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?
A. I will drink two glasses of whole milk daily.
B. I will decrease the potassium in my
C. I will eat four servings of unsalted nuts per week.
A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
A. Diaphoresis
B. Bradycardia
C. Abdominal cramps
D. Acetone breath
A. Diaphoresis
A nurse is providing teaching for a client who has a new prescription for nifedipine. Which of the following foods should the nurse instruct the client to avoid?
A. Milk
B. Aged cheese
C. Grapefruit juice
D. Bananas
C. Grapefruit juice
A nurse is teaching a client about stress management. Which of the following statements by the client should indicate to the nurse that the client understands the teaching?
A. I will take a long walk every evening.
B. I will keep a daily diet and activity
A. I will take a long walk every evening.
A nurse is providing dietary teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc?
A. 1 cup of apple slices
B. 4 oz of low-fat cottage
C. 4 oz of ground beef patty
A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and is receiving chemotherapy. Which of the following statements made by the client indicates an understanding of the teaching?
A. I will thaw my food at
B. I will discard leftover food after 3 days.
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory findings indicates that the TPN therapy is effective?
A. Calcium 8 mg/mL
B. Hemoglobin 9 g/dL
C. Prealbumin 30 mg/dL
D. Cholesterol 140 mg/
C. Prealbumin 30 mg/dL
A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes mellitus. Which of the following findings indicates the client's plan of care is effective?
A. Serum creatinine 1.5 mg/dL
B. BUN 25 mg/dL
C. HbA1c 6.5%
D. Pre-mea
C. HbA1c 6.5%
A nurse is providing information regarding breastfeeding to the parents of a newborn. Which of the following statements should the nurse make?
A. Breast milk is nutritionally complete for an infant up to 6 months of age
B. Iron-fortified infant formulas a
A. Breast milk is nutritionally complete for an infant up to 6 months of age
A home health nurse is providing dietary teaching to the parents of a 3-year-old child. Which of the following statements by the parents should the nurse identify as understanding of the teaching?
A. I will offer my child a cup of peanut butter to dip her
D. I will put low-fat milk in her cup for her to drink
A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of the following information should the nurse include in the teaching?
A. Increase intake of fresh fruit high in fructose
B. Limit foods that contain probiotics
C. Take pepp
C. Take peppermint oil during exacerbation of manifestations
A nurse is leading a discussion at a prenatal education class with a group of expectant mothers who plan to breastfeed. Which of the following instructions should the nurse include in the teaching?
A. Offer supplemental formula until the milk supply is es
D. Plan 5 min feedings on each breast on the first day after birth
A nurse is caring for a client who is receiving continuous enteral feedings via an NG tube. Which of the following actions should the nurse take to reduce the risk for aspiration if the client develops abdominal distention?
A. Place the client on bed rest
B. Position the client on his right side
A nurse is providing teaching to client who reports nausea during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A. I should drink liquids with meals
B. I will eat dry cereal before I get out of bed
B. I will eat dry cereal before I get out of bed
A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching?
A. I am including vegetables as starch items in
C. I know the serving size can affect the number of carbohydrates I eat
A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order should the nurse perform the following actions before beginning the feeding?
A. Flush tubing with 30 mL water
B. Place the client in Fowler's position
C. Chec
B. Place the client in Fowler's position
D. Verify tube placement
C. Check the residual
A. Flush tubing with 30 mL water
A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon?
A. Monitor blood glucose levels during the night
B. Check for urinary ketones at the same time eac
A. Monitor blood glucose levels during the night
A client reports constipation during a routine checkup. The client was previously encouraged to increase his intake of mineral supplements. Which of the following minerals should the nurse identify as the case of the constipation?
A. Phosphorus
B. Potassi
D. Calcium
A 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?
A. Use simple sugars to sweeten foods
B. Remain upright for 1 h
D. Select grains with less than 2 g fiber per serving
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?
A. Sweet corn
B. Macaroni
C. Baked potato
D
C. Baked Potato
A nurse in a clinic is providing nutritional counseling to a client who wants to lose weight. The nurse should identify that which of the following statements indicates that the client understands the counseling?
