ati nut b
Post on 02-Feb-2016
47 Views
Preview:
TRANSCRIPT
A nurse is assessing a client whose cultural practices include fasting one day each week. Which is an appropriate question for the nurse to ask re: the practice of fasting?
"Are you exempt from fasting during illness?""Does fasting mean refraining from drinking liquids?""Does fasting occur during certain hrs of day?""Does fasting mean eating only a certain type of food?"
ÉâÉãɳ
A nurse is providing education to a client who has dumping syndrome and weight loss. Which instructions should nurse include in the education?
Consume liquids btn meals.
ÉâÉãɳ
A nurse is reviewing the introduction of solid foods w/the parent of an infant who is 4mo old. Which statements by parent indicates and understanding of the teaching?
"I will introduce a new solid food every 5 days." rationale: solids should be introduced q 4-7 days to allow for appearance of allergies.
ÉâÉãɳ
A nurse caring for a client who is taking tranylcypromine (Parnate). Which foods is appropriate for the client to eat?
Blueberries. rationale: clients taking an MAOI, such as tranylcypromine, can eat blueberries because it does not contain tyramine and is a good antioxidant.
ÉâÉãɳ
A nurse in a clinic is reviewing the lab findings of a client who began a DASH diet following a recent diagnosis of hypertension. Which lab finding indicates that this dietary mgmnt approach is effective?
Serum K+ 4.9 mEq/L.rationale: this lab finding is w/in the Dash diet range and thus indicates compliance of the diet.
ÉâÉãɳ
A nurse assisting a client who is a vegetarian to increase zinc intake. Which food should the nurse
encourage the client to consume?
Nutsrational: nuts are a plant source and are high in zinc
ÉâÉãɳ
A nurse is providing teaching to a client who has chronic pancreatitis. Which instructions should the nurse include?
Include snacks high in calories.rationale: teach to include snacks high in calories because high calorie snacks are needed to increase or maintain weight.
ÉâÉãɳ
A nurse is planning care for an infant who requires intermittent gavage feedings. Which of the following should the nurse include in the plan of care?
provide a pacifier during feedings.
modular supplement
important to increase nutrient intake w/o increasing volume
Éâ
Éãɳ
nutr tching to pt wants to lose wt. what stmt indicates behavior change
i make a list before i go grocery shopping
ÉâÉãɳ
nausea during preg - which stmt indicates understanding
i will eat dry cereal before i get out of bed
ÉâÉãɳ
hypokalemia - foods high in potassium
oranges
ÉâÉãɳ
continuous enteral feedings - pt has abdominal bloating, what should you do 1st
listen to bowel sounds
ÉâÉãɳ
vegetarian needs zinc - what food
nuts
ÉâÉãɳ
new mother - breastfeed or not
breastfeeding will reduce risk of food allergies
ÉâÉãɳ
provide diet instruct to pt on coumadin - which food should they regulate
green leafy veggies
ÉâÉãɳ
pt w/anorexia nervosa - assessment finding you might expect
amenorrhea
ÉâÉãɳ
anemic pt/ prescrip for iron to increase absorption rate consume what
tomato juice
ÉâÉãɳ
tching diet modification to pt w/high risk of CV disease. pt likes mexican food - you recomm
use canola oil instead of lard
ÉâÉãɳ
tching about healthly eating - which stmt indicates further tching
