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Terms in this set (45)
a patient is admitted to the hospital with a history of liver dysfunction associated with hepatitis. With which metabolic problem does the nurse anticipate that this patient may have a problem
a nurse is assessing a patient who is admitted to the hospital with withdrawal from alcohol. WHich effect of alcohol on the body will influence the patients plan of care?
decreases the absorption of many important nutrients
An obese resident of a nursing home who is receiving a 1500-calorie weight reduction diet has not lost weight in the past two weeks. What should the nurse do?
keep a log of the oral intake for 3 days
a patient of Latino heritage is prescribed a low-fat diet. the patient tells the nurse I am going to have a hard time giving up my favorite family recipes. Which should the nurse recommend that is low in fat and generally is included in Latino culture
a patient is diagnosed with a vitamin a deficiency. which type of pie should the nurse encourage the patient to ingest
a patient is anorexic because of stomatitis related to chemotherapy. which should the nurse be most concerned about when planning care for this patient
a nurse is counseling a patient with the diagnosis of osteoporosis. In addition to calcium, which vitamin supplements should the nurse anticipate that the primary health care provider will prescribe this patient
An older adult is admitted to the hospital for multiple health problems. assessment reveals that the patient has no teeth and is having difficulty eating. which diet should the nurse encourage the primary health care provider to order for this patient
a nurse is caring for patients with a variety of nutrition-related problems. which problem eventually may require a patient to have nasogastric feeding tube inserted
a nurse is caring for a patient who is confused and disoriented. which type of food containing chicken is most appropriate for this patient
an older adult tends to bruise easily and the primary health care provider recommends that the patient eat food high in vitamin K, the nurse should include nutrients that must be ingested for vitamin K to be absorbed. Which foods that increase the absorption of vitamin K should be included in the teaching plan
a school nurse is preparing a health class about vitamins. which information about vitamins that is based on a scientific principle should the nurse include.
eating a variety of foods prevents the need for supplements
a patient without any identified current health problems is having a yearly physical examination. the lab results indicate the presence of ketosis. which rationale explains the presence of ketosis in this otherwise healthy adult
inadequate intake of carbohydrates
which vitamin should a nurse teach a patient does not require fat in the diet to be absorbed
an occupational nurse is facilitating a weight reduction group discussion. which should the nurse explain is the most common contributing factor of obesity
excessive caloric intake
a nurse is evaluating the effectiveness of a nutritional program for a patient with anemia. which clinical finding is a short-term indicator of an improved nutritional status
increasing transferring level
a patient is diagnosed with iron deficiency anemia. which major cause of iron deficiency will influence a focused assessment by the nurse
a primary health care provider identifies that a patient may have a fluoride deficiency. which physical characteristic supports this conclusion
a nurse identifies that a vegetarian understands the importance of eating kidney beans when the patient indicates that they are essential because they contain which nutrients
which is the most common independent nursing intervention to help a hospitalized debilitated older adult maintain body weight
providing assistance with the intake of meals
an adult female patient with which total cholesterol level required health teaching about a low cholesterol diet
a nurse is caring for a patient who is expending energy that is greater than the patients caloric intake. which human response will occur
a nurse is reviewing the lab findings of a patient to assess the patients nutritional status. which lab result from among the following tests is an indicator of inadequate protein intake
low serum albumin
a patient of asian heritage is recommended to follow a low-fat diet to lose weight. which food low in fat generally is consumed by members of an asian population
hot and sour soup
a nurse is teaching a patient about the importance of balancing protein. carbohydrates, and fats in the diet. the nurse identifies that the teaching about carbohydrates is understood when the patient states the carbohydrates are known for providing which of the following
A patient has been blind in one eye for several years because of the complications associated with diabetes mellitus. The patient is admitted to the hospital with a detached retina and resulting loss of sight in the other eye. Which should the nurse do to assist this patient with meals?
