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Lewis_Ch40_Test Bank

Lewis: Medical-Surgical Nursing, 7th Edition Chapter 40: Nursing Management: Nutritional Problems Test Bank, 26 Questions Flashcards, view or print the List of Terms. practice using the HTML choice.
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Q1: An 82-year-old Latino patient with mild protein-calorie malnutrition shares a home with his spouse and adult daughter. When developing a teaching plan to improve the patient’s nutrition, it will be most important for the nurse to obtain information about…, 1. Correct Answer: B,
Q2: A patient who weighs 145 pounds (66 kg) asks the nurse how much protein should be included in the daily diet. The nurse recommends that the diet should include a minimum of _____ g protein., 2. Correct Answer: B,
Q3: During assessment of a patient who is a vegan, the nurse observes for signs of nutritional deficiency. The most common nutritional deficiency related to a strict vegan diet would be manifested by…, 3. Correct Answer: C,
Q4: The nurse teaches a patient who is being stabilized on a therapeutic dose of warfarin (Coumadin) not to alter the normal dietary intake of green, leafy vegetables, dairy products, or meats, primarily because these foods…, 4. Correct Answer: A,
Q5: A 72-year-old patient with massive infection is 5 ft 2 in (155 cm) tall and weighs 92 pounds (42 kg). Laboratory results include hemoglobin 10.5 g/dl (105 g/L) and albumin 2.0 g/dl (20 g/L). Which additional information will be most useful when the nurse is determining the patient’s nutritional status?, 5. Correct Answer: C,
Q6: When using a nutrition screening tool, the nurse can identify a patient at nutritional risk without further assessment when the patient has…, 6. Correct Answer: A,
Q7: In evaluating a patient outcome of “chooses high-protein foods,” the nurse knows the outcome has been met when for lunch the patient selects from the hospital menu…, 7. Correct Answer: C,
Q8: A high-calorie, high-protein diet is provided for a patient with a fractured hip and severe protein-calorie depletion, but the patient eats only about 50% of each meal tray and then complains of feeling tired. The nurse will plan to…, 8. Correct Answer: B,
Q9: While caring for an older adult patient hospitalized with dehydration and moderate protein-calorie malnutrition (PCM), the nurse identifies a nursing diagnosis of risk for infection related to…, 9. Correct Answer: A,
Q10: A 66-year-old patient recovering from surgery for cancer of the lung is thin and has an albumin level of 3.7 g/dl (37 g/L). The nurse will plan to teach the patient about…, 10. Correct Answer: B,
Q11: A patient with difficulty swallowing is started on continuous tube feedings of a full-strength commercial formula at 100 ml/hr. The patient has 6 diarrhea stools the first day. The action most appropriate for the nurse to take first is to…, 11. Correct Answer: A,
Q12: A patient is receiving continuous tube feedings through a percutaneous endoscopic gastrostomy (PEG). To maintain safe and effective delivery of the tube feeding, the nurse should…, 12. Correct Answer: C,
Q13: Parenteral nutrition (PN) containing amino acids and dextrose was ordered and hung 24 hours ago for a malnourished patient. The nurse observes that about 50 ml remaining in the PN container. Which action is appropriate at this time?, 13. Correct Answer: C,
Q14: PN with a peripherally inserted central catheter (PICC) is initiated for a patient. After 6 hours of PN infusion, the nurse checks the patient’s capillary blood glucose level and finds it to be 140 mg/dl (8.9 mmol/L). The most appropriate action by the nurse is to…, 14. Correct Answer: B,
Q15: A patient with protein-calorie malnutrition has undergone surgery and radiation therapy for a malignant tumor of the bowel. The health care provider orders PN for the patient. The nurse will evaluate that the PN is effective when the patient’s…, 15. Correct Answer: C,
Q16: The hospital nurse educator is observing a new RN who is caring for a patient receiving PN through a single-lumen central line inserted in the right subclavian vein. Which action by the new RN indicates that the RN can safely care for the patient?, 16. Correct Answer: D,
Q17: A 22-year-old patient is admitted to the hospital with anorexia nervosa. The patient is 5 ft 5 in (163 cm) tall and weighs 90 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-deficiency anemia. In planning care for the patient, the nurse places the highest priority on the nursing diagnosis of…, 17. Correct Answer: B,
Q18: A patient with bulimia is admitted to the hospital with electrolyte disorders. Which patient behavior observed by the nurse is of most concern?, 18. Correct Answer: C,
Q19: All these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the nurse to delegate to a nursing assistant?, 19. Correct Answer: A,
Q20: A patient who has a wound infection after major surgery has only been taking in about 50% to 75% of the ordered meals and states, “Nothing on the menu really appeals to me.” Which action by the nurse will be most effective in improving the patient’s oral intake?, 20. Correct Answer: B,
Q21: When using a soft, silicone nasogastric tube for enteral feedings, the nurse will need to…, 21. Correct Answer: A,
Q22:A patient who is receiving a continuous tube feeding through a small-bore silicone feeding tube has a computed tomography (CT) scan ordered and will have to be placed in a flat position for the scan. The nurse will plan to…, 22. Correct Answer: C,
Q23: Which of these nursing actions included in the plan of care for a patient who is receiving intermittent tube feedings through a PEG tube may be delegated to an LPN/LVN?, 23. Correct Answer: D,
Q24: The nurse notes that the peripheral PN bag is almost empty and a new PN bag has not yet arrived from the pharmacy. Which action is appropriate?, 24. Correct Answer: B,
Q25: During a busy day, the nurse admits all of these patients to the medical-surgical unit. Which patients are most important to refer to the dietician for a complete nutritional assessment? (Select all that apply. Hint: 3 of 5 apply. ), 25. Correct Answer: A,B,E,
Q26: While caring for a comatose patient who is receiving continuous tube feedings through a soft nasogastric tube, the nurse notes the presence of new crackles in the patient’s lungs. In which order will the nurse take the following actions?, 26. Correct Answer: B,A,D,C,


Becky Brown

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