hard, stick margerine is healthier than tub margarine
ÉâÉãɳ
pt - chronic alcoholic - symptoms of beri-beri (thiamine def). what foods to increase in diet
whole wheat bread
ÉâÉãɳ
food safety class for parents of toddlers. which shows understanding
peas
ÉâÉãɳ
obese pt to lose 1 lb p/wk, reduce daily cal. by
500 calories
ÉâÉãɳ
discharge plan for pt w/dysphagia - mech. soft diet,
which food can be included
mashed potatoes
ÉâÉãɳ
125 lb pt - physical activity & cal. expenditure, which activity burns most cal p/hr
soccer
ÉâÉãɳ
wm of childbearing age - highest source of folate
3.5 oz chicken liver
ÉâÉãɳ
new mom - formula feed newborn - what stmt indicates need for more tching
i will add more water if baby has diarrhea
Éâ
Éãɳ
Nursing interv. for pt on continuous enteral tube feeding
admin tube feeding at room temp
ÉâÉãɳ
pt - rad. head/neck resection/cancer - radiation therapy. monitor for which adverse effect
changes in production of saliva
ÉâÉãɳ
pt in ER - confused, muscle weakness, irregular heartbeat, imbalance of what mineral
potassium
ÉâÉãɳ
MM** tching pt w/chronic kidney disease - nutr - food
choices. what stmt = further pt tching
cheese, broccoli, salmon
ÉâÉãɳ
well baby assess - 5 mo old infant, birth wt 6 lb9oz, which wt reflects expected growth
13 lb 2 oz (about doubles)
ÉâÉãɳ
pt - radiation therapy/cancer is exper. stomatitis - food choice
scrambled eggs
ÉâÉãɳ
level I dysphagic diet - ready to progess to level II - ground diet
when patient is able to chew and swallow food
Éâ
Éãɳ
healthy food guidelines for toddler serving size
tablespoon of food p/yr of age
ÉâÉãɳ
nutr class - informs group that frozen entree is 166 calories, 15 gr carbs, 4 gr protein, 10 gr fat - how much % of fat does entree contain
carb & protein - 4 gr/ fat - 9 gr ----- 15 x 4 - 60/ 4 x 4 = 16/ 10 x 9 = 90 90/166 = 54 cal
ÉâÉãɳ
pt has prescript for captopril (capoten) - which food could cause reaction
cantaloupe (high in potassium - ACE inhibitors should avoid)
ÉâÉãɳ
woman trying to become preg - which nutrient will reduce risk of neural tube defects
folic acid
ÉâÉãɳ
breastfeeder asks how her milk is affected by diet. which nutrient in breast milk is dependent on maternal intake
vitamins
ÉâÉãɳ
DM#1 - insulin pump - tching pt about prevent hyperglycemia after meals. which stmt indic. understanding
my carb intake at every meal should be consistent
ÉâÉãɳ
MM*** pt w/hypernatremia - nutrition - what food choices indic. understanding
orange wedges/ tomato slices/ brown rice
ÉâÉãɳ
vegan - nutr choices to improve protein intake
peanut butter w/apple slices
ÉâÉãɳ
dysphagic pt - rt hemiplegia - CV accident. prescript soft diet. which action is appr. when assist w/meal
ask pt to swallow small amt of pudding from spoon
ÉâÉãɳ
pt w/hypertension - low sodium diet - which food has least amt of sodium
1/2 c fruit cocktail
ÉâÉãɳ
pt 60 kg (132 lb), BMI 26- strategies
decrease caloric intake 600 cal p/day
ÉâÉãɳ
pt rec contin. enteral tube feedings. NI's to prevent aspiration
monitor gastric residuals every 4 hrs
ÉâÉãɳ
chronic kidney - how many gr of protein p/day
170 lb/ 2.2 kg/lb = 77.3 kg x 0.6g (daily protein) = 46.38 gr/p/day
ÉâÉãɳ
group of pts - which condition has increased protein requirement