A. I will taste my foods while I am cookin
C. I will make a list before I go grocery shopping
A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following is an expected finding?
A. Increased serum calcium
B. Decreased serum bilirubin
C. Increased serum glucose
D. Decreased serum alkaline phosphatase
C. Increased serum glucose
A nurse is performing dietary teaching with a client who has a family history of cardiovascular disease. Which of the following statements should the nurse include in the teaching?
A. Restrict your dietary potassium intake
B. Increase your dietary fiber i
B. Increase your dietary fiber intake
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. Which of the following findings should indicate to the nurse that the client is at risk for impaired wound healing?
A. Hgb 15 g/dL
B. Serum albumin 3.0 g/dL
C. Prothrombin t
B. Serum albumin 3.0 g/dL
A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding?
A. Flatulence
B. Bloody stools
C. Hyperemesis
D. Steatorrhea
A. Flatulence
A nurse in a long-term care facility is monitoring a client who has Parkinson's disease during mealtime. Which of the following findings should the nurse identify as the priority?
A. The client eats all of his cake and a few bites of bread
B. The client d
B. The client drools while eating
A nurse is updating a plan of care for a client who is receiving intermittent enteral feedings and is experiencing diarrhea. Which if the following interventions should the nurse include in the plan?
A. Discard the client's opened cans of formula within 4
C. Feed the client in small, frequent volumes
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 solution. Which of the followi
C. Infuse dextrose 10% in water when the current infusion ends
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?
A. Place the client on NPO status during nighttime hours
B. Provide
B. Provide a snack for the client after sunset
A 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?
A. Pasta with white sauce is a better choice than pasta with red sauce
B.
C. Canned pinto beans are a better choice than refried beans
A nurse is providing teaching to a client who has Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?
A. I will take a fiber supplement daily
B. I will eat eggs for breakfast
C. I will drink whole m
B. I will eat eggs for breakfast
A 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?
A. Maintain her current BMI
B. Gain approximately
B. Gain approximately 6.8 kg (15 lb.)
A nurse is planning to provide dietary teaching to a client who has chronic kidney disease and is prescribed hemodialysis. Which of the following actions should the nurse plan to take?
A. Create a schedule for the client to limit fluid intake
B. Provide t
C. Determine whether the client has culture-related food preferences
A nurse is caring for a client who is being treated for cancer using chemotherapy. Which of the following interventions should the nurse suggest to aid in management of treatment-related changes in taste?
A. Use plastic utensils
B. Limit fluids with meals
A. Use plastic utensils
A nurse is planning care for a client who has a new prescription for enteral nutrition by intermittent tube feeding. Which of the following actions should the nurse include in the plan of care?
A. Use cooled formula for feeding
B. Initiate the feeding at
D. Increase the volume of formula over the first four to six feedings
A nurse is providing discharge teaching to a client who has a new ileostomy. Which of the following dietary guidelines should the nurse include in the teaching?
A. Plan to reduce dietary salt intake
B. Cook foods with limited amounts of pasta products
C.
C. Prepare meals on a schedule
A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. Which of the following information should the nurse include?
A. Resume a regular diet by 4 weeks after surgery
B. Add high-fiber foods to your die
C. Increase your intake of foods containing pectin
A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake?
A. Recommend cooking aromatic foods to stimulate appetite
B. Serve hot foods rather
D. Add extra calories and protein to every meal
A nurse is teaching a client who is overweight about nutritional recommendations during pregnancy. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?
A. I should take an iron suppleme
A. I should take an iron supplement during pregnancy
A nurse is assessing an older adult client for dysphagia following a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia?
A. The client reports abdominal pain after eating
B. The client has an increase in bowe
D. The client has a change in his voice after eating
A nurse is providing teaching regarding diet modifications to a client who is at a high risk for cardiovascular disease. The client is accustomed to traditional Mexican foods and wants to continue to include them in her diet. Which of the following recomm
A. Use canola oil instead of lard for frying
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 is an appropriate response by the nurs
B. You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued
A 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?
