) The amount of intake and output in 24 hours
C) A substance that is ingested,digested,absorbed,and used by the body
D) The amount of energy produced when the body burns food
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13
One gram of protein provides how many calories?
A) 1
B) 4
C) 9
D) 15
A) 1
B) 4
C) 9
D) 15
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14
Which nutrient provides energy and fiber?
A) Protein
B) Carbohydrate
C) Fat
D) Vitamins
A) Protein
B) Carbohydrate
C) Fat
D) Vitamins
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15
One gram of fat provides how many calories?
A) 1
B) 4
C) 9
D) 15
A) 1
B) 4
C) 9
D) 15
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16
Dehydration is:
A) Difficulty swallowing
B) A decrease in the amount of water in body tissues
C) The swelling of body tissues with water
D) The backward flow of food from the stomach into the mouth
A) Difficulty swallowing
B) A decrease in the amount of water in body tissues
C) The swelling of body tissues with water
D) The backward flow of food from the stomach into the mouth
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17
Nutrition is:
A) The amount of energy produced when the body burns food
B) How a serving fits into the daily diet
C) A substance that is ingested,digested,absorbed,and used by the body
D) The processes involved in the ingestion,digestion,absorption,and use of foods and fluids by the body
A) The amount of energy produced when the body burns food
B) How a serving fits into the daily diet
C) A substance that is ingested,digested,absorbed,and used by the body
D) The processes involved in the ingestion,digestion,absorption,and use of foods and fluids by the body
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18
A nutrient is:
A) The amount of energy produced when the body burns food
B) How a serving fits into the daily diet
C) A substance that is ingested,digested,absorbed,and used by the body
D) The processes involved in the ingestion,digestion,absorption,and use of foods and fluids by the body
A) The amount of energy produced when the body burns food
B) How a serving fits into the daily diet
C) A substance that is ingested,digested,absorbed,and used by the body
D) The processes involved in the ingestion,digestion,absorption,and use of foods and fluids by the body
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19
The MyPlate food guidance system encourages:
A) Smart and healthy food choices and daily activity
B) The same amount and kinds of food for all persons over 2 years of age
C) 1 hour of vigorous physical activity at least four days each week
D) A diet high in fat,sodium,and sugar
A) Smart and healthy food choices and daily activity
B) The same amount and kinds of food for all persons over 2 years of age
C) 1 hour of vigorous physical activity at least four days each week
D) A diet high in fat,sodium,and sugar
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20
One gram of carbohydrate provides how many calories?
A) 1
B) 4
C) 9
D) 15
A) 1
B) 4
C) 9
D) 15
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21
Which mineral is needed for the formation of teeth and bones?
A) Sodium
B) Iron
C) Calcium
D) Potassium
A) Sodium
B) Iron
C) Calcium
D) Potassium
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22
Which vitamin is needed for resistance to infection?
A) Vitamin K
B) Vitamin C
C) Vitamin D
D) Folic acid
A) Vitamin K
B) Vitamin C
C) Vitamin D
D) Folic acid
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23
Which foods are allowed on a clear liquid diet?
A) Custard,eggnog,and plain ice cream
B) Water,tea,and coffee
C) Fruit juices and fat-free clear broth
D) Hard candy and ice cream
A) Custard,eggnog,and plain ice cream
B) Water,tea,and coffee
C) Fruit juices and fat-free clear broth
D) Hard candy and ice cream
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24
Persons with difficulty swallowing usually require:
A) Diabetic meal planning
B) A dysphagia diet
C) A sodium-controlled diet
D) A house diet
A) Diabetic meal planning
B) A dysphagia diet
C) A sodium-controlled diet
D) A house diet
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25
Food must be served:
A) Promptly
B) After preparing all residents for meals
C) Within 1 hour of arriving on the nursing unit
D) After cutting meat and opening cartons
A) Promptly
B) After preparing all residents for meals
C) Within 1 hour of arriving on the nursing unit
D) After cutting meat and opening cartons
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26
Which mineral is needed for fluid balance?