pressure ulcer
ÉâÉãɳ
educ pt w/diverticulis - food to encourage
cottage cheese & canned peaches (no seeds or husks)
ÉâÉãɳ
overwt pt - which assess finding indicates incr. risk for heart disease or DM2
excess adipose tissue in abdomen
ÉâÉãɳ
pt - iron def. anemia - which food choice by pt indic. needs further tching
plain yogurt w/walnuts
ÉâÉãɳ
MM*** pt - radiation therapy - pt says metallic taste
in mouth - NI's
offer: citrus fruits, pickles, gargle w/mouthwash
ÉâÉãɳ
flu vaccine to adult - which food allerby is a contraindication
eggs
ÉâÉãɳ
pt - intermit. enteral tube feedings. pts fasting glucose a.m. - 150 mg/dL. nurse should anticipate
order to initiate capillary blood glucose checks every 6 hrs
ÉâÉãɳ
tching interpr food labels - food item has 120 cals plus 5 fat gr p/serving. how many fat calories
1 gr fat = 9 cals x 5 = 45 calories
ÉâÉãɳ
educ women about vit & min during preg. which should women avoid at same time as iron suppl
calcium
ÉâÉãɳ
highest osteop. rate in women
caucasians
ÉâÉãɳ
pt doesn't like taste of nutrition shakes - suggestion/
chill shake before serving
ÉâÉãɳ
preg BMI 29 - recomm gestational wt gain
15 - 25 lb
ÉâÉãɳ
DM#1 - mngmt of carbs. based on 1800 cal /day, how many servings of carbs
4 (this is based on 1600-2000 p/day meal plan)
ÉâÉãɳ
BMI = 65" T - 176 lb
wt in kg / ht in m2: convert ht from " to meters by x 2.54 cm to get cm and then x that # by 0.01 m/cm to get meters. 65 x 2.54 = 165.1cm x 0.01 m/cm = 1.651m THEN divide lbs by 2.2 lb/kg to get wt in kg SO 17616/2.2kg = 80 kg//////sq ht in meters 1.651 x 1.651 = 2.72580m 2///// divide wt in kg by sq ht - meters//// 80 kg/ 2.725801 = 29.3 kg/m 2 ***** this will be one wrong for me!!!!
ÉâÉãɳ
nurse is counseling pt who is trying to lose wt. client has lost 0.45 kg (1 lb) over 2 wks. appr. response by nurse
congrats on what you have accomplished
ÉâÉãɳ
nurse is assisting pt to choose food high in magnesium. which food is a good source
almonds
ÉâÉãɳ
educ pt who is trying to conceive. BMI 22, how much wt should she gain when preg.
you should gain 2-4 lb during 1st 3 mo
ÉâÉãɳ
pt - aids & wasting. nurse should tell pt to do what to prevent further wasting
increase protein in diet
ÉâÉã
ɳ
care plan for pt - anorexia w/cancer
limit liquids w/meals
ÉâÉãɳ
MM*** pt w/dumping syndrome after gastric bypass - which clinical findings are potential nutritional complications
iron def. anemia/ steatorrhea/ osteomalacia
ÉâÉãɳ
pt prescrip - tranylcypromine (Parnate) (MAOI) - which food can you eat
blueberries (avoid aged, pickled, smoked, etc w/ MAOIs)
modular supplement
important to increase nutrient intake w/o increasing volume
Éâ
Éãɳ
nutr tching to pt wants to lose wt. what stmt indicates behavior change
i make a list before i go grocery shopping
ÉâÉãɳ
nausea during preg - which stmt indicates understanding
i will eat dry cereal before i get out of bed
ÉâÉãɳ
hypokalemia - foods high in potassium
oranges
ÉâÉãɳ
continuous enteral feedings - pt has abdominal bloating, what should you do 1st
listen to bowel sounds
ÉâÉãɳ
vegetarian needs zinc - what food
nuts
ÉâÉãɳ
new mother - breastfeed or not
breastfeeding will reduce risk of food allergies
ÉâÉãɳ
provide diet instruct to pt on coumadin - which food should they regulate
green leafy veggies
