Nutrition Rasmussen Exam 3 Completed for 2022/2023

Nutrition Rasmussen Exam 3 • Question 1 1 out of 1 points A client calls into the nurse help line asking questions about his new diagnosis of a peptic ulcer. The client asks what might be possible causes of a pe ...

Nutrition Rasmussen Exam 3 • Question 1 1 out of 1 points A client calls into the nurse help line asking questions about his new diagnosis of a peptic ulcer. The client asks what might be possible causes of a peptic ulcer. Selected Answer: H-pylori and intake of NSAIDS Correct Answer: H-pylori and intake of NSAIDS • Question 2 1 out of 1 points A client is admitted with acute pancreatitis. What diet can the nurse expect to be initially prescribed? Selected Answer: Nothing by mouth Correct Answer: Nothing by mouth • Question 3 1 out of 1 points A client is admitted with urolithiasis (kidney stones). What prescription can the nurse expect from the health care provider? Selected Answer: Intravenous fluids Correct Answer: Intravenous fluids • Question 4 1 out of 1 points A client recently placed on lipid-lowering statins brings you her food log. Which of the following breakfasts would indicate a need to re-educate her? Selected Answer: 1 cup grapefruit juice, 4 slices of bacon, coffee with milk Correct Answer: 1 cup grapefruit juice, 4 slices of bacon, coffee with milk • Question 5 1 out of 1 points A client who has recently been placed on oral medication for his type 2 diabetes asks if he may continue to drink alcohol with his friends on the weekends. What is the nurse’s best response? Selected Answer: Alcohol may increase the effect of your medication, so you need to drink small amounts, and keep an eye on your blood sugar. Correct Answer: Alcohol may increase the effect of your medication, so you need to drink small amounts, and keep an eye on your blood sugar. • Question 6 1 out of 1 points A client with chronic kidney disease consumes an excessive amount of sodium. What symptoms will this client likely exhibit? Selected Answer: edema and hypertension Correct Answer: edema and hypertension • Question 7 1 out of 1 points At least twenty percent of women will experience a urinary tract infection (UTI) in their lifetime. Regular consumption of which food may help prevent the occurrence of a UTI? Selected Answer: Cranberry juice Correct Answer: Cranberry juice • Question 8 1 out of 1 points Carbohydrate counting is a useful tool in diabetes meal planning. How many grams of carbohydrate equals one carbohydrate serving? Selected Answer: 15 grams Correct Answer: 15 grams • Question 9 1 out of 1 points Diet for a patient on kidney dialysis is a vital aspect of maintaining biochemical control. What is one of the basic objectives in planning a diet for these patients? Selected Answer: Prevent dehydration and fluid overload Correct Answer: Prevent dehydration and fluid overload • Question 10 1 out of 1 points During a client’s recent colonoscopy, the health care provider found “pockets” in the colon and diagnosed diverticular disease. Based on the recent evidence, what dietary advice does the nurse give to the client? Selected Answer: Increase the fiber in the diet Correct Answer: Increase the fiber in the diet • Question 11 1 out of 1 points During an episode of acute exacerbation of inflammatory bowel disease, the client is unable to tolerate oral intake. What would be an appropriate form of nutrition? Selected Answer: Enteral feedings or total parenteral nutrition Correct Answer: Enteral feedings or total parenteral nutrition • Question 12 1 out of 1 points During your clinical rotation at the nursing home, your client is complaining of being constipated on a regular basis. You discuss with your client how to prevent constipation. What would you advise your client to avoid? Selected Answer: Frequent use of laxatives and enemas Correct Answer: Frequent use of laxatives and enemas • Question 13 1 out of 1 points Flatulence is the condition of having excessive stomach or intestinal gas. Which foods are generally responsible for excess gas production? Selected Answer: Carbohydrates Correct Answer: Carbohydrates • Question 14 1 out of 1 points Food intolerance can represent another type of reaction to certain foods. Select the correct answer that describes a common food intolerance listed below. Selected Answer: Inability to digest lactose Correct Answer: Inability to digest lactose • Question 15 1 out of 1 points How many grams of carbohydrate are covered by one unit of short acting insulin? Selected Answer: 15 g carbohydrate Correct Answer: 15 g carbohydrate • Question 16 0 out of 1 points How much monounsaturated fat intake is recommended by the therapeutic lifestyle changes (TLC) diet for lowering serum cholesterol for clients with elevated low-density lipoprotein (LDL) levels? Selected Answer: Less than 10% of energy intake Correct Answer: Up to 20% of energy intake • Question 17 1 out of 1 points Most oral medications are subject to the first-pass mechanism. Which food interferes with this mechanism resulting in increased serum drug levels? Selected Answer: Grapefruit juice Correct Answer: Grapefruit juice • Question 18 1 out of 1 points Older adults may experience harmful drug-nutrient interactions for many reasons. What is one of the most likely causes? Selected Answer: Older adults are more likely to be taking several drugs. Correct Answer: Older adults are more likely to be taking several drugs. • Question 19 0 out of 1 points Oliguria is a primary sign of acute renal failure. Select the correct definition of oliguria. Selected Answer: The presence of excess serum proteins in the urine Correct Answer: Secretion of a small amount of urine in relation to fluid intake • Question 20 1 out of 1 points Omega 3 fatty acids are recommended to be included in a heart healthy diet. What is a benefit of consuming omega 3 fatty acids? Selected Answer: Reduces platelet aggregation Correct Answer: Reduces platelet aggregation • Question 21 1 out of 1 points Studies indicate that water-soluble types of fiber have significant cholesterol lowering effect. What is an example of a food high in water-soluble