online solution: 1. A nurse is providing teaching to a client who has type 1.

1. A nurse is providing teaching to a client who has type 1… 1. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?”I will keep my blood glucose levels between 200 and 212 milligrams per deciliter.””I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter.” “Albumin in my urine is an indication of normal kidney function.””I will keep my HbA1c at five percent.”2. A nurse is developing a plan of care for a client who is receiving radiation therapy and is experiencing nausea. Which of the following interventions should the nurse include in the plan?Ensure foods are served hot Administer antiemetics on a schedule Serve low carbohydrate mealsProvide a snack 30 min before treatments3. A nurse is teaching a client who has Parkinson’s disease and is prescribed a monoamine oxidase inhibitor. Which of the following instructions should the nurse include?”Maintain a low-protein diet.” “Reduce intake of high-calorie foods.””Do not eat grapefruit while taking this medication.” “Avoid aged cheeses while taking this medication.”4. A nurse is planning a class for parents of school-age children about iron intake. Which of the following should the nurse include as a manifestation of iron deficiency?Elevated temperature Increased risk of infectionLowered intellectual performance Decreased sleeping time5. A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following complications should the nurse include in the teaching?Hypothyroidism HypertensionJuvenile rheumatoid arthritisType 1 diabetes mellitus6. A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?Provide low-fat carbohydrates with meals. Limit fluid intake between meals.Serve hot foods at mealtime.Encourage the client to eat even if nauseated.7. A 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?”Set meal times immediately after physical activity.” “Avoid snacks between meals.””Allow the toddler to feed himself.””Provide different food for the toddler than the parents.”8. A 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 weight loss?0.45 kg (1 Ib)/day0.45 kg (1 Ib)/week0.23 kg (0.5 Ib)/week0.23 kg (0.5 Ib)/day9. A nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendations should the nurse include in the teaching?Decrease intake of potassium. Increase intake of whole grains.Decrease intake of omega-3 fatty acids. Increase intake of refined carbohydrates.10. A nurse is assessing a client who is newly prescribed atorvastatin for dyslipidemia. Which of the following questions should the nurse ask first?”Do you consume alcohol daily?” “Do you exercise regularly?””Do you check your blood pressure daily?””Do you regularly have your eyes examined?”11. A 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 medications with the supplement.Offer the supplement as a substitute for one of the client’s daily meals. Leave an opened supplement at the bedside throughout the day.Enhance the flavor of supplements by serving them warm.12. A 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?Prealbumin Transferrin Total albumin Hemoglobin13. A nurse is assessing an older adult client who has dysphagia and is experiencing dehydration. Which of the following findings should the nurse expect?HypertensionDecreased respiratory rate Distended neck veins Tachycardia14. A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?Rice cereal with sliced bananas Rye toast with herbal teaGraham crackers with peanut butter Poached eggs with wheat bagel15. A nurse is assessing a client who is recovering from a stroke. Which of the following findings is a manifestation of dysphagia?Continuous smiling Expressive aphasiaHoarse voice Weight gain16. A nurse is providing postpartum education about newborn feedings to a client who has recently given birth. Which of the following information should the nurse include about bottle feeding?Feedings should begin within 1 hr after birth. Feedings may occur in clusters.Feedings should be started at 15 mL per feeding. Feedings should be accompanied by nonnutritive sucking.17. A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?Blood pressure 152/90 mm Hg Pulse rate 118/min Temperature 37.2° C (99° F)Central venous pressure 25 mm Hg18. A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?”This lab value should be at least 15 milligrams per deciliter.” “You do not need to be fasting when this lab is drawn.” “Corticosteroid therapy can cause this lab value to decrease.””This lab value is a good indicator of short-term nutritional status.”19. A nurse is teaching a group of clients who are at risk for heart disease about decreasing saturated fats in their diet. Which of the following fats should the nurse recommend the clients use when cooking?Palm oilStick margarine Canola oil Peanut oil20. A nurse is educating the parent of a school-age child about the importance of maintaining water intake to prevent dehydration. Which of the following food