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1) nurse is teaching about denture care to the partner of a client...

1)       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


2)       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


3)       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


4)      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


5)       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

·        Increase intake of liquids at mealtime

·        Select foods high in protein


6)       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


7)       nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?

·        Pudding

·        Chicken noodle soup

·        Milk

·        Apple juice


8)       nurse is teaching a client who is at 10 of gestation about folate in her diet. Which of the following food choices should the nurse recommend as the best source of folate?

·        ½ cup cooked asparagus

·        1 medium apple

·        ½ cup plain low fat yogurt

·        1 small banana


9)       nurse is caring for an older adult client who requires high-calorie liquid nutritional supplements. Which of the following actions should the nurse take to ensure the client consumes the supplement?

·        Have the client swallow his medication with the supplement

·        Enhance the flavor of supplement by serving them warm

·        Leaves an opened supplement at the bedside throughout the day.

·        Offer the supplement as a substitute for one of the client's daily meals


10)  nurse is educating the parent of a school age child about the importance of maintaining water intake to prevented hydration. Which of the following food choices should the nurse recommend as containing the greatest percentage of water?

·        Whole wheat bread

·        Cheddar cheese

·        Almonds

·        Broccoli


11)  nurse is reviewing the laboratory values of four client. Which of the following values indicates to the nurse that a client has iron deficiency anemia.

·        A client whose RBC count is 5,2 million/ mm3

·        A client whose hematocrit is 42%

·        A client whose ferritin level is 8ng/ml

·        A client whose hemoglobin is 15g/dl


12)  nurse is assessing a client who is newly prescribed atorvastatin for dyslipidemia. Which of the following question should the nurse ask first?

·        Do you regularly have your eyes examined?

·        Do you exercise regularly?

·        Do you check your blood pressure daily?

·        Do you consume alcohol daily


13)  nurse is planning a class for parents of school age children about iron intake. which of the following should the nurse include as manifestation of iron deficiency?

·        Elevated temperature

·        Lowered intellectual performance

·        Decreased sleeping time

·        Increased risk of infection


14)  nurse is providing breaking for a client who has celiac disease. Which of the following meal items should the nurse select?

·        Graham crackers with peanut butter

·        Poached eggs with wheat bagel

·        Rye toast with herbal tea

·        Rice cereal with sliced bananas


15)  nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolus for rehydration after collapsing at an athletic event. Which of the following findings indicates the clients is experiencing water intoxication?

·        Hypernatremia

·        Exaggerated reflexes

·        Muscle weakness

·        Weak pulses


16) nurse is preparing to initiate enteral feeding for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?

·        High fiber

·        Hydrolyzed

·        Low calorie

·        Low protein


17)   nurse is providing teaching about breastfeeding to a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

·        My baby will receive the most milk within the first 10 minutes of the feeding

·        I need to supplement feedings with water once my baby is 4 months old

·        The purpose of alternating breasts during feeding is to promote comfort

·        During the first few weeks, I should nurse my baby every 4 hours


18)  nurse is reviewing a client's laboratory results for effectiveness of total parenteral nutrition (TPN. Which of the following laboratory values is the best indicator for the nurse to monitor for short term effectiveness of the TPN?

·        Transferrin

·        Total albumin

·        Prealbumin

·        Hemoglobin

19)   nurse is caring for a client who is obese and is prescribed a calorie reduction of 500 fewer calories per day. The nurse should expect the client to have which of the following rates of weights loss?

·        0.45 kg (ib)/day

·        0.23 kg 90.5 lb)/week

·        0.45 kg(1 ib)/week

·        0.23 kg (0.5lb) day


20)   nurse is caring for a client who reports manifestations of gastroesophageal reflux disease (GERD). Which of following client statements should the nurse identify as a contributing factor to GERD?

·        I try to follow a low-fat high protein diet to help me maintain my weight

·        I have recently stopped drinking alcohol

·        I stopped drinking caffeinated beverages several weeks ago

·        I like to drink a glass of warm milk before bed to help me sleep


21)  nurse is providing teaching to the parents of a toddler about nutritional needs and habits. Which of the following instructions should the nurse include in the teaching?

·        Allow the toddler to feed himself

·        Avoid snacks between meals

·        Provide different food for the toddler than the parents

·        Set meals times immediately after physical activity


22)  nurse is providing teaching about a gluten free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the clients include in his diet?

·        Salami

·        Corn

·        Wheat germ

·        Barley


23)   nurse is assessing a client who is postoperative and has an indwelling urinary catheter. Which of the following findings indicates that the clients is experiencing dehydrations?

·        BUN 15 mg/dl

·        Urine specific gravity 1.010

·        Blood pressure 150/82 mm Hg

·        Urine output of 20 mL/HR


24)  nurse is reviewing the medical records of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

·        Hgb 10g/dl

·        BMI 18.5

·        Temperature 38.4o C (101.1o F)

·        BUN 25 mg/dl


25)  nurse is providing teaching about the dietary Approaches to stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?

·        Increase intake of refined carbohydrates

·        Limits sodium intake 3,200 milligrams per day

·        Consume foods that are high in calcium

·        Consume ten percent of total calories from saturated fat.

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