A. T-helper (CD4+) cells 700/mm3
B. Presence of herpes simplex virus
B. Presence of herpes simplex virus infection
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?
A. Grapefruit juice
B.
D. Cheddar cheese
A nurse is administering a continuous tube feeding at 60 mL/hr with 50 mL of water every 4 hr. What should the nurse document as the total mL of enteral fluid administered during the 8 hr shift?
60 mL x 8 = A mL
50 mL x 2 = B mL
A mL + B mL = Answer mL
580 mL
A nurse is educating a group of women about vitamin and mineral intake during pregnancy. Which of the following should the nurse instruct the women to avoid taking at the same time as iron supplements?
A. Magnesium
B. Vitamin B12
C. Vitamin A
D. Calcium
D. Calcium
A nurse is assisting a client who has dysphagia with an oral feeding. Which of the following actions should the nurse take? (Select all that apply)
A. Gently palpate the client's throat during swallowing
B. Position the client in a semi-Fowler's position
A. Gently palpate the client's throat during swallowing
C. Inspect for food pockets in the mouth before feeding
D. Allow the client to rest for 30 min before meals
A nurse is providing information about cardiovascular risk to a client who has received his lipid panel report. Which of the following is within an expected reference range to include in the information?
A. Total cholesterol 210 mg/dL
B. HDL 79 mg/dL
C. T
B. HDL 79 mg/dL
A nurse is planning strategies to reduce the intake of solid fats for a client who has hyperlipidemia. Which of the following strategies should the nurse include in the plan?
A. Choose cheese with 4 g of fat per serving
B. Limit eating four eggs with yolk
D. Limit meat to 5 oz. per day
A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amounts of calcium?
A. 1 cup avocado
B. 2 tablespoons peanut butter
C. 1/2 cup roasted sunflowe
D. 1/2 cup roasted almonds
A nurse is caring for a client who practices Orthodox judaism and adheres to a kosher diet. Which of the following food choices would be appropriate for this client?
A. Vegetable salad with cheese
B. Lean cuts of pork
C. Turkey and cheese on rye bread
D.
A. Vegetable salad with cheese
A nurse is teaching a client who has a prescription for ferrous sulfate about food interactions. Which of the following statements indicates that the client understands the teaching?
A. I can take this medication with juice
B. I can take this medication w
A. I can take this medication with juice
A nurse is reviewing the introduction of solid foods with the parent of a 4-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
A. My baby should consume 2 tablespoons of solid food at each feeding
D. I will introduce a new solid food every 5 days
A nurse is providing 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?
A. Consume liquids between meals
B. Increase intake of simple carbohydrates
C
A. Consume liquids between meals
A nurse is planning care for a client who is obese and wants to lose weight. Which of the following action should the nurse take first?
A. Recommend checking weight once weekly
B. Obtain a 24-hr dietary recall
C. Assist with creating an exercise plan
D. I
B. Obtain a 24-hr dietary recall
A nurse is planning nutritional teaching for the parents of a toddler who has failure to thrive. Which of the following instructions should the nurse include in the teaching? (Select all that apply)
A. Eliminate environmental disruptions during meals
B. S
A. Eliminate environmental disruptions during meals
D. Schedule meal times at the same time each day
A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching?
A. Eat at least three well-proportioned, large meals a day
B. Drink low-protein, low-calorie nutrition formulas
D. Consume foods that are soft in texture and easy to chew
A nurse is preparing a health promotion seminar for a group of clients about cancer prevention. Which of the following information should the nurse include in the seminar?
A. Consume high-calorie foods and beverages at meal time
B. Eat at least 2.5 cups o
B. Eat at least 2.5 cups of fruits and vegetables each day
A nurse is teaching a client about dietary recommendations during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A. I should avoid a vegetarian diet during pregnancy
B. I should decrease my intake of
D. I should gain 30 pounds during pregnancy, since I am at an average weight
A nurse is caring for a client who has advanced Parkinson's disease and dysphagia. Which of the following actions should the nurse take?
A. Turn the television on to distract the client during meals
B. Give the client fluids to clear his mouth of solid fo
C. Offer the client a high-calorie diet