chapter 35 Q&A

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Question 1:

(see full question)Which of the following measures are used by the nurse to confirm the correct placement of a nasogastric feeding tube? Select all that apply.You selected:• Measuring tube length

• Auscultating injected air

• Measuring the pH level of aspirated contents

IncorrectCorrect response:• Measuring the pH level of aspirated contents

• Monitoring carbon dioxide levels

• Measuring tube length

Explanation:Measuring pH and tube length as well as monitoring carbon dioxide are accurate ways to confirm placement. Fluid would never be instilled and auscultation of air is not considered t ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1226.

Chapter 35: Nutrition - Page 1226

Question 2:

(see full question)A nurse teaches a student nurse about the role fats play in the human body. Which of the following is the major storage form of fat?You selected:LipidsIncorrectCorrect response:TriglyceridesExplanation:Triglycerides are the predominant form of fat in food and the major storage form of fat in the body; they are composed of one glyceride molecule and three fatty acids. Trans fat is ... (more)

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1203.

Chapter 35: Nutrition - Page 1203

Question 3:

(see full question)During a visit to the pediatrician's office, a mother inquires about adding solid foods to the diet of her infant age 6 months. What does the nurse inform the mother?You selected:New foods should be introduced one at a time for a period of five to seven days.CorrectExplanation:Solid foods are generally introduced between 4 and 6 months of age. New foods should be introduced one at a time for a period of five to seven days so that any allergic reaction ca ... (more)

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1210.

Chapter 35: Nutrition - Page 1210

Question 4:

(see full question)A nurse is caring for a client who has a body mass index (BMI) of 26.5. Which of the following categories should the nurse understand this client would be placed in?You selected:ObeseIncorrectCorrect response:OverweightExplanation:A client with a BMI below 18.5 should be considered underweight. A client with a BMI of 18.5-24.9 is considered to be at a healthy weight. A client with a BMI of 25 to 29.9 is cons ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1198.

Chapter 35: Nutrition - Page 1198

Question 5:

(see full question)The nurse is assessing patients for BMR. Which patient would the nurse suspect would have an increased BMR?You selected:A patient who is fastingIncorrectCorrect response:A patient who has a feverExplanation:A client who has a fever would have an increased BMR. The energy needs of the body are increased due to the client’s fever. The BMR is decreased in an elderly client, a clie ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015,

Chapter 35, Nutrition, p. 1198.

Chapter 35: Nutrition - Page 1198

Question 6:

(see full question)An older adult client has a decubitus ulcer with drainage, dysphagia, and immobility. She consumes less than 300 calories per day and has a large amount of interstitial fluid. The client is in a state of ...You selected:Negative nitrogen balanceCorrectExplanation:A negative nitrogen balance exists when excretion of nitrogen exceeds the intake.

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1202.

Chapter 35: Nutrition - Page 1202

Question 7:

(see full question)After reviewing the client's chart, the nurse notes that the client has been ordered a clear liquid diet. Which meal tray would the client be allowed to eat?You selected:Bouillon, apple juice, and gelatinCorrectExplanation:Clear liquid diets contain foods that are clear liquids at room temperature or body temperature, such as gelatin, fat-free broth, bouillon, ice pops, clear juices, carbonated bever ... (more)

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1225.

Chapter 35: Nutrition - Page 1225

Question 8:

(see full question)A client resides in a long-term care facility. Which nursing intervention would promote increased dietary intake?You selected:Encourage the client to eat in the dining room.CorrectExplanation:Encouraging the client to eat in the dining room will allow for socialization during meal time. This will have a positive effect on the amount of food consumed and provide enjoymen ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1221.

Chapter 35: Nutrition - Page 1221

Question 9:

(see full question)The charge nurse is observing a new nurse care for a client who is receiving a continuous feeding through a nasogastric feeding tube. Which of the following actions by the new nurse would require intervention by the charge nurse?You selected:The new nurse places the client in the left lateral recumbent position.CorrectExplanation:This action is correct. The client should be assisted to a high Fowler's position (45 degrees).

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1247.

