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1)     nurse is reviewing the medication administration record for

a client who is 2 day postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?
·        Verapamil
·        Omeprazole
·        Zolmitriptan
·        Prednisone
2)   nurse is assessing client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?
·        Continuous smiling
·        Hoarse voice
·        Expressive aphasia
·        Weight gain
3)      nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorder is commonly associated with obesity?
·        Crohn's disease
·        Peptic ulcer disease
·        Celiac disease
·        Gastroesophageal reflux disease
4)      nurse is providing teaching to a client who has prescription for a low-saturated fat diet. Which of the following statement by the client indicates an understanding of the teaching?
·        "I can choose an avocado dip instead of salsa"
·        "I will include 7 ounce of fish in my diet weekly"
·        I will use margarine on my waffles."
·        I can eat the skin on poultry if it is broiled."
5)      nurse is teaching the family of a school age child who is obese about complications of childhood obesity. Which of the following complications should the nurse include in the teaching?
·        Type 1 diabetes mellitus
·        Hypothyroidism
·        Juvenile rheumatoid arthritis
·        hypertension  
6)       client is prescribed a 1,500-calorid diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (round the answer to the nearest whole number. Use a leading zero if it applied. Do not use a trailing zero)


7)      nurse at a health clinic is preparing to administer the inactivated influenza vaccine to a client. The nurse should ask the client about allergies to which of the following foods?


·        Shellfish
·        Gelatin
·        Eggs
·        Citrus fruit


8)      nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?
·        Vitamin D
·        Vitamin C
·        Folic acid
·        Magnesium


9)      nurse is initiating continuous enteral feeding for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?
·        Keep the client's head elevated at 15* during feeding.
·        Obtain the client electrolyte levels every4 hr.
·        Measure the client's gastric residual every 12 hr
·        Flush the client's tube with 30 mL of water every 4 hr


10)  nurse is planning dietary teaching for client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?
·        Omega-3 fatty acids
·        Vitamin A
·        Magnesium
·        Potassium


11) nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?
·        "maintain a low protein diet
·        "Avoid aged cheeses while taking this medication"
·        "reduce intake of high- calorie foods."
·        Do not eat grapefruit while taking this medication."


12)   nurse is caring for a client who has dysphagia. Which of the following action should the nurse take?
·        Initiate calorie count of daily food intake.
·        Instruct the client to keep their chin up when swallowing
·        Provide food in a thin liquid consistency
·        Place the client in a semi-fowler's position when eating.


13)   nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following dietary choices should the nurse recommend as having the highest calcium content?
·        1 cup broccoli
·        One medium banana
·        1 cup green grapes
·        One large tomato


14)  nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendation should the nurse include in the teaching?
·        Increase intake of refined carbohydrates
·        Increase intake of whole grains
·        Decrease intake of omega 3 fatty acids
·        Decrease intake of potassium.


15)  nurse is developing a plan of acre for a client who is receiving radiation therapy and is experiencing nausea, which of the following intervention should the nurse include in the plan?
·        Provide a snack 30 min before treatments
·        Ensure food are served hot
·        Administer antiemetics on a schedule
·        Serve low carbohydrate meals


16)  nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?
·        Offer mouth rinses with normal saline and water
·        Instruct client to drink liquids without a straw
·        Serve foods without sauces or gravies
·        Serve food while still at a hot temperature


17)  nurse is planning care for a client who has a new prescription for total parenteral nutrition(TPN). Which of the following actions should the nurse plan to take?
·        Change the IV tubing for TPN solution every 72 hr
·        Change the dressing around the IV site weekly
·        Remove TPN from the refrigerator 5 min before infusing it.
·        Discard remaining TPN solution that still infusing after 24 hr.


18)    nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the      following statements by the client indicates an understanding of the teaching?
·        "I will keep my HbA1C at five percent."
·        Albumin in my urine is an indication of normal kidney function."
·        "I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter,"
·        "I will keep my blood glucose levels between 200 and 212 milligram per deciliter"


19)  nurse is reviewing the laboratory results of a client who has bulimia. the nurse should notify the provider of which of the following
·        Potassium 3.2 mEq/L
·        WBC 5,200/mm3
·        Hgb 14 g/dl
·        Magnesium 1.6Meg/L


20)  nurse is reviewing the laboratory values for a client who is receiving a phosphate binder with meals for end- stage renal disease. Which of the following values should indicate to the nurse that the treatment is effective?
·        Hemoglobin
·        Sodium 136 mEq/L
·        Total calcium 9.7 mg/dL
·        Serum potassium 4.8mEq/L


21)  nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective?
·        Client has soft, formed bowel movements.
·        Client reports ability to complete ADLs
·        Client mucous membranes are pink
·        Clients blood glucose level is within the expected reference range.


