Quiz
ch 60 ed 7
Create a free account to finish this quiz
Save your progress and see your final score.
Already have an account? Sign in
Questions in this quiz (22)
1The nurse is caring for a female client who is 5 feet, 7 inches tall and weighs 115 pounds. The client asks the nurse if she needs to lose weight. Which response by the nurse is best?
- A“Yes. Your body mass index suggests you are slightly overweight.”
- B“Maybe. Let’s look at your risks for cardiovascular disease.”
- C“Your weight is just fine. Don’t worry about it.”
- D“No. In fact, your body mass index suggests that you are already underweight.”
2The nurse is caring for a male client who is 6 feet, 1 inch tall and weighs 215 pounds. The client asks the nurse if his weight is appropriate for his height. Which is the nurse’s best response?
- AYour weight is just about right for someone your height.”
- B“Your weight is a few pounds under the ideal for your height.”
- C“Your weight is a few pounds over the ideal for your height.”
- D“Your weight is quite a few pounds over the ideal for your height.”
3The nurse is caring for a client who is a vegan and has developed B12 deficiency. Which foods does the nurse encourage the client to include in the diet?
- AFortified cereals and tofu
- BPumpkin seeds and blackstrap molasses
- CKale, spinach, and whole grain bread
4The nurse is caring for a client who has a new small-bore nasoduodenal tube for feedings. Which intervention most effectively prevents clogging of the tube?
- AAdministering medications that have been thoroughly crushed and dissolved in cold water
- BFlushing the feeding tube with 60 mL of cranberry juice or carbonated beverage four times daily
- CIrrigating the tube with water before and after administration of medications using 20 to 30 mL
5The nurse is reviewing recent laboratory values for a client who is being treated for malnutrition. Which laboratory finding indicates that the client is not receiving adequate iron supplementation?
- AHematocrit, 31%
- BSerum albumin, 3.5 g/dL
- CCreatine phosphokinase (CPK), 55 U/mL
6The nurse is caring for a client on a limited income who has been diagnosed with kwashiorkor. Which foods does the nurse suggest to improve the client’s nutritional status with minimal increase in food costs?
- AOatmeal and bananas
- BTomato soup with oyster crackers
- COmelet made with cheddar cheese
7The nurse is preparing to administer tube feedings through a client’s new Salem sump nasogastric tube. The nurse is unable to withdraw any fluid from the tube before starting the feeding. Which is the priority action of the nurse?
- AStart the tube feeding as ordered and check the residual in 30 minutes.
- BInject air into the nasogastric tube while auscultating the client’s epigastric area.
- CObtain orders for a chest x-ray to confirm placement before starting the feeding.
8The nurse is caring for a client who was started on total parenteral nutrition (TPN) 2 days previously. The client reports blurred vision, dry mouth, and frequent urination. Which is the nurse’s priority action?
- AWeigh the client.
- BAssess the clients vital signs
- CAssess the client’s blood sugar.
9The nurse is caring for an anorexic client who is severely malnourished. A nasogastric feeding tube is inserted, and tube feedings are started. Which laboratory finding is the best indication that the client’s nutritional status is improving?
- ASodium has risen from 130 to 144 mg/dL.
- BCreatinine has dropped from 1.9 to 0.5 mg/dL.
- CPrealbumin level has risen from 9 to 13 mg/dL.
10A client who is malnourished has a total lymphocyte count of 1450/mm3. Which instruction does the nurse provide to the unlicensed assistive personnel helping to care for this client?
- A“Wash your hands or use hand foam when you first enter the room.”
- B“Be sure to offer this client a glass of water each time you are with the client.”
- C“Record all of the client’s food and drink intake for the shift.”
11Which client is at highest risk for developing dehydration and hypernatremia as a result of enteral feedings?
- AClient receiving an isotonic enteral feeding solution and an IV of D5W (dextrose 5% in water) at 83 mL/hr
- BClient receiving a hypertonic enteral feeding solution and an IV of normal saline (0.9 NS) at 125 mL/hr
- CClient receiving a hypertonic enteral feeding solution and an IV of 0.45% NS (0.45 NS) infusing at 125 mL/hr
12Which statement indicates that the client needs additional discharge teaching after gastric bypass surgery?
