Exam (elaborations)
Chapter 60: Nutrition - Questions And Answers
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- NCLEX NUTRITION
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- NCLEX NUTRITION
Chapter 60: Nutrition - Questions And Answers
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Chapter 60: Nutrition - Questions And AnswersAn older client is at risk for malnutrition. Which nursing intervention is
most appropriate to ensure optimum nutritional intake? ✔️Ans -
Assisting the client with toileting and oral care prior to meals
The most appropriate intervention to ensure optimum nutritional intake in
an older client at risk for malnutrition is to assist the client. Clients need to
be assisted with toileting and oral care prior to meals for comfort and to
prevent these from distracting clients from meals.Antiemetics and
analgesics should be provided prior to meals. Clients need to be free from
distractions while eating. When possible, clients would be placed in chairs
for eating.
A client has undergone bariatric surgery. Which nursing intervention is the
highest priority in preventing dehydration in this client? ✔️Ans -
Providing six small feedings daily and offering fluids frequently
The nursing intervention with the highest priority to prevent dehydration
in a post-operative bariatric client is small daily feedings and adequate
fluids. This will prevent the development of dehydration in this
client.Ambulation will prevent pulmonary embolism and other circulatory
problems. An abdominal binder will help support the abdomen and may
prevent dehiscence of the wound. Observing for tachycardia, nausea,
diarrhea, and abdominal cramping will prevent the development of
postoperative dumping syndrome. All of these interventions are important,
but preventing dehydration is the priority.
An obese client has been taking orlistat (Xenical) 60 mg orally three times a
day for 4 weeks, but has only lost 10 pounds (4.5 kg). The health care
provider doubles the dosage and recommends behavioral changes. What
behavioral changes does the nurse include in the teaching plan? ✔️Ans -
Keeping a daily food diary, Identifying emotional and situational factors
that stimulate eating, Increasing exercise
Self-monitoring techniques the nurse includes in the teaching plan are
keeping a record of foods eaten (food diary), identifying emotional and
situational factors that stimulate eating, and exercise patterns. Stimulus
control involves controlling the external cues that promote
overeating.Cognitive restructuring involves modifying negative beliefs by
, learning positive, not negative, coping self-statements. Healthy eating
behaviors must be learned or modified by the client as an individual and
not through copying or modeling others' behaviors.
An underweight client is receiving nutritional supplements to restore
nutritional status. What does the nurse do to assess the effectiveness of the
supplements for the client? ✔️Ans - Makes certain the client is weighed
daily at the same time
To assess the effectiveness of supplements for this client, the nurse would
perform daily weigh-ins. This will best show the effects of nutritional
supplements since the primary client outcome is weight gain.Identifying
everything that the client is taking in orally, monitoring vital signs, and
assessing for any evidence of skin breakdown do not help determine the
effects of nutritional supplements for the client.
An older adult client needs additional dietary protein, but refuses to drink
the prescribed liquid protein supplements. Which nursing intervention is
most effective in increasing the client's protein intake? ✔️Ans - Providing
protein modular supplements in the form of puddings
The most effective intervention to increase the client's protein intake is to
provide protein modular supplements in the form of puddings. This would
increase the client's protein intake in a format other than a liquid
supplement.Administering the liquid supplement with routine medications
will not be effective because the client has already refused to drink the
supplements. Glucose polymer modular supplements will increase the
client's calorie intake but not protein intake. A food and fluid diary will
provide information about the client's typical intake pattern, but will not
increase protein intake.
The nurse manager in a long-term care facility plans nutritional
assessments of all residents. Which nutritional assessment activity does
the nurse delegate to unlicensed assistive personnel (UAP) at the facility?
✔️Ans - Measuring the daily food and fluid intake of residents
UAP education includes measurement of clients' oral intake. This skill does
not require specific clinical judgment.Assessing swallowing ability,
determining functional status of residents, and screening with the Mini
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