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Foundations and Adult Health Nursing

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Foundations and Adult Health Nursing

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  • September 3, 2024
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Test Bank For Foundations and Adult Health Nursing 7th
Edition By Kim Cooper, Kelly Gosnell 9780323100014 Chapter
1-57 Complete Guide .
A healthy 35-year old patient wishes to lose weight because her BMI is 27. Which
suggestion would be most appropriate for her?

A) This BMI is too low for good health; the patient needs to supplement the diet to
increase weight.

B) This is an acceptable BMI, and it is best to maintain weight at this level for
continued good health.

C) Appropriate weight loss is possible with a healthy, reduced calorie diet and
incorporating at least 30 minutes of physical activity each day.

D) This BMI is elevated to the point that treatments, such as surgery are necessary. -
ANSWER: C) Appropriate weight loss is possible with a healthy, reduced calorie diet
and incorporating at least 30 minutes of physical activity each day.

A patient takes medication for hypertension and asks whether there is anything else
he can do to help reduce his blood pressure. What is the best nursing response?

A) "A low fat, low cholesterol diet with only a limited amount of simple sugars will
have the greatest effect on your blood pressure."

B) "A salt free diet will have the greatest effect on your blood pressure. Do not add
salt in your cooking or at the table."

C) "Adequate calcium and potassium intake, as well as lower sodium intake, offers
some possibility of helping your blood pressure. Eat plenty of fruits, vegetables, and
low fat milk products."

D) "Discontinue the use of processed foods, and buy only natural foods. That way,
you will have less sodium in your diet." - ANSWER: C) "Adequate calcium and
potassium intake, as well as lower sodium intake, offers some possibility of helping
your blood pressure. Eat plenty of fruits, vegetables, and low fat milk products."

A patient with cancer has anorexia and weight loss. Which suggestion is most likely
to help him increase intake and prevent weight loss?

A) encourage the patient to eat double portions at each meal.

B) suggest that the patient's snack often on high calorie foods.

C) encourage the patient to eat the low-calorie foods first.

,D) suggest to the patient that he decrease his amount of exercise. - ANSWER: B)
suggest that the patient's snack often on high calorie foods.

Which dietary recommendations should the nurse include in the discharge
instructions of a client in whom coronary artery disease is diagnosed?

A) limit intake of whole grains.

B) limit intake of tuna.

C) limit intake off soybean products.

D) limit intake of egg yolks. - ANSWER: D) limit intake of egg yolks.

The nurse is reviewing a patient's dietary intake. Which patient behavior reflects
compliance with a 2-g sodium restricted diet?

A) using only the two packets of salt found on the meal tray.

B) Limiting milk to one cup per day.

C) avoiding use of salt in cooking.

D) using salt free butter with meals. - ANSWER: C) avoiding use of salt in cooking.

A patient with iron deficiency anemia started taking iron supplements. What
recommendation can the nurse give the patient to increase iron absorption?

A) drink milk or take calcium supplements at the same time as eating iron rich foods.

B) take iron supplements with coffee, tea, or red wine.

C) consumed vitamin C rich foods at the same meal with iron containing foods.

D) take iron supplements with a high-fiber bran cereal. - ANSWER: C) consume
pvitamin C rich foods at the same meal with iron containing foods.

The nurse determines that a hypertensive patient understands the DASH diet when
the patient chooses which items from a sample menu used in dietary teaching?

A) Cesar salad, breadsticks, and frozen yogurt.

B) grilled chicken sandwich, strawberries, and lettuce salad.

C) grilled cheese sandwich, canned pineapple, and brownie.

, D) chicken and vegetable stirfry, rice, and eggroll. - ANSWER: B) grilled chicken
sandwich, strawberries, and lettuce salad.

A patient planning for pregnancy has heard that some experts recommend folic acid
supplements for woman of childbearing age. The patient understands the need for
this recommendation by making which statement?

A) "Folic acid may help prevent neural tube defects in my baby."

B) "folic acid provides me with extra calories to make new cells."

C) "it is impossible for me to receive adequate amounts of folic acid in my diet."

D) "folic acid will help me to increase iron absorption in my diet." - ANSWER: A)
"Folic acid may help prevent neural tube defects in my baby."

While completing discharge teaching for a patient with elevated cholesterol levels,
the patient ask how to distinguish between an unsaturated fat and a saturated fat.
Which statement is most accurate?

A) saturated fats are generally from plant sources and are solid at room
temperature.

B) unsaturated fats have all of the hydrogen bonds full.

C) saturated fats are missing hydrogen at point of unsaturation.

D) unsaturated fats are generally from plant sources and are liquid at room
temperature. - ANSWER: A) saturated fats are generally from plant sources and are
solid at room temperature.

A nurse is caring for a patient recently diagnosed with type two diabetes. The patient
asked the nurse to tell her about the dietary changes she will need to make. Which
actions are appropriate and within the scope of practice for a nurse?

A) review the patient's chart, and recommend a calorie and carbohydrate intake that
is based on blood glucose and lipid values.

B) discuss the rationale for and the general principles of the diabetic diet with the
patient, and then communicate the patient's concerns to the registered dietitian and
healthcare provider.

C) locate the healthcare providers diet order in the medical chart, and then obtain a
pre-printed diet sheet showing the exchange list for meal planning and a menu
pattern based on that prescribed calorie level.

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