問題一覧
1
which advice would the nurse give a newly diagnosed client with diabetes regarding dietary intake? SATA
it is very important that you eat a healthy breakfast each morning, "Cutting out beverages that contain sugar such as soda is an important first step., "You may need to limit your carbohydrate intake to 45 to 60 grams at each meal.", "It is important to avoid foods that contain a lot of saturated fat, such as fatty cuts of meat, poultry skin, and cheese.", "Fiber in foods like beans, whole grains, fresh fruits, and vegetables will slow the absorption of carbohydrates."
2
Which dietary information would be included when teaching a parent about specific foods allowed on a gluten-free diet?
Labels of prepared foods must be read carefully.
3
Which deficiency is the most common in the older adult and can result in dizziness and falls?
Water
4
Which is the priority nursing intervention when planning nursing care for an adolescent client with anorexia nervosa?
Rewarding weight gain by increasing privileges
5
To which client population would the nurse teach specialized information about the development of a cough when prescribed an angiotensin-converting enzyme (ACE) inhibitor in the treatment of heart failure?
Asian American
6
Which principle would the nurse use in promoting health of the older adult?
There is a strong correlation between successful retirement and maintaining health.
7
Which statement regarding developmental changes in older adults indicates the need for additional learning?
"Immobilization in older adults is only caused by degenerative disease.
8
Which is the best communication technique for the nurse to use when beginning to teach the client about a restricted diet?
Ask what the client knows about the diet that was prescribed.
9
An obese client who has type 2 diabetes asks about the intake of alcohol and special "dietetic" food in the diet. Which information would the nurse include in teaching?
Alcohol can be consumed with its calories counted in the diet.
10
Which information would a nurse include when discussing prevention of esophageal reflux with a client who is 5 ft 3 in tall, weighs 140 lb, and has a hiatal hernia?
"Reduce your caloric intake to foster weight reduction."
11
When the nurse is assessing an older client as he or she walks into the examination room, which finding is documented as abnormal?
Wearing an excessive amount of cologne
12
A child's body mass index (BMI) is 26. Which dietary habit would increase the health risks in the child? Select all that apply.
Avoiding beans and legumes in the diet, Excluding calcium-rich foods from the diet
13
Which item would be specifically included on a full liquid diet?
Refined cooked cereals
14
Which question would the nurse ask a client diagnosed with an oral cancerous lesion when assessing the client's need for related health education?
"Have you noticed any change in your appetite?"
15
Which prescription would the nurse question when reviewing the plan of care for a client with inadequate nutritional intake?
Give one can of diet supplement at 8:00 am and 4:00 pm.
16
When a client with acute kidney disease questions the need for a protein-restricted diet, which response would the nurse make?
This diet supplies only essential amino acids and reduces the amount of metabolic waste products, which decreases stress on the kidneys.
17
Which precipitating factor for depression is most common in the older adult without cognitive problems? Select all that apply.
Multiple losses, Declines in health
18
Which age-related change would the nurse consider when formulating a plan of care for an older adult? Select all that apply.
Increased sensitivity to glare, Diminished sensation of pain
19
Which cultural factor may influence the development of eating disorders?
Industrialized societies
20
Which service to provide structured, age-appropriate activities for aging parents would help a middle-aged child who works?
Adult day care
21
Which element is important to include in the diet for a client with hepatic cirrhosis? Select all that apply.
Low protein, Low sodium, High vitamins
22
How would the nurse document the stool of a client with steatorrhea?
Bulky and foul-smelling
23
Which topic would the nurse need to teach the client about after hearing the client state, "I only eat meat once a week because old people don't need protein every day"?
The foods that meet basic nutritional needs
24
Which food selection by a client with celiac disease indicates that the nurse's dietary teaching is successful? Select all that apply.
Green beans, Baked potato
25
A client is admitted with a tentative diagnosis of acute pancreatitis. The medical and nursing measures for this client are aimed toward decreasing metabolic rates, promoting rest, maintaining fluid and electrolyte balance, and decreasing anxiety. Which intervention would the nurse implement to achieve these outcomes? Select all that apply.
