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20 Cards in this Set

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The nurse is measuring the pH of fluid from a jejunostomy tube and suspects that the tube has migrated into the stomach when the pH reading is:
A. 3.0
B. 4.0
C. 5.0
D. 6.0
A
Which of the following statements about water-soluble vitamins is true? (Select all that apply.)
A. They must be consumed daily.
B. They often cause toxicity.
C. They cannot be stored.
D. They require the use of supplements to reach RDA.
A,C
When evaluating the history of a client who has gastrointestinal (GI) upset, the nurse is sure to assess the client for routine ingestion of the following (select all that apply):
A. High-fiber foods
B. Beer
C. Acetaminophen
D. Aspirin
B,D
A woman is considering becoming pregnant. The nurse practitioner recommends that the client begin to consume __________ before attempting pregnancy to prevent neural tube defects in the fetus.
A. Vitamin C
B. Calcium
C. Folic acid
D. Riboflavin
C
The nurse wants to begin feeding a client through a small-bore feeding tube that was recently placed. Before initiating tube feedings through this tube, the nurse confirms tube placement by:
A. Injecting air through the feeding tube while auscultating for air in the stomach
B. Measuring pH of fluid aspirated through the small-bore tube
C. Requesting placement via x-ray examination
D. Aspirating fluid contents from the stomach
C
A client has gained 2 pounds of weight in the past day. The nurse calculates this weight gain to be __________ ml of fluid.
1000. One pound of weight gain is equal to 500 ml; thus a 2-pound weight gain in 1 day is equivalent to 1000 ml.
Calculate the number of carbohydrate, protein, and fat calories in the following food, and determine the total number of calories in this serving.

One serving of food has 12 g of carbohydrate, 6 g of protein, and 8 g of fat.
12 × 4 (each gram of carbohydrate has 4 kcal) = 48 cal
6 × 4 (each gram of protein has 4 kcal) = 24 cal
8 × 9 (each gram of fat has 9 kcal) = 72 cal
Total number of calories = 144 cal
A woman who has decided not to breast-feed asks the nurse if it is okay to feed her newborn infant regular cow’s milk. The nurse responds by saying:
No, cow’s milk should not be used during the first year of life because it may cause intestinal bleeding and is too concentrated for the infant’s kidneys to manage
A mother is considering buying skim milk for her children, ages 1½ and 5. What recommendation does the nurse make
The 1½-year-old will still need whole milk to ensure adequate intake of fatty acids necessary for brain and neurological development. The 5-year-old can be slowly introduced to skim milk so that it is gradually accepted.
A client was admitted to the hospital 5 days ago for a GI bleed. The client has received 4 units of blood over the past 5 days along with a maintenance fluid of normal saline at 125 ml/hour. What is of concern to the nurse with regard to this patient’s nutrition?
Normal saline has no calories in it. Hydration is being maintained, but nutrition is not. Although the client received blood to replace blood loss (most likely based on H and H findings), there are minimal calories in the blood. Five days is a long time to go without sufficient calories. The nurse needs to discuss alternate methods of providing sufficient calories to meet basic metabolic needs to the client.
The nutrient that provides the body's most preferred energy source is
1. fat
2. protein
3. vitamin
4. carbohydrate
4. carbohydrate
The nutrient that is preferred to repair tissue is:
1. Fat
2. Protein
3. Vitamin
4. Carbohydrate
2. Protein
Positive nitrogen balance would occur in:
1. infection
2. starvation
3. burn injury
4. pregnancy
4. pregnancy
Water composes 60% to 70% of
1. total body weight
2. digested food
3. carbohydrates
4. water-soluble vitamins
1. total body weight
When feeding tubes are first positioned, verification is done by
1. ausculation
2. xray confirmation
3. pH testing of gastric contents
4. confirmation of distal mark on feeding tube
2. xray confirmation
Parenteral nutrition is used when the client is
1. NPO
2. Critically Ill
3. Recovering from abdominal surgery
4. Experience a codition resulting in gastrointestional dysfunction
4. Experience a codition resulting in gastrointestional dysfunction
The bacteria that causes peptic ulcers is.
1. micrococcus
2. helicobacter pylori
3. staphyloccocus
4. corynebacteria
3. staphyloccocus
Inflammatory bowel disease includes
1. crohn's disease and idiopathic ulcerative colitis
2. celiac disease
3. peptic ulcer
4. diverticulitis
1. crohn's disease and idiopathic ulcerative colitis
Nutritional therapy for hypertension includes:
1. A moderate or low-residue diet
2. Reduction in kilocalories, soft textured foods, and amounts of fat, sodium, and cholesterol
3. Kilocalorie reduction to promote weight loss as appropriate, decreased sodium intake and potassium rich foods if potassium wasting diuretics are part of the treatment
4. A high-fiber diet
3. Kilocalorie reduction to promote weight loss as appropriate, decreased sodium intake and potassium rich foods if potassium wasting diuretics are part of the treatment
Homebound elderly have an increased risk of:
1. Diverticulitis
2. Poor Nutrition
3. Food Intolerances
4. Peptic ulcers
2. poor nutrition