Question 1

The nurse is advising a patient who is concerned about the need to lose weight. When discussing daily nutritional requirements, the patient reports hating vegetables. Which statement best reflects the current recommendations appropriate for this patient?

Accepted Answer

It is important to incorporate vegetables into the daily diet as they are low in calories and rich in nutrients. However, it is also important to meet the patient where they are and find options that work for them. Offering specific suggestions such as incorporating a daily serving of carrots or spinach in a cooked or salad form may be a more feasible option for the patient rather than trying to force them to eat whole vegetables they dislike.

Question 2

During a nutritional assessment, a patient asks why the waist circumference measurement is needed. What is the nurse's best response?

Accepted Answer

Waist circumference measurement can be a reliable indicator of a patient's risk for cardiovascular disease. It can also provide information about abdominal adiposity and visceral fat, which are associated with increased risk for metabolic syndrome, type 2 diabetes, and other health conditions.

Question 3

The nurse is conducting a nutrition assessment on a patient who has been admitted for hip replacement surgery. The patient reports that he is Jewish and follows the kosher dietary tradition. Which statement by the nurse will have the greatest impact on the patient's nutritional health during his hospitalization?

Accepted Answer

D

Question 4

The nurse is reviewing written material on nutrition that is being distributed at a senior citizens center. The nurse recognizes that which statement does not accurately reflect the Dietary Guidelines for Americans, 2010 Edition and should be revised?

Accepted Answer

The Dietary Guidelines for Americans, 2010 Edition recommend that saturated fats should account for less than 10% of daily calories, not 30%. Therefore, the statement should be revised to reflect this recommendation.

Question 5

A patient is admitted for treatment of celiac sprue. Which nursing intervention is indicated to address this patient's nutritional needs?

Accepted Answer

Celiac sprue is an autoimmune disorder that results in damage to the lining of the small intestine when gluten-containing foods are consumed. The most effective nursing intervention to address nutritional needs is to identify gluten-containing foods and eliminate them from the diet. This will allow the small intestine to heal and promote absorption of essential nutrients. Consuming "new and improved" products or relying on oral lactase enzymes is not effective in treating celiac sprue. Iron and B vitamins are essential nutrients that should not be limited unless there is a specific reason to do so, such as an underlying medical condition that requires restriction of these nutrients.

Question 6

The nurse is providing care to a patient in the burn unit. What should the nurse do to ensure an adequate nutritional status for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is providing care to a...

Question 7

The mother of a 14-year-old boy is concerned that her son may have anorexia nervosa. Which statements by the mother would the nurse evaluate as supporting this concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The mother of a 14-year-old boy is...

Question 8

A patient is being weaned from parenteral nutrition. Which intervention would support the weaning process?

Accepted Answer

Weaning from parenteral nutrition should be done gradually, reducing the rate of the infusion according to protocol. Completely discontinuing the nutrition or abruptly changing to enteral or peripheral nutrition can lead to complications such as hypoglycemia or electrolyte imbalances.

Question 9

An elderly patient is admitted after being found alone in the home with no food available. Severe malnutrition is diagnosed and refeeding has been instituted. The nurse should plan to monitor this patient for which complications of this therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of An elderly patient is admitted after being...

Question 10

The nurse is caring for an elderly patient who recently experienced a cerebral vascular accident CVA, or stroke). The nurse will evaluate which assessment findings as indicating dysphagia? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Dysphagia, or difficulty swallowing, is a common complication after a stroke. Drooling can occur when there is difficulty controlling saliva due to weakness or paralysis of the muscles in the face and mouth. Pocketing food in the cheeks occurs when the patient is unable to move the food back to the tongue to initiate swallowing. Frequent throat clearing may indicate that the patient is trying to clear food or fluids that are stuck in the throat. Slurred speech and anorexia are not specific signs of dysphagia.

Question 11

The nurse is planning care for a postoperative patient who has just resumed a regular diet. What should the nurse include when planning for this patient's nutritional needs?

Accepted Answer

After surgery, the body is in a hypermetabolic state and requires additional calories and nutrients to heal and repair tissues. Therefore, the nurse should plan for an increase in the patient's daily caloric intake to support the recovery process. Protein intake should also be encouraged as it is essential for wound healing and tissue repair. Restricting carbohydrates or calories could compromise the patient's nutritional status and delay the healing process.

Question 12

The nurse has been providing nutritional education to a patient. Which statement would indicate the patient understands the information regarding low-sodium foods?

Accepted Answer

The answer of The nurse has been providing nutritional education...

Question 13

A patient with a nasogastric tube for intermittent enteral feedings has been coughing. Which intervention should the nurse perform prior to using the tube?

Accepted Answer

Coughing could indicate that the tube has become dislodged or is in the wrong position, so the nurse should reassess for correct placement before administering any further feedings.

Question 14

The nurse is planning care for a patient with liver cirrhosis and resultant ascites. What intervention should be included to ensure an adequate nutritional status for this patient?

Accepted Answer

Providing small, more frequent, high-protein meals can help ensure adequate nutrition for the patient with liver cirrhosis and ascites. This approach can help prevent malnutrition and muscle wasting, which are common in these patients. A diet that is too low in sodium may exacerbate fluid retention, while a very low-fat diet may not provide adequate energy and nutrients. Caloric intake should be individualized based on the patient's needs and may need to be adjusted as the disease progresses.

Question 15

A patient who has just been diagnosed with type 2 diabetes asks, "Is it okay for me to have an occasional glass of beer?" What is the nurse's best advice?

Accepted Answer

Moderate alcohol consumption is generally considered safe for individuals with type 2 diabetes, as long as it is consumed in moderation and paired with food to avoid hypoglycemia. Beer should be limited, however, due to its high carbohydrate content. Suggesting an occasional beer with food is a reasonable option.

Question 16

According to BMI measurements, a patient is overweight. Which additional assessments would the nurse perform to verify this conclusion? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Wrist circumference and elbow breadth are measurements commonly used to assess body frame size and confirm BMI results. The length of femur, head circumference, and maximum length from tip of thumb to tip of small finger are not relevant to verifying BMI measurements.

Question 17

The nurse is caring for a patient recovering from a total hip replacement. Which nutritional intervention is indicated?

Accepted Answer

After a total hip replacement, it's important to assess the patient's tolerance to diet and progress from clear liquids to more substantial foods as tolerated. This approach helps ensure the patient receives adequate nutrition for healing without causing gastrointestinal distress. Clear liquid diets are typically used initially for patients post-surgery to ensure they can tolerate oral intake, but the goal is to advance the diet as tolerated to meet nutritional needs.

Question 18

A patient receiving enteral feeding via a nasogastric tube NG) has also been prescribed several medications. What is the nurse's initial intervention?

Accepted Answer

The answer of A patient receiving enteral feeding via a...

Question 19

A patient is postoperative from kidney transplant. What nutritional care is appropriate for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A patient is postoperative from kidney transplant....

Question 20

The nurse is caring for a patient receiving an extensive regimen of chemotherapy. The nurse recognizes that the patient's ability to avoid muscle wasting during this treatment is most affected by which factor?

Accepted Answer

Pretreatment nutritional status is the most important factor in avoiding muscle wasting during chemotherapy. A well-nourished patient is more likely to maintain muscle mass during treatment. Management of nausea and vomiting, general attitude related to food, and nutritional value of foods are all important factors, but they are not as critical as the patient's pretreatment nutritional status.

Quiz 8: Nutrition