explain to the patient where items are located on the plate according to the hours of a clock
which is unrelated to the balance of calcium in the body
a nurse is caring for a patient receiving bolus enteral feedings several times daily. which nursing interventions is most important to help prevent diarrhea
discard the refrigerated opened cans of formula after 24 hours
a nurse teaches a patient about the prescribed low-fat diet. which foods selected by the patient indicate that the teaching was understood
turkey, scallops, flounder
a patient has a high serum cholesterol level. which foods should the nurse teach the patient to avoid
liver and shrimp
a primary health care provider prescribes folic acid 0.8mg PO once daily for a patient with anemia. unit dose tablet of 0.4 mg/tablet are available. how many tablets should the nurse administer
a patient has a decreased hemoglobin level because of low intake of dietary iron. which foods should the nurse teach the patient that are excellent sources of iron
meat and spinach
a primary health care provider orders a low residue diet for a patient with an inflammatory bowel disease. whichfoods should the nurse teach the patient to include in the diet
A patient is admitted to the hospital with a diagnosis of alcoholism. The primary health-care provider prescribes thiamine hydrochloride (vitamin B 1 ) 50 mg IM three times a day. The drug is supplied 100 mg/mL. Indicate on the syringe the line to which the nurse should ﬁ ll the syringe to administer the prescribed dose.
A patient has multiple fractures from a skiing accident. To best facilitate bone growth the nurse should encourage the patient to eat more foods high in calcium. Which foods selected by the patient indicate an understanding of foods that are high in calcium?
low fat yogurt
a nurse is obtaining a health history from a patient. which information reflects healthy behaviors
substituting fish for meat in the diet
consuming 4 eggs a week
eating foods low in fat
A nurse is caring for a postoperative patient. The nurse reviews the patient's concurrent health problems, checks the medications prescribed by the primary health-care provider, and performs a focused assessment. Which should the nurse do at 12 p.m.
administer 5 units of regular insulin subcutaneously to the patient
A primary health-care provider orders a clear liquid diet for a patient. Which foods should the nurse teach the patient to avoid when following this diet? Select all that apply.
A nurse teaches a postoperative patient about foods high in protein that will promote wound healing. Which food selection by the patient indicates that the teaching was effective
meat and cheese
A nurse must obtain the serum glucose level of a patient with diabetes mellitus. The nurse completes all the initial preparations for the procedure including verifying the order, identifying the patient, and washing the hands. Place the following steps in the order in which they should be performed
don clean gloves
hold the patients finger in a dependent position
wipe the intended puncture side with an approved antiseptic
puncture the side of the end of a finger with a sterile lancet.
wipe away the first drop with sterile gauze
drop the second drop of blood on the reagent strip
A patient is scheduled for surgery and the nurse is teaching the patient about the importance of vitamin C in wound healing. Which sources of vitamin C should the nurse include in the teaching plan?
potatoes and papayas
A nurse is administering enteral nutrition via the method depicted in the photograph. Identify the steps that should be implemented when administering enteral nutrition via this method
administer water after the feeding
ensure that the formula is at room temperature
add formula continuously to the syringe just before it empties
A young adult woman tells the nurse that she has been taking St. John's wort for several weeks for depression. Which should the nurse teach the patient that is important to know about taking St. John's wort
St. John's wort should not be taken without an evaluation by a primary health-care provider. Use an additional method of birth control if taking an oral contraceptive. . Discontinue it 2 weeks before surgery with general anesthesia.
Apply sunscreen to skin exposed to the sun.
An older adult states that he is experiencing all the signs and symptoms of an enlarged prostate and is interested in taking the herbal supplement saw palmetto. Which is important for the nurse to teach the patient about treatment with saw palmetto?
It should not be taken until after a workup by a urologist.
Taking saw palmetto is generally safe as a dietary supplement. Some patients report an improvement in erectile dysfunction after taking saw palmetto.
A nurse is providing for the nutritional needs of several patients. Which problems increase patients' caloric requirements
burns and pneumonia
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