A) Sodium
B) Iron
C) Iodine
D) Potassium
A) Sodium
B) Iron
C) Iodine
D) Potassium
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27
Which mineral is needed for growth and metabolism?
A) Sodium
B) Iron
C) Iodine
D) Potassium
A) Sodium
B) Iron
C) Iodine
D) Potassium
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28
Which mineral is needed for heart function?
A) Sodium
B) Iron
C) Iodine
D) Potassium
A) Sodium
B) Iron
C) Iodine
D) Potassium
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29
A person is on a full-liquid diet.Foods on this diet are:
A) Semi-solid
B) Easily chewed
C) Liquid at room temperature or melt at body temperature
D) Low in roughage
A) Semi-solid
B) Easily chewed
C) Liquid at room temperature or melt at body temperature
D) Low in roughage
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30
Which mineral allows red blood cells to carry oxygen?
A) Sodium
B) Iron
C) Calcium
D) Potassium
A) Sodium
B) Iron
C) Calcium
D) Potassium
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31
Which vitamin is needed for nerve function?
A) Vitamin A
B) Vitamin B1
C) Vitamin B2
D) Vitamin D
A) Vitamin A
B) Vitamin B1
C) Vitamin B2
D) Vitamin D
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32
A resident gets the house diet.Which is correct?
A) The person has no dietary limits or restrictions.
B) The person eats whatever is served.
C) The person has no choice in the food served.
D) The person takes part in a social dining program.
A) The person has no dietary limits or restrictions.
B) The person eats whatever is served.
C) The person has no choice in the food served.
D) The person takes part in a social dining program.
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33
These statements are about eating and nutrition.Which is correct?
A) Food practices vary little according to culture and religion.
B) Finances have no effect on what food is in the diet.
C) Hospitals and nursing centers cannot allow personal choice.
D) Changes from aging affect appetite and the foods eaten.
A) Food practices vary little according to culture and religion.
B) Finances have no effect on what food is in the diet.
C) Hospitals and nursing centers cannot allow personal choice.
D) Changes from aging affect appetite and the foods eaten.
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34
Food labels contain which of the following information?
A) Quality of the item
B) Price of the item
C) Percent daily value
D) Weight of the item
A) Quality of the item
B) Price of the item
C) Percent daily value
D) Weight of the item
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35
You have been assigned to buy groceries for a person receiving home care.You need to:
A) Understand the MyPlate,basic nutrition,and food labels
B) Buy the foods you like
C) Buy whatever is on sale
D) Ask the nurse what foods to buy
A) Understand the MyPlate,basic nutrition,and food labels
B) Buy the foods you like
C) Buy whatever is on sale
D) Ask the nurse what foods to buy
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36
Which vitamin is needed for healthy bones?
A) Vitamin A
B) Vitamin K
C) Vitamin D
D) Folic acid
A) Vitamin A
B) Vitamin K
C) Vitamin D
D) Folic acid
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37
A person is on a mechanical soft diet.The person can have which of the following?
A) Apples
B) Cucumbers
C) Fresh vegetables
D) Pudding and plain cake
A) Apples
B) Cucumbers
C) Fresh vegetables
D) Pudding and plain cake
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38
Which vitamin is needed for blood clotting?
A) Vitamin A
B) Vitamin D
C) Vitamin E
D) Vitamin K
A) Vitamin A
B) Vitamin D
C) Vitamin E
D) Vitamin K
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39
With aging,changes occur in the gastrointestinal system.Which is correct?
A) Taste is enhanced.
B) The sense of smell is sharper.
C) Appetite decreases.
D) Secretion of digestive juices increases.
A) Taste is enhanced.
B) The sense of smell is sharper.
C) Appetite decreases.
D) Secretion of digestive juices increases.
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40
OBRA requires which of the following for foods served in long-term care centers?
A) That food be served at the same time every day.
B) That food is organic.
C) That residents be served 3 meals and offered a bedtime snack.
D) That food be prepared without seasoning.
A) That food be served at the same time every day.
B) That food is organic.
C) That residents be served 3 meals and offered a bedtime snack.