- A“I hope my type 2 diabetes is cured and I won’t need insulin anymore.”
- B“As soon as I get home, I’m going to enjoy a nice bowl of fruit.”
- C“I will be sure to report any back, shoulder, or abdominal pain.”
13The postanesthesia care nurse is caring for a client who had gastric banding surgery and was extubated an hour ago. The client’s blood gases are as follows: pH, 7.22; HCO3– 21 mEq/L; PCO2, 65 mm Hg; and PO2, 58 mm Hg. Which is the priority action by the nurse?
- AAssess the client’s airway.
- BIncrease the client’s oxygen flow rate.
- CDocument findings in the client’s chart.
14The nurse is caring for an overweight client who gained 10 pounds during the previous 2 weeks. The client states that she is hungry all the time and doesn’t understand why. Which assessment finding could explain the client’s weight gain and hunger?
- AThe client started taking dexamethasone (Decadron) daily.
- BThe client started taking naproxen sodium (Naprosyn) daily.
- CThe client’s glycosylated hemoglobin level is 6%.
15The nurse is caring for an obese client who will be taking orlistat (Xenical) to help her lose weight. Which statement indicates that the client understands teaching about orlistat?
- A“This medication will help speed up my metabolism.”
- B“I may have loose stools after meals if I eat too much fat.”
- C“This medication will suppress my appetite so I won’t be hungry.”
16Which dietary adjustments does the nurse recommend to an older adult client asking what changes she should institute to prevent or manage constipation?
- A“Increase your calcium intake.”
- B“Limit your fluid intake.”
- C“Include plenty of fiber.”
17the new nursing supervisor at a long-term care facility is concerned about the number of residents who appear malnourished. Which action by the nurse is best?
- AInstitute daily weighing for at-risk or underweight residents.
- BProvide a supply of easy to access high-calorie snacks.
- CAsk dining room personnel about residents coughing at meals
18A severely malnourished client was started on enteral feedings. The following day, the client is confused, has a heart rate of 112 beats/min, and reports feeling weak. Which laboratory value does the nurse correlate with this condition?
- ASerum phosphate, 1.8 mg/dL
- BSerum potassium, 3.1 mEq/L
- CSerum sodium, 143 mEq/L
19A client has a small-bore nasoenteric feeding tube. The nurse assesses the following vital signs: temperature, 100.2° F (37.8° C); pulse, 112 beats/min; respiratory rate, 22 breaths/min; and blood pressure, 106/62 mm Hg. Which action by the nurse takes priority?
- ARemove the tube immediately and notify the heath care provider.
- BAuscultate lung sounds and obtain oxygen saturation.
- CAuscultate bowel sounds and slow the feeding down.
20A facility is beginning to perform bariatric surgery on obese clients. Which action by the nursing manager is most important?
- AObtain appropriately sized equipment for these clients.
- BSelect a dedicated group of staff members for these clients.
- CSend personnel to sensitivity training as part of orientation.
21client is malnourished and needs encouragement and assistance to eat. Which activities does the nurse delegate to the unlicensed assistive personnel (UAP) when giving this client a food tray? (Select all that apply.)
- AOpen food packages and cut food if needed
- BRemove the urinal from the bedside table.
- CAssess the client’s ability to swallow.
- DReport to the nurse pain described by the client.
- ESit with the client and do not rush the feeding.
22When reviewing an older client’s medical record, which findings lead the nurse to perform a nutrition assessment? (Select all that apply.)
- AWidow/widower status
- BChronic constipation
- CHistory of depression
- DRandom blood sugar level of 198 mg/dL
- ECholecystectomy 4 years ago
- FInability to afford a new pair of glasses
Information
- Description
- ch 60 ed 7 Quiz on ch 60 ed 7, created by Megan Pattenaude on 21/11/2018.
- Author
- Megan Pattenaude
- Language
- English
- Views
- 4
- Tags
- Rating
- No ratings yet Rate this quiz