ÉâÉãɳ
pt w/anorexia nervosa - assessment finding you might expect
amenorrhea
ÉâÉãɳ
anemic pt/ prescrip for iron to increase absorption rate consume what
tomato juice
ÉâÉãɳ
tching diet modification to pt w/high risk of CV disease. pt likes mexican food - you recomm
use canola oil instead of lard
ÉâÉãɳ
tching about healthly eating - which stmt indicates further tching
hard, stick margerine is healthier than tub margarine
ÉâÉãɳ
pt - chronic alcoholic - symptoms of beri-beri (thiamine def). what foods to increase in diet
whole wheat bread
ÉâÉãɳ
food safety class for parents of toddlers. which shows understanding
peas
ÉâÉãɳ
obese pt to lose 1 lb p/wk, reduce daily cal. by
500 calories
ÉâÉãɳ
discharge plan for pt w/dysphagia - mech. soft diet,
which food can be included
mashed potatoes
ÉâÉãɳ
125 lb pt - physical activity & cal. expenditure, which activity burns most cal p/hr
soccer
ÉâÉãɳ
wm of childbearing age - highest source of folate
3.5 oz chicken liver
ÉâÉãɳ
new mom - formula feed newborn - what stmt indicates need for more tching
i will add more water if baby has diarrhea
Éâ
Éãɳ
Nursing interv. for pt on continuous enteral tube feeding
admin tube feeding at room temp
ÉâÉãɳ
pt - rad. head/neck resection/cancer - radiation therapy. monitor for which adverse effect
changes in production of saliva
ÉâÉãɳ
pt in ER - confused, muscle weakness, irregular heartbeat, imbalance of what mineral
potassium
ÉâÉãɳ
MM** tching pt w/chronic kidney disease - nutr - food
choices. what stmt = further pt tching
cheese, broccoli, salmon
ÉâÉãɳ
well baby assess - 5 mo old infant, birth wt 6 lb9oz, which wt reflects expected growth
13 lb 2 oz (about doubles)
ÉâÉãɳ
pt - radiation therapy/cancer is exper. stomatitis - food choice
scrambled eggs
ÉâÉãɳ
level I dysphagic diet - ready to progess to level II - ground diet
when patient is able to chew and swallow food
Éâ
Éãɳ
healthy food guidelines for toddler serving size
tablespoon of food p/yr of age
ÉâÉãɳ
nutr class - informs group that frozen entree is 166 calories, 15 gr carbs, 4 gr protein, 10 gr fat - how much % of fat does entree contain
carb & protein - 4 gr/ fat - 9 gr ----- 15 x 4 - 60/ 4 x 4 = 16/ 10 x 9 = 90 90/166 = 54 cal
ÉâÉãɳ
pt has prescript for captopril (capoten) - which food could cause reaction
cantaloupe (high in potassium - ACE inhibitors should avoid)
ÉâÉãɳ
woman trying to become preg - which nutrient will reduce risk of neural tube defects
folic acid
ÉâÉãɳ
breastfeeder asks how her milk is affected by diet. which nutrient in breast milk is dependent on maternal intake
vitamins
ÉâÉãɳ
DM#1 - insulin pump - tching pt about prevent hyperglycemia after meals. which stmt indic. understanding
my carb intake at every meal should be consistent
ÉâÉãɳ
MM*** pt w/hypernatremia - nutrition - what food choices indic. understanding
orange wedges/ tomato slices/ brown rice
ÉâÉãɳ
vegan - nutr choices to improve protein intake
peanut butter w/apple slices
ÉâÉãɳ
dysphagic pt - rt hemiplegia - CV accident. prescript soft diet. which action is appr. when assist w/meal
ask pt to swallow small amt of pudding from spoon
ÉâÉãɳ
pt w/hypertension - low sodium diet - which food has least amt of sodium
1/2 c fruit cocktail
ÉâÉãɳ
pt 60 kg (132 lb), BMI 26- strategies