choices should the nurse recommend as containing the greatest percentage of water?Broccoli Cheddar cheeseWhole-wheat bread Almonds21. A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?”The TPN is needed because you are burning excessive calories.” “The TPN is needed to bypass your gastrointestinal tract.””The TPN will be higher in fats and protein, but lower in carbohydrates.””The TPN will have higher levels of vitamins than the recommended daily intake.”23. A nurse is reviewing the laboratory values of four clients. Which of the following values indicates to the nurse that a client has iron-deficiency anemia?A client whose hematocrit is 42%A client whose RB count is 5.2 million/mm3 A client whose ferritin level is 8 ng/mLA client whose hemoglobin is 15 g/dL24. A nurse is reviewing the medical record 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?Temperature 38.4° C (101.1° F)BUN 25 mg/dLBMI 18.5Hgb 10 g/dL25. A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?Potassium Vitamin A MagnesiumOmega-3 fatty acids26. A nurse is caring for a client who has throat cancer and is receiving radiation therapy. Theclient reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?Serve foods hot.Increase intake of liquids at mealtime. Select foods high in protein.Consume foods high in fat content.27. A nurse is caring for a client who reports manifestations of gastroesophageal reflux disease (GERD). Which of the following client statements should the nurse identify as a contributing factor to GERD?”I stopped drinking caffeinated beverages several weeks ago.””I try to follow a low-fat, high-protein diet to help me maintain my weight.” “I have recently stopped drinking alcohol.””I like to drink a glass of warm milk before bed to help me sleep.”28. A 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 client include in his diet?Salami Barley Wheat germ Corn29. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about recognizing hyperglycemia. Which of the following manifestations should the nurse include in the teaching?Anxiety Cool skinMetallic taste Hyperventilation30. A nurse is teaching a group of parents about appropriate food choices for toddlers. Which of the following choices by the parents demonstrates an understanding of the teaching?Hot dog cut in fourths Steak cut into small piecesCooked spaghetti with sauce Caramel popcorn31. A 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?”Consume ten percent of total calories from saturated fat.” “Limit sodium intake to 3,200 milligrams per day.” “Consume foods that are high in calcium.”Increase intake of refined carbohydrates.”32. A nurse is caring for a client who received radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?Recommend that the client eliminate the intake of carbonated beverages. Encourage the client to drink 4 oz of milk after each loose stool.Instruct the client to increase consumption of beans Provide sugar-free candy for the client between meals.33. A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take?Instruct the client to drink liquids without a straw. Serve foods without sauces or gravies.Serve foods while still at a hot temperature. Offer mouth rinses with normal saline and water.34. A nurse is teaching a client who is receiving enteral nutrition via bolus feedings. Which of the following statements by the client indicates an understanding of the teaching?”I should advance the rate of my feedings slowly.””I will administer my feedings five to eight times daily.” “I should administer the formula at a cold temperature.” “I should administer my feedings over 10 to 20 minutes.”35. A nurse is providing teaching to a client who has a prescription for a low-saturated fat diet. Which of the following statements by the client indicates an understanding of the teaching?”I will include 7 ounces of fish in my diet weekly.” “I can choose an avocado dip instead of salsa.” “I can eat the skin on poultry if it is broiled.””I will use margarine on my waffles.”36. A nurse at a health clinic is preparing to administer the inactivated influenza vaccine to a client. The nurse should ask the client about allergies to which of the following foods?Gelatin Citrus fruit shellfish Eggs37. A nurse is providing nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity?Gastroesophageal reflux disease Peptic ulcer diseaseCeliac disease Cohn’s disease38. A nurse is providing teaching to a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client’s diet?Boiled egg Ground beef Banana muffin Brown rice39. A nurse is caring for a client who has acute kidney injury. Which of the following findings indicates that the client’s treatment has been effective?The force of the client’s urinary stream has improved. The client passes soft, brown stool.The client has a creatinine level of 1.0 mg/dL.The client does not have to strain to begin urination. Health Science Science NursingNUR 211

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