Administer analgesics., Teach relaxation exercises., Monitor cardiac rate and rhythm.
26
Which criteria would the nurse consider when determining if an infection should be categorized as a health care-associated infection?
Occurred in conjunction with treatment for an illness
27
Which suggestion would the nurse make to help overcome first-trimester morning sickness?
"Eat protein before bedtime."
28
Which chart entry shows that the nurse has an effective understanding about the dietary practices of clients of different cultures?
African Americans
29
Which breakfast items would the client select when on a diet of 30 g of fiber a day?
Oatmeal, sliced bananas, whole-wheat toast, and milk
30
A nurse is caring for an alert client who has diabetes and is receiving an 1800-calorie American Diabetic Association diet. The client's blood glucose level is 60 mg/dL. The health care provider's protocol calls for treatment of hypoglycemia with 15 g of a simple carbohydrate. Which action would be implemented by the nurse?
Ask the client to ingest one tube of glucose gel.
31
Which response by a nurse caring for an 80-year-old client with Alzheimer disease would be appropriate to a family member who remarks how thin and wrinkled the client has become?
'With aging we lose the tissue that helps puff out the skin.
32
Which teaching would the nurse provide to help prevent future bleeding episodes for a client who has recent recurrent episodes of bleeding hemorrhoids?
Consume a high-fiber diet and drink adequate water.
33
Which type of diet would the nurse expect the primary health care provider to prescribe after an acute episode of hepatitis?
High-calorie, high-protein, high-carbohydrate, moderate-fat
34
Which nursing action would the nurse implement to best meet the needs of a client with malabsorption syndrome?
Encourage the consumption of high- protein foods.
35
When providing discharge instructions for a client, treated with a radium implant for cancer of the cervix, which essential information would the nurse include?
Return for follow-up care.
36
During interaction with the mother of a client, the nurse begins to suspect that the client has anorexia nervosa. Which assessment information about the client supports the nurse's suspicion?
Believes they are too fat
37
Which component of a therapeutic diet would the nurse encourage the client recovering from an acute episode of alcoholism to consume?
High-protein
38
Which term is used to describe a group of people who share biologic physical characteristics?
Race
39
Which data collection would the nurse perform on an older adult in the geropsychiatric unit as part of the functional assessment?
Ability to perform activities of daily living
40
Which recommendation by the nurse is appropriate to a group of adolescents who are being taught about nutrition and the prevalence of overweight teenagers?
Decrease fast-food intake.
41
When discussing nutritional changes for a client with uric acid calculi, the nurse would recommend the client avoid which food type?
High purine
42
Which type of diet would the nurse expect the health care provider to prescribe a client who has intermittently been having painful, swollen knee and wrist joints during the past 3 months and is diagnosed with rheumatoid arthritis?
Regular diet with vitamins and minerals
43
Which is a characteristic of the pathophysiology of celiac disease?
Inability to metabolize gluten
44
Which statement would the nurse include in the dietary teaching about the prescribed diet after a Whipple procedure for cancer of the pancreas?
"Low-fat meals will be eaten to prevent interference with your fat digestion mechanism.
45
Which information would the nurse include in the teaching plan regarding discomfort caused by fatty foods for a client with a history of cholelithiasis?
Bile flow into the intestine is obstructed.
46
Which statement by a client with hypertension prescribed a 2-g sodium diet provides evidence that the nurse's dietary instructions are understood?
"Labels on prepackaged food products should be evaluated before purchase."
47
Which cell organelle helps in spindle formation during mitosis?
centrioles
48
A client with diabetes asks how exercise will affect insulin and dietary needs. Which response by the nurse is appropriate?
"Exercise increases the need for carbohydrates and decreases the need for insulin.
49
Which lunch selected by the client indicates understanding about the dietary principles associated with viral hepatitis?
Salad, sliced chicken sandwich, and gelatin dessert
50
Which behavior exhibited by the nurse demonstrates cultural sensitivity in communication? Select all that apply.
Understanding that a Russian client may use silence to indicate consensus between parties, Letting a client of Chinese descent be silent for a while before replying to a question the nurse has posed