Chapter 35: Nutrition - Page 1247

Question 10:

(see full question)A female client has developed an abscess following abdominal surgery, and her food intake has been decreasing over the past two weeks. Which of the following laboratory findings may suggest the need for nutritional support?You selected:ProteinuriaIncorrectCorrect response:Low serum albumin levelsExplanation:Serum albumin levels are a good indicator of a client's nutritional status; decreased levels are suggestive of malnutrition. Protein in the client's urine, low blood sugars, and in ... (more)

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1218.

Chapter 35: Nutrition - Page 1218

Question 11:

(see full question)Which nursing action associated with successful tube feedings follows recommended guidelines?You selected:Check the residual before each feeding or every 4 to 8 hours during a continuous feeding.CorrectExplanation:The nurse should check the residual before each feeding or every 4 to 8 hours during a continuous feeding. High gastric residual volumes (200 to 250 mL or greater) can be associate ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015,

Chapter 35, Nutrition, p. 1230.

Chapter 35: Nutrition - Page 1230

Question 12:

(see full question)A nurse is teaching an adolescent client about nutrition following a hospital admission. Which of the following should the nurse understand about adolescent nutrition?You selected:Childhood nutrition problems may worsen during adolescence.CorrectExplanation:Adolescents may have childhood nutrition problems worsen during this period. During puberty, nutritional needs increase to support growth. Adolescents tend to eat away from home in ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1210.

Chapter 35: Nutrition - Page 1210

Question 13:

(see full question)A woman consumes pasta, grains, and other carbohydrates for which purpose?You selected:EnergyCorrectExplanation:The main function of carbohydrates is to provide energy.

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1200.

Chapter 35: Nutrition - Page 1200

Question 14:

(see full question)At what period of life do nutrient needs stabilize?You selected:AdulthoodCorrectExplanation:Nutrient needs change across the life span in relation to growth, development, activity, and age. Periods of intense growth and development, such as during infancy, adolescence, pr ... (more)

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1211.

Chapter 35: Nutrition - Page 1211

Question 15:

(see full question)You are the nurse caring for a client with an enlarged thyroid gland. You anticipate which nutritional deficiency is linked to the client's condition?You selected:IodineCorrectExplanation:A chronic deficiency of iodine can lead to goiter, which manifests as an enlargement of the thyroid gland.

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1206.

Chapter 35: Nutrition - Page 1206

Question 16:

(see full question)The nurse has observed that a client's food intake has diminished in recent days. What intervention should the nurse perform in order to stimulate the client's appetite?You selected:Try to ensure that the client's food is attractive and sufficiently warm.CorrectExplanation:Food in the health care setting can often be unattractive and cool. Ensuring that it is appealing to the eyes and presented at the correct temperature can stimulate the client's ap ... (more)

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1222.

Chapter 35: Nutrition - Page 1222

Question 17:

(see full question)A nurse is teaching a client about diabetes and glucose monitoring. Which of the following should the nurse include in the teaching?You selected:Blood from the fingertips shows changes in glucose more quickly than other testing sites.CorrectExplanation:With glucose monitoring, blood from the fingertips shows changes in blood glucose more quickly than other testing sites. With signs and symptoms of hypoglycemia, a fingertip site s ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1258.

Chapter 35: Nutrition - Page 1258

Question 18:

(see full question)A client has developed dysphasia secondary to a cerebral vascular accident. The nurse is aware that the client is at risk for?You selected:AspirationCorrectExplanation:The definition of dysphagia is difficulty swallowing. This would place the client at risk for aspirating liquids. Gastritis, incontinence and confusion can be issues but will not d ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1217.

Chapter 35: Nutrition - Page 1217

Question 19:

(see full question)A nurse is caring for a client who has a malabsorption disease. The nurse should understand which of the following structures in the gastrointestinal system absorbs the majority of digested food and minerals?You selected:Small intestineCorrectExplanation:Most absorption of digested food and minerals occurs in the small intestines. The stomach is responsible for storing food, secreting digestive enzymes, and digestion. The large int ... (more)

Reference:Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 35: Nutrition, p. 1207.

Chapter 35: Nutrition - Page 1207

Question 20:

(see full question)Which of the following is a fat-soluble vitamin?You selected:Vitamin CIncorrectCorrect response:Vitamin EExplanation:Vitamin E is a fat-soluble vitamin.

Reference:Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 1204.

Chapter 35: Nutrition - Page 1204