D) That food be prepared without seasoning.
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41
A resident is on aspiration precautions.You position the person in semi-Fowler's position after eating.How long should the person remain in this position?
A) 15 minutes
B) At least 30 minutes
C) 45 minutes
D) At least 1 hour
A) 15 minutes
B) At least 30 minutes
C) 45 minutes
D) At least 1 hour
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42
A person is on a fiber- and residue-restricted diet.The person can have which of the following?
A) Raw fruits and vegetables
B) Cottage and cream cheese
C) French fries
D) Breads and oats
A) Raw fruits and vegetables
B) Cottage and cream cheese
C) French fries
D) Breads and oats
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43
A resident is on aspiration precautions.When the person is done eating,you need to check his mouth for:
A) Pocketing
B) The need for oral hygiene
C) Food stains
D) Gum disease
A) Pocketing
B) The need for oral hygiene
C) Food stains
D) Gum disease
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44
To maintain normal fluid balance,an adult needs to ingest:
A) 1000 to 1500 mL of fluid a day.
B) 1500 to 2000 mL of fluid a day.
C) 2000 to 2500 mL of fluid a day.
D) 2500 to 3000 mL of fluid a day.
A) 1000 to 1500 mL of fluid a day.
B) 1500 to 2000 mL of fluid a day.
C) 2000 to 2500 mL of fluid a day.
D) 2500 to 3000 mL of fluid a day.
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45
High-iron diets are ordered:
A) When there is blood loss
B) For tissue healing
C) For weight reduction
D) For heart disease
A) When there is blood loss
B) For tissue healing
C) For weight reduction
D) For heart disease
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46
The doctor ordered a sodium-controlled diet for a patient.The average amount of sodium in the daily diet for this person would be:
A) 1500 mg
B) 2000 mg
C) 3000 mg
D) 4000 mg
A) 1500 mg
B) 2000 mg
C) 3000 mg
D) 4000 mg
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47
Diabetes meal planning involves:
A) Consistency in what is eaten and when
B) A low-salt diet
C) Changes in food thickness
D) A high-iron diet
A) Consistency in what is eaten and when
B) A low-salt diet
C) Changes in food thickness
D) A high-iron diet
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48
A patient has dysphagia.The person is at risk for:
A) Aspiration
B) Regurgitation
C) Edema
D) Dehydration
A) Aspiration
B) Regurgitation
C) Edema
D) Dehydration
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49
A resident is on aspiration precautions.The person eats in bed.To provide for safety during meals,you should position the person in:
A) Fowler's position
B) Sims' position
C) Lateral position
D) Prone position
A) Fowler's position
B) Sims' position
C) Lateral position
D) Prone position
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50
A person has diabetes.All food served is not eaten.What should you do?
A) Provide a between-meal nourishment.
B) Tell the nurse.
C) Leave the tray.Perhaps the person will eat later.
D) Give insulin.
A) Provide a between-meal nourishment.
B) Tell the nurse.
C) Leave the tray.Perhaps the person will eat later.
D) Give insulin.
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51
A person is on a low-cholesterol diet.Which food is allowed?
A) Skim milk
B) Cheddar cheese
C) Creamed soup
D) Fried chicken
A) Skim milk
B) Cheddar cheese
C) Creamed soup
D) Fried chicken
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52
A person is on a high-protein diet.Which foods are high in protein?
A) Meat,fish,and poultry
B) Pasta
C) Fruits
D) Vegetables
A) Meat,fish,and poultry
B) Pasta
C) Fruits
D) Vegetables
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53
Diabetes meal planning involves having the person:
A) Eat only carbohydrates
B) Eat only protein
C) Avoid fats
D) Eat the same amount of carbohydrates,proteins,and fat each day
A) Eat only carbohydrates
B) Eat only protein
C) Avoid fats
D) Eat the same amount of carbohydrates,proteins,and fat each day
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54
A person is on a high-calorie diet.Which is correct?
A) This is a high-protein diet.
B) There are dietary increases in all foods.
C) The person eats only snacks.
