wis_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. A 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 patients nutrition, it will be most important for the nurse to obtain information about, B 1. Correct Answer: B,

Q2: A patient who weighs 145 pounds (66 kg) 2. Correct Answer: B, 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.,

Q3: During assessment of a patient who is a 3. Correct Answer: C, vegan, the nurse observes for signs of nutritional deficiency. The most common nutritional deficiency related to a strict vegan diet would be manifested by,

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 5. Correct Answer: C, 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 patients nutritional status?,

Q6: When using a nutrition screening tool, the 6. Correct Answer: A, nurse can identify a patient at nutritional risk without further assessment when the patient has,

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 8. Correct Answer: B, 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,

Q9: While caring for an older adult patient 9. Correct Answer: A, hospitalized with dehydration and moderate protein-calorie malnutrition (PCM), the nurse identifies a nursing diagnosis of risk for infection related to,

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 11. Correct Answer: A, started on continuous tube feedings of a fullstrength 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,

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 13. Correct Answer: C, 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?,

Q14: PN with a peripherally inserted central

14. Correct Answer: B,

catheter (PICC) is initiated for a patient. After 6 hours of PN infusion, the nurse checks the patients 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,

Q15: A patient with protein-calorie 15. Correct Answer: C, 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 patients,

Q16: The hospital nurse educator is observing 16. Correct Answer: D, 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?,

Q17: A 22-year-old patient is admitted to the 17. Correct Answer: B, 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,

Q18: A patient with bulimia is admitted to the 18. Correct Answer: C, hospital with electrolyte disorders. Which patient behavior observed by the nurse is of most concern?,

Q19: All these nursing actions are included in 19. Correct Answer: A, the plan of care for a patient who is malnourished. Which action is appropriate for the nurse to delegate to a nursing assistant?,

Q20: A patient who has a wound infection 20. Correct Answer: B, 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 patients oral intake?,

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

22. Correct Answer: C,

in a flat position for the scan. The nurse will plan to,

Q23: Which of these nursing actions included 23. Correct Answer: D, 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?,

Q24: The nurse notes that the peripheral PN 24. Correct Answer: B, bag is almost empty and a new PN bag has not yet arrived from the pharmacy. Which action is appropriate?,

Q25: During a busy day, the nurse admits all 25. Correct Answer: A,B,E, 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. ),

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 patients lungs. In which order will the nurse take the following actions?,