RN Nutrition Online Practice 2019 A

A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old infant. Which of the following statements by the guardian indicates an understanding of the teaching?"I will introduce a new solid food every 5 days."A nurse at a long-term care facility is monitoring a client during mealtime who has Parkinson's disease. Which of the following findings should the nurse identify as the priority?The client drools while eating.A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing?The client consumes 1,000 kcal dailyA nurse is providing teaching to a client who has diabetes mellitus and HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value?"This shows that I have not been following my diet."A nurse is teaching a client about stress management. Which of the following statements by the client indicates an understanding of the teaching?"I will take a long walk every evening."A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral diet. The client asks the nurse why the TPN is being continued since he is now eating. Which of the following responses should the nurse make?"You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued."A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solutions. Which of the following actions should the nurse take?Infuse dextrose 10% in water when the current infusion ends.A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?DiaphoresisA nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client's plan of care?Select grains with less than 2 g fiber per serving.A nurse is providing dietary teaching to a client who is postoperative following a gastric bypass procedure. Which of the following instructions should the nurse include?Begin each meal with a protein.A nurse if evaluating a client who is receiving a continuous enteral feeding and has diarrhea. Which of the following actions should the nurse take to reduce the client's diarrhea?Decrease the rate of the feeding.A nurse is assessing a client who has an elevated blood pressure, headache, and is sweating. The client recently started taking an MAOI. The nurse should question the client regarding the consumption of which of the following foods?Cheddar cheeseA nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the teaching?Season foods with herbs and spices.A nurse is providing discharge teaching to a postpartum client about breast milk use and storage. Which of the following statements should the nurse make?"You cannot place thawed breast milk back in the freezer."A nurse is teaching an adolescent who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching?"I need to eliminate rye from my diet."A nurse is reviewing the laboratory values of a group of clients. Which of the following clients should the nurse identify as experiencing dehydration?A client who has a sodium level of 150 mEq/LA nurse is providing education to an adolescent about making nutrient-dense food choices. Which of the following statements by the client indicates an understanding of the teaching?"Canned pinto beans are a better choice than refried beans."A nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions should the nurse include in the teaching?Plan 5-min feedings on each breast on the first day after birth.A nurse is assessing a client for dysphagia following a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia?The client's voice changes after eating.A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include?"Plan to lose weight gradually at ½ to 1 pound per week."A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take?Provide a snack for the client after sunset.A nurse is creating a plan of care for a client who has mucositis following head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan of care?Increase fluid intake to 2 L per day.A nurse is assessing a client who had type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of the hypoglycemia?ConfusionA nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following is an expected finding?Increased glucoseA nurse is administering a continuous tube feeding at 60mL/hr with 50 mL of water every 4 hr. What should the nurse document as the total mL of eteral fluid administered during the 8hr shift?580 mLA nurse is preparing to bottle feed an infant who has a cleft lip. Which of the following actions should the nurse take to reduce the risk of aspiration?Squeeze the infant's cheeks together while feeding.A nurse is teaching about increasing dietary intake of micronutrients to a client who had difficulty seeing at night. Which of the following micronutrients should the nurse include in the teachings?Vitamin AA nurse is proving teaching to a client who has dumping syndrome and is experiencing weight loss. Which of the following instructions should the nurse include in the teaching?Consume liquids between meals.A nurse is caring for a client who has undergone a radical head and neck resection to treat cancer and is receiving radiation therapy. The nurse should monitor for which of the following potential adverse effects?Changes in the production of salivaA client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake.Add extra calories and protein to every meal.A nurse is developing an educational program about the glycemic index of foods for clients who have diabetes mellitus. Which of the following foods should the nurse identify as having the highest glycemic index?Baked potatoA nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect?Crackles in the lungsA nurse is providing information to a client who has a new prescription for atorvastatin. Which of the following beverages should the nurse include in the information as contraindicated while taking this medication?Grapefruit juiceA nurse in a provider's office is assessing a client who has HIV. The nurse should identify which of the following findings as an indication to increase the client's nutritional intake?Presence of herpes simplex virus infectionA nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take?Provide the formula as a continuous infusion.A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration?Monitor gastric residuals every 4 hr.A nurse is providing teachings about lowering solid fat intake to an adolescent client who usually consumes about 2,000 calories per day. Which of the following instructions should the nurse include?"Restrict your daily meat intake to 5 ounces."A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding?FlatulenceA nurse is preparing a health promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include?Eat at least 2.5 cups of fruits and vegetables each day.A nurse in a clinic is reviewing the laboratory findings of a client who recently began a Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following laboratory findings indicates the client has reached one of the goals of the DASH diet?Total cholesterol 190 mg/dLA nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following?Gain approximately 6.8 kg (15 lb).A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. Which of the following information should the nurses include?Leave the skin on when eating fruit.A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices would be appropriate for this client?Vegetable salad with cheeseA nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication?Leafy green vegetablesA nurse is providing teaching to a client who has dumping syndrome. Which of the following information should the nurse include?Apply pectin to foods.A nurse is teaching a client about measures to reduce the rick of osteomalacia. Which of the following instructions should the nurse include in the teaching?Consume 20 mcg of vitamin D daily.A nurse is providing teaching to a client who is a vegetarian and requires an increase in zinc intake. Which of the following foods should the nurse include in the teaching as the best source of zinc?Pinto beansA nurse is assessing a client's risk for pressure injuries using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale?3 (Adequate)A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following client statements indicates an understanding of the teaching?"I will eat four servings of unsalted nuts per week."A nurse is preforming a cultural nursing assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select all that apply.)"Are you exempt from fasting during illness?" "Does fasting mean refraining from drinking liquids?" "Does your fasting occur during certain hours of the day?" "Does fasting mean eating only a certain type of food?"