D) Calorie intake is increased to 2500 a day.
A) This is a high-protein diet.
B) There are dietary increases in all foods.
C) The person eats only snacks.
D) Calorie intake is increased to 2500 a day.
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55
Which is a sign or symptom of dysphagia?
A) Increased appetite
B) Eats quickly
C) Hoarseness
D) Constipation
A) Increased appetite
B) Eats quickly
C) Hoarseness
D) Constipation
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56
A person on a sodium-controlled diet can:
A) Have fruits and vegetables
B) Add salt at the table
C) Have bacon,ham,and sausage
D) Have tomato juice and cheese
A) Have fruits and vegetables
B) Add salt at the table
C) Have bacon,ham,and sausage
D) Have tomato juice and cheese
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57
A person's 24-hour intake was 1500 mL.You know that this amount:
A) Meets normal requirements
B) Is below normal requirements
C) Is above normal requirements
D) Was ordered by the doctor
A) Meets normal requirements
B) Is below normal requirements
C) Is above normal requirements
D) Was ordered by the doctor
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58
A person is on a bland diet.Which is correct?
A) Foods are high in roughage.
B) Foods are served at cooler temperatures.
C) Foods contain strong spices for taste.
D) Fried foods are not allowed.
A) Foods are high in roughage.
B) Foods are served at cooler temperatures.
C) Foods contain strong spices for taste.
D) Fried foods are not allowed.
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59
A high-fiber diet is ordered for:
A) Constipation and GI disorders
B) Diarrhea
C) Anemia
D) Liver and kidney disorders
A) Constipation and GI disorders
B) Diarrhea
C) Anemia
D) Liver and kidney disorders
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60
A resident is on aspiration precautions.Where will you find instructions about special feeding needs?
A) The person's care plan
B) The Kardex
C) The person's chart
D) The person's meal tray
A) The person's care plan
B) The Kardex
C) The person's chart
D) The person's meal tray
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61
A resident is visually impaired.You need to do which of the following?
A) Feed the person.
B) Identify the food on the tray.
C) Tell the person to feel for her food on the plate to determine where the food is.
D) Ask the person to open her own cartons.
A) Feed the person.
B) Identify the food on the tray.
C) Tell the person to feel for her food on the plate to determine where the food is.
D) Ask the person to open her own cartons.
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62
You are going to feed a resident.You need to do which of the following?
A) Say a prayer for the person.
B) Sit behind the person.
C) Engage the person in pleasant conversation.
D) Offer fluids after the meal.
A) Say a prayer for the person.
B) Sit behind the person.
C) Engage the person in pleasant conversation.
D) Offer fluids after the meal.
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63
A resident has 3 fluids on his tray.How many straws will you need?
A) 1
B) 2
C) 3
D) 0
A) 1
B) 2
C) 3
D) 0
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64
Intake and output are totaled:
A) Every 2 hours
B) Every 4 hours
C) At the end of the shift
D) At least once during an 8-hour shift
A) Every 2 hours
B) Every 4 hours
C) At the end of the shift
D) At least once during an 8-hour shift
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65
Calorie counts are ordered for a resident.What should you do?
A) Record the number of calories ingested.
B) Note what the person ate and how much.
C) Measure and record the number of calories ingested.
D) Keep I&O records.
A) Record the number of calories ingested.
B) Note what the person ate and how much.
C) Measure and record the number of calories ingested.
D) Keep I&O records.
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66
You are feeding a patient.You need to serve foods with a:
A) Fork
B) Teaspoon
C) Knife
D) Straw
A) Fork
B) Teaspoon
C) Knife
D) Straw
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67
The doctor ordered "restrict fluids" for a patient.Which action is correct?
A) Record the person's intake.
B) Provide a pitcher of water.
C) Keep the water pitcher within the person's reach.
D) Offer a variety of fluids.
A) Record the person's intake.
B) Provide a pitcher of water.
C) Keep the water pitcher within the person's reach.
D) Offer a variety of fluids.
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68
A patient's coffee cup holds 250 mL.The person did not drink all the coffee.You measure that 75 mL of coffee remain.How much did the person drink?
