NUR 209 Exam 3: Questions & Answers
(Nutritional)
What independent nursing intervention can be implemented to stimulate appetite?
Administer prescribed medications.
Recommend dietary supplements.
Encourage or provide oral care.
Assess manifestations of malnutrition.(Ans- Encourage or provide oral care.
Explanation:
There are many methods of stimulating appetite in a client to prevent malnutrition. One independent nursing intervention that is useful is to encourage or provide oral care. Administering medications and recommending dietary supplements are useful but are not independent nursing actions. The health care provider would need to prescribe the medications. Assessing manifestations of malnutrition occurs after malnutrition is recognized.
A nurse is caring for a client with a history of cardiac and vascular disease.Which fats should the nurse allow in the client's diet for his condition?
unsaturated fats
trans fats
saturated fats 1 / 4
hydrogenated fats (Ans- unsaturated fats
Explanation:
Unsaturated fat is a healthier form of fat than saturated fat, because it contains less hydrogen, and therefore can be included in the client's diet.Saturated fats are lipids that contain as much hydrogen as their molecular structure can hold and are generally solid. Most saturated fats are found in animal sources, such as the marbled fat in meat. Saturated fats are responsible for cardiac and vascular diseases. Trans fats are unsaturated fats that have been hydrogenated, a process in which hydrogen is added to the fat. Consumption of trans fats, saturated fats, and hydrogenated fats increases the risk of coronary heart disease.
A nurse is assessing the volume of liquid nutrition that has been tube-fed to a client. What will happen if the volume of feeding exceeds the client's physiologic capacity?
diarrhea pallor obesity gastric reflux (Ans- gastric reflux
Explanation:
Overfilling the client's stomach can cause gastric reflux, regurgitation, vomiting, aspiration, and pneumonia. Exceeding the volume of feeding beyond a client's physiologic capacity does not lead to diarrhea, pallor, or obesity. As a rule of thumb, the gastric residual should be no more than 100 mL or no more than 20% of the previous hour's tube-feeding volume.
A nurse has just received a client's laboratory results and is reviewing them. Which finding should the nurse recognize as an indication of malnutrition or malabsorption?
- / 4
Serum albumin 2.8 g/dL (28 g/L) Hemoglobin (Hgb) 11.3 g/dL (113 g/L) Creatinine 1.9 mg/dL (168 µmol/L) Hematocrit (Hct) 56% (0.56) (Ans- Serum albumin 2.8 g/dL (28 g/L)
Explanation:
Normal serum albumin is 3.3 to 5 g/dL (33 to 50 g/L). Decreased albumin indicates malnutrition or malabsorption. Decreased Hgb indicates anemia.Increased creatinine indicates dehydration. Increased Hct indicates dehydration.
A nutritionist helps to plan a diet for a client with diabetes. Which food is a carbohydrate that should be included to help improve glucose tolerance?
Milk Eggs Oatmeal Nuts (Ans- Oatmeal
Explanation:
Oatmeal is a water-soluble carbohydrate that helps improve glucose tolerance in diabetics. Milk, eggs, and nuts are proteins.
A nurse calculates the BMI of a client during a general survey as 26. Under which category would this client fall?
underweight normal overweight obesity class I (Ans- overweight
Explanation: 3 / 4
This client has a BMI of 26, which falls in the category of overweight: 25.0
to 29.9. The other BMI values are: underweight, <18.5; normal, 18.5 to
24.9; obesity class I, 30.0 to 34.9; obesity class II, 35.0 to 39.9; and extreme obesity, 40.0+.
A nurse is caring for a client who has a vitamin B12 deficiency. Which food would the nurse recommend to help with this deficiency?
Liver Pork Cantaloupe Broccoli (Ans- Liver
Explanation:
The best foods from which to obtain B12 include organ meats and seafood.Pork provides thiamin. Cantaloupe provides vitamin B6; broccoli provides vitamin C.
The community nurse is educating client groups about nutrition. Which group does the nurse identify that will benefit most from nutritional counseling and intervention?
married, pregnant women over 30 years of age
double income, married individuals
older adults living on a fixed income
people who live in farming communities (Ans- older adults living on a fixed income
Explanation:
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