22)  nurse is selecting food items for a client who follows a lacto-vegetarian diet. Which of the following foods should the nurse include in the meals?
·        Hamburger
·        Eggs
·        Shrimp
·        Cheese


23)  nurse is assisting in the selection of food for a client who has hypokalemia. Which of the following foods should the nurse select that contains the greatest amount of potassium?
·        One small baked potato
·        1 cup of brown rice
·        One medium raw tomato
·        1 oz of cheddar cheese


24)  nurse is providing teaching to a client who has cholecystitis about required dietary modification. The nurse should include which of the following foods as appropriate for the client's diet?
·        Ground beef
·        Banana muffin
·        Boiled egg
·        Brown rice


25) The nurse is providing discharge teaching to the mother of a newborn about breastfeeding. which of the following statements by the client indicates an understanding of the teaching?
·        "I will dilute juice with 50 percent water to supplement between feedings"
·        "I should feed my baby on demand at least eight times each day"
·        "I will begin and end with the same breast when I feed my baby"
·        "I should use pumped breast milk within 72 hours of refrigeration"


26)  nurse is teaching a group of clients about foods containing protein. Which of the following foods should the nurse include in the teaching as a complete protein?
·        Black eyed peas
·        Soy milk
·        Cashews
·        Gelatin
27)   nurse is assessing an older adult client who has dysphagia and is experiencing dehydration. Which of the following finding the nurse expect?
·        Distended neck veins
·        Decreased respiratory rate
·        Hypertension
·        Tachycardia


28)  nurse is providing discharge teaching to a client who has a new diagnosis of crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?
·        "I should limit the amount of fiber in my diet."
·        "avoiding glutamine will help me recover from this disease"
·        "I will need to take mild laxatives to help me have a bowel movement."
·        I am likely to gain weight due to this disease"


29) A nurse is teaching a client who has a new diagnosis of diabetes mellitus about recognizing hyperglycemia. Which of the following manifestations should the nurse include in the teaching?
·        Metallic taste
·        Hyperventilation
·        Cool skin
·        Anxiety


30)  nurse is caring for a client who received radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?
·        Encourage the client to drink 4oz of milk after each loose stool
·        Recommend that the client eliminate the intake of carbonated beverages
·        Instruct client to increase consumption ofbeans
·        Provide sugar-free candy for the client between meals.


31)  nurse is making a discharge teaching plan for a client who is taking digoxin and furosemide. Which of the following foods should the nurse instruct the client to consume?
·        Bananas
·        Green beans
·        Cucumbers
·        Blueberries
32)   nurse is providing teaching to a clients who has dumping syndrome. Which of the following instructions should the nurse include in the teaching?
·        "Eat protein at each meal"
·        "Sit up in bed after meal"
·        "Consume three large meals daily"
·        Drink beverages with meals"


33)  nurse is providing teaching to a client who has heart failure about limiting intake to 1,000mg/day. The nurse should inform the client that which of the following dairy products has the highest sodium content?
·        1 cup milk
·        2 oz processed cheese
·        4 oz vanilla pudding
·        ½ cup yogurt


34)  nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client?
·        Canned potato soup
·        Baked ham
·        Broiled salmon
·        Processed cheese


35)  nurse is teaching a grop of parents about appropriate food choices for toddlers. Which of the following choices by the parents demonstrates an understanding of the teaching?
·        Steak cut into small pieces
·        Hot dog cut in fourths
·        Cooked spaghetti with sauce
·        Caramel popcorn


36)  nurse is providing a teaching about food allergies to the parents of a toddler. Which of the following foods should the nurse identify as the highest risk for allergies in toddlers?
·        Eggs
·        Milks
·        
·        Citrus fruits
·        Bananas


37)  nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?
·        Serve hot foods at mealtime
·        Limit fluid intake between meals
·        Encourage the client to eat even if nauseated
·        Provide low-fat carbohydrates with meals.


38)  nurse is reviewing blood glucose values for a client who is at risk for diabetes mellitus. Which of the following finding should the nurse report to the provider?
·        Fasting blood glucose 70 mg/dL
·        Glycosylated hemoglobin 5%
·        2-hr glucose tolerance test level150 mg/dL
·        Casual blood glucose 90 mg/dL


39)   nurse is providing teaching to the parents of a newborn who has gastroesophageal reflux. Which of the following instructions should nurse include?
·        Place the newborn in a side-lying position if vomiting
·        Provide a small feeding just before bedtime
·        Dilute formula with 1 tablespoon of water
·        Position the newborn at 20-degree angel after feeding.


40)   nurse is teaching about denture care to the partner of a client who is unable to perform oral hygiene. Which of the following should the nurse include in the teaching?
·        Wrap gloved fingers with gauze to remove dentures
·        Use a washcloth to clean the denture surface
·        Wipe dentures before storing them in a dry container at night
·        Floss dentures as part of daily cleaning


41)   nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?
·        Increase phosphorus intake
·        Limit calcium intake  
·        Limit protein intake
·        Increase potassium intake


42)   nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?
·        Drinking iced tea with meals can increase the amount of iron absorbed
·        Cooking in a stainless-steel skillet increases the amount of iron in the food
·        Fish and poultry are primary source of heme iron
·        Drinking orange juice with iron supplements can decrease absorption


43)  nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?
·        Diet sodas should not be consumed more than two or three times per week
·        Breastfeeding will prevent your baby from developing PKU
·        Serum bilirubin should be monitored one to two times per month during pregnancy
·        A low protein diet should be followed for 3 months prior to conception


44)   nurse is caring for a client who has throat cancer and is receiving radiation therapy. The client reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?
·        Serve foods hot
·        Consume foods high in fat content
·        Incerse intake of liquids at mealtime
·        Select foods high in protein


45)   nurse in a critical care unit is assessing an adult client. Which of the following finding by the nurse indicates a fluid volume deficit?
·        Pulse rate 118/min
·        Central venous pressure 25 mm Hg
·        Temperature 37.2o C (99o F)
·        Blood pressure 152/90 mm Hg

Answer & Explanation
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