A) 100 mL
B) 200 mL
C) 175 mL
D) 125 mL
A) 100 mL
B) 200 mL
C) 175 mL
D) 125 mL
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69
You did not serve a resident's tray promptly.What should you do?
A) Check the food temperature.
B) Order another tray.
C) Serve the tray as soon as possible.
D) Reheat the food in a microwave oven.
A) Check the food temperature.
B) Order another tray.
C) Serve the tray as soon as possible.
D) Reheat the food in a microwave oven.
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70
A male resident is on I&O.When urinating,he needs to use:
A) The toilet
B) A graduate
C) A specimen pan
D) The urinal
A) The toilet
B) A graduate
C) A specimen pan
D) The urinal
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71
A patient is NPO.This means that the person:
A) Cannot eat or drink anything
B) Has dysphagia
C) Needs a feeding tube
D) Can have fluids every 6 to 8 hours
A) Cannot eat or drink anything
B) Has dysphagia
C) Needs a feeding tube
D) Can have fluids every 6 to 8 hours
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72
You are feeding a patient.You need to serve:
A) Foods as directed on the dietary card
B) Foods in the order you would eat them
C) Foods in the order the person prefers
D) Hot foods first and cold foods last
A) Foods as directed on the dietary card
B) Foods in the order you would eat them
C) Foods in the order the person prefers
D) Hot foods first and cold foods last
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73
The doctor ordered "encourage fluids" for a patient.Which action is correct?
A) Offer fluids to person who cannot feed herself.
B) Place an NPO sign above the person's bed.
C) Offer the person water only.
D) Limit fluids.
A) Offer fluids to person who cannot feed herself.
B) Place an NPO sign above the person's bed.
C) Offer the person water only.
D) Limit fluids.
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74
Older persons are at risk for dehydration because:
A) They have kidney disease
B) The amount of body water decreases with age
C) They produce more urine than younger persons
D) They depend on others for drinking water
A) They have kidney disease
B) The amount of body water decreases with age
C) They produce more urine than younger persons
D) They depend on others for drinking water
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75
Which will help prevent the spread of infection when providing drinking water?
A) Make sure the water pitcher is labeled with the person's name and room and bed number.
B) Only touch the rim of the water glass or pitcher.
C) Let the ice scoop only touch the rim or inside of the water glass or pitcher.
D) Store the ice scoop in the ice dispenser.
A) Make sure the water pitcher is labeled with the person's name and room and bed number.
B) Only touch the rim of the water glass or pitcher.
C) Let the ice scoop only touch the rim or inside of the water glass or pitcher.
D) Store the ice scoop in the ice dispenser.
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76
When do patients and residents need fresh drinking water?
A) Every day
B) Every 8 hours
C) Every shift and whenever the pitcher is empty
D) With each meal and at bedtime
A) Every day
B) Every 8 hours
C) Every shift and whenever the pitcher is empty
D) With each meal and at bedtime
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77
Between-meal nourishments are served:
A) 2 hours after main meals.
B) When they arrive on the nursing unit
C) When residents request a snack
D) At bedtime
A) 2 hours after main meals.
B) When they arrive on the nursing unit
C) When residents request a snack
D) At bedtime
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78
Four residents sit at a horseshoe-shaped table for meals.They are able to feed themselves.This is known as:
A) Social dining
B) Family dining
C) Assistive dining
D) Low-stimulation dining
A) Social dining
B) Family dining
C) Assistive dining
D) Low-stimulation dining
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79
Infants and young children:
A) Need more fluids than adults do
B) Need less fluids than adults do
C) Need the same amount of fluids as adults do
D) Will drink fluids when they are thirsty
A) Need more fluids than adults do
B) Need less fluids than adults do
C) Need the same amount of fluids as adults do
D) Will drink fluids when they are thirsty
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80
A resident has the following items on her meal tray.Which is counted as fluid intake?
A) Butter
B) Gravy
C) Soup
D) Applesauce
A) Butter
B) Gravy
C) Soup
D) Applesauce
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