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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?"

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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.

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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.

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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.

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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.

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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

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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.

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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

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nutr tching to pt wants to lose wt. what stmt indicates behavior change

i make a list before i go grocery shopping

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nausea during preg - which stmt indicates understanding

i will eat dry cereal before i get out of bed

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hypokalemia - foods high in potassium

oranges

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continuous enteral feedings - pt has abdominal bloating, what should you do 1st

listen to bowel sounds

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vegetarian needs zinc - what food

nuts

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new mother - breastfeed or not

breastfeeding will reduce risk of food allergies

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provide diet instruct to pt on coumadin - which food should they regulate

green leafy veggies

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pt w/anorexia nervosa - assessment finding you might expect

amenorrhea

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anemic pt/ prescrip for iron to increase absorption rate consume what

tomato juice

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tching diet modification to pt w/high risk of CV disease. pt likes mexican food - you recomm

use canola oil instead of lard

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tching about healthly eating - which stmt indicates further tching

hard, stick margerine is healthier than tub margarine

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pt - chronic alcoholic - symptoms of beri-beri (thiamine def). what foods to increase in diet

whole wheat bread

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food safety class for parents of toddlers. which shows understanding

peas

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obese pt to lose 1 lb p/wk, reduce daily cal. by

500 calories

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discharge plan for pt w/dysphagia - mech. soft diet,

which food can be included

mashed potatoes

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125 lb pt - physical activity & cal. expenditure, which activity burns most cal p/hr

soccer

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wm of childbearing age - highest source of folate

3.5 oz chicken liver

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new mom - formula feed newborn - what stmt indicates need for more tching

i will add more water if baby has diarrhea

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Nursing interv. for pt on continuous enteral tube feeding

admin tube feeding at room temp

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pt - rad. head/neck resection/cancer - radiation therapy. monitor for which adverse effect

changes in production of saliva

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pt in ER - confused, muscle weakness, irregular heartbeat, imbalance of what mineral

potassium

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MM** tching pt w/chronic kidney disease - nutr - food

choices. what stmt = further pt tching

cheese, broccoli, salmon

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well baby assess - 5 mo old infant, birth wt 6 lb9oz, which wt reflects expected growth

13 lb 2 oz (about doubles)

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pt - radiation therapy/cancer is exper. stomatitis - food choice

scrambled eggs

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level I dysphagic diet - ready to progess to level II - ground diet

when patient is able to chew and swallow food

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healthy food guidelines for toddler serving size

tablespoon of food p/yr of age

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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

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pt has prescript for captopril (capoten) - which food could cause reaction

cantaloupe (high in potassium - ACE inhibitors should avoid)

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woman trying to become preg - which nutrient will reduce risk of neural tube defects

folic acid

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breastfeeder asks how her milk is affected by diet. which nutrient in breast milk is dependent on maternal intake

vitamins

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DM#1 - insulin pump - tching pt about prevent hyperglycemia after meals. which stmt indic. understanding

my carb intake at every meal should be consistent

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MM*** pt w/hypernatremia - nutrition - what food choices indic. understanding

orange wedges/ tomato slices/ brown rice

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vegan - nutr choices to improve protein intake

peanut butter w/apple slices

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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

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pt w/hypertension - low sodium diet - which food has least amt of sodium

1/2 c fruit cocktail

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pt 60 kg (132 lb), BMI 26- strategies

decrease caloric intake 600 cal p/day

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pt rec contin. enteral tube feedings. NI's to prevent aspiration

monitor gastric residuals every 4 hrs

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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

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group of pts - which condition has increased protein requirement

pressure ulcer

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educ pt w/diverticulis - food to encourage

cottage cheese & canned peaches (no seeds or husks)

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overwt pt - which assess finding indicates incr. risk for heart disease or DM2

excess adipose tissue in abdomen

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pt - iron def. anemia - which food choice by pt indic. needs further tching

plain yogurt w/walnuts

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MM*** pt - radiation therapy - pt says metallic taste

in mouth - NI's

offer: citrus fruits, pickles, gargle w/mouthwash

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flu vaccine to adult - which food allerby is a contraindication

eggs

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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

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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

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educ women about vit & min during preg. which should women avoid at same time as iron suppl

calcium

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highest osteop. rate in women

caucasians

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pt doesn't like taste of nutrition shakes - suggestion/

chill shake before serving

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preg BMI 29 - recomm gestational wt gain

15 - 25 lb

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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)

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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!!!!

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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

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nurse is assisting pt to choose food high in magnesium. which food is a good source

almonds

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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

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pt - aids & wasting. nurse should tell pt to do what to prevent further wasting

increase protein in diet

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care plan for pt - anorexia w/cancer

limit liquids w/meals

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MM*** pt w/dumping syndrome after gastric bypass - which clinical findings are potential nutritional complications

iron def. anemia/ steatorrhea/ osteomalacia

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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

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