decrease caloric intake 600 cal p/day
ÉâÉãɳ
pt rec contin. enteral tube feedings. NI's to prevent aspiration
monitor gastric residuals every 4 hrs
ÉâÉãɳ
chronic kidney - how many gr of protein p/day
170 lb/ 2.2 kg/lb = 77.3 kg x 0.6g (daily protein) = 46.38 gr/p/day
ÉâÉãɳ
group of pts - which condition has increased protein requirement
pressure ulcer
ÉâÉãɳ
educ pt w/diverticulis - food to encourage
cottage cheese & canned peaches (no seeds or husks)
ÉâÉãɳ
overwt pt - which assess finding indicates incr. risk for heart disease or DM2
excess adipose tissue in abdomen
ÉâÉãɳ
pt - iron def. anemia - which food choice by pt indic. needs further tching
plain yogurt w/walnuts
ÉâÉãɳ
MM*** pt - radiation therapy - pt says metallic taste
in mouth - NI's
offer: citrus fruits, pickles, gargle w/mouthwash
ÉâÉãɳ
flu vaccine to adult - which food allerby is a contraindication
eggs
ÉâÉãɳ
pt - intermit. enteral tube feedings. pts fasting glucose a.m. - 150 mg/dL. nurse should anticipate
order to initiate capillary blood glucose checks every 6 hrs
ÉâÉãɳ
tching interpr food labels - food item has 120 cals plus 5 fat gr p/serving. how many fat calories
1 gr fat = 9 cals x 5 = 45 calories
ÉâÉãɳ
educ women about vit & min during preg. which should women avoid at same time as iron suppl
calcium
ÉâÉãɳ
highest osteop. rate in women
caucasians
ÉâÉãɳ
pt doesn't like taste of nutrition shakes - suggestion/
chill shake before serving
ÉâÉãɳ
preg BMI 29 - recomm gestational wt gain
15 - 25 lb
ÉâÉãɳ
DM#1 - mngmt of carbs. based on 1800 cal /day, how many servings of carbs
4 (this is based on 1600-2000 p/day meal plan)
ÉâÉãɳ
BMI = 65" T - 176 lb
wt in kg / ht in m2: convert ht from " to meters by x 2.54 cm to get cm and then x that # by 0.01 m/cm to get meters. 65 x 2.54 = 165.1cm x 0.01 m/cm = 1.651m THEN divide lbs by 2.2 lb/kg to get wt in kg SO 17616/2.2kg = 80 kg//////sq ht in meters 1.651 x 1.651 = 2.72580m 2///// divide wt in kg by sq ht - meters//// 80 kg/ 2.725801 = 29.3 kg/m 2 ***** this will be one wrong for me!!!!
ÉâÉãɳ
nurse is counseling pt who is trying to lose wt. client has lost 0.45 kg (1 lb) over 2 wks. appr. response by nurse
congrats on what you have accomplished
ÉâÉãɳ
nurse is assisting pt to choose food high in magnesium. which food is a good source
almonds
ÉâÉãɳ
educ pt who is trying to conceive. BMI 22, how much wt should she gain when preg.
you should gain 2-4 lb during 1st 3 mo
ÉâÉãɳ
pt - aids & wasting. nurse should tell pt to do what to prevent further wasting
increase protein in diet
ÉâÉã
ɳ
care plan for pt - anorexia w/cancer
limit liquids w/meals
ÉâÉãɳ
MM*** pt w/dumping syndrome after gastric bypass - which clinical findings are potential nutritional complications
iron def. anemia/ steatorrhea/ osteomalacia
ÉâÉãɳ
pt prescrip - tranylcypromine (Parnate) (MAOI) - which food can you eat
blueberries (avoid aged, pickled, smoked, etc w/ MAOIs)
Please allow access to your computer’s microphone to use Voice Recording.
Having trouble? Click here for help.
ɹ
Please allow access to your computer’s microphone to use Voice Recording.
Having trouble? Click here for help.
ɹ
Please allow access to your computer’s microphone to use Voice Recording.
Having trouble? Click here for help.
ɹ
top related