fiber? Selected Answer: Oat bran Correct Answer: Oat bran • Question 22 1 out of 1 points The client presents to the emergency department complaining of an upset stomach with a burning sensation in the epigastric area. The symptoms have been happening off and on for the last few weeks especially when lying down to sleep. The client is exhibiting symptoms of which gastrointestinal problem? Selected Answer: Gastroesophageal Reflux Disease (GERD) Correct Answer: Gastroesophageal Reflux Disease (GERD) • Question 23 1 out of 1 points The development of cardivascular disease involves modifiable and non-modifiable risk factors. What is an example of a NON-modifiable risk factor? Selected Answer: Male gender Correct Answer: Male gender • Question 24 1 out of 1 points The nurse is educating a client on how to take aspirin (acetylsalicylic acid), a commonly used over the counter pain reliever. What comment would indicate that the client understands the instructions? Selected Answer: “I should take this medication with a glass of cold water on an empty stomach.” Correct Answer: “I should take this medication with a glass of cold water on an empty stomach.” • Question 25 1 out of 1 points The nurse is instructing a client on measures to take in the event of a severe allergic response to a peanut allergy. What medication should the client have immediately available? Selected Answer: Auto-injector epi pen Correct Answer: Auto-injector epi pen • Question 26 1 out of 1 points There are four classifications of diabetes. Which one is associated with obesity and insulin resistance? Selected Answer: Type 2 Correct Answer: Type 2 • Question 27 1 out of 1 points Viral hepatitis affects millions of people in the world. What is one of the main nutritional principles in planning for the nutritional needs of these patients? Selected Answer: Provide adequate protein Correct Answer: Provide adequate protein • Question 28 1 out of 1 points What are the two most common causes of end stage renal disease? Selected Answer: Hypertension and diabetic nephropathy Correct Answer: Hypertension and diabetic nephropathy • Question 29 0 out of 1 points What diet would the nurse expect to be prescribed for a patient with gallbladder disease? Selected Answer: High protein Correct Answer: Low fat • Question 30 1 out of 1 points What imbalance can occur due to congestive heart failure? Selected Answer: Fluids and electrolytes Correct Answer: Fluids and electrolytes • Question 31 1 out of 1 points What is a common nutritional comorbidity with chronic obstructive pulmonary disease (COPD) Selected Answer: Malnutrition Correct Answer: Malnutrition • Question 32 1 out of 1 points What is the cause of essential hypertension? Selected Answer: Unknown Correct Answer: Unknown • Question 33 1 out of 1 points What is the most common cause of type 2 diabetes in children and adolescents? Selected Answer: Overweight and obesity Correct Answer: Overweight and obesity • Question 34 1 out of 1 points What is the most common component of kidney stones? Selected Answer: Calcium Correct Answer: Calcium • Question 35 0 out of 1 points What mineral will have improved absorption with a diet high in vitamin C? Selected Answer: Zinc Correct Answer: Iron • Question 36 0 out of 1 points What symptom might be present in a client with undiagnosed type 2 diabetes? Selected Answer: Weight loss Correct Answer: Poor wound healing • Question 37 1 out of 1 points What term refers to the sudden shutdown of renal function following traumatic or metabolic injury? Selected Answer: Acute renal failure Correct Answer: Acute renal failure • Question 38 1 out of 1 points When following a gluten-free diet, what grains should be avoided? Selected Answer: Wheat, rye and barley Correct Answer: Wheat, rye and barley • Question 39 1 out of 1 points Which age group is most at risk for drug-nutrient interactions? Selected Answer: Elderly Correct Answer: Elderly • Question 40 1 out of 1 points Which blood test is used to evaluate long-term management and control in clients who have diabetes? Selected Answer: Glycated hemoglobin level (HbA1c) Correct Answer: Glycated hemoglobin level (HbA1c) • Question 41 1 out of 1 points Which is the primary feature of the Dietary Approaches to Stop Hypertension (DASH) eating plan? Selected Answer: Eating diet rich in fruits, vegetables, and low-fat dairy products. Correct Answer: Eating diet rich in fruits, vegetables, and low-fat dairy products. • Question 42 0 out of 1 points Which nutritent delays gastric emptying time creating more optimal saturation rates for drug absorption? Selected Answer: Protein Correct Answer: Fat • Question 43 1 out of 1 points Which term refers to elevated blood glucose? Selected Answer: Hyperglycemia Correct Answer: Hyperglycemia • Question 44 0 out of 1 points Which type of drug may result in a potassium deficiency? Selected Answer: Aspirin Correct Answer: Diuretics • Question 45 1 out of 1 points Why are dietary carbohydrates and fats important for clients with chronic renal failure? Selected Answer: They provide energy and spare dietary protein. Correct Answer: They provide energy and spare dietary protein. • Question 46 1 out of 1 points Your client has a peanut allergy. Which statement from the client indicates that your education has been effective? Selected Answer: I need to check any restaurant for a list of ingredients, and ask about cross-contamination. Correct Answer: I need to check any restaurant for a list of ingredients, and ask about cross-contamination. • Question 47 1 out of 1 points Your client has been diagnosed with celiac disease. The nutritionist was in and reviewed dietary needs for this diagnosis. The family asks which of the following items is ok for the client to eat. Selected Answer: Corn Bread Correct Answer: Corn Bread • Question 48 1 out of 1 points Your client has been diagnosed with congestive heart failure (CHF). Which of the following dietary suggestions is appropriate? Selected Answer: Limit Sodium intake to 2 – 3 g per day Correct Answer: Limit Sodium intake to 2 – 3 g per day • Question 49 1 out of 1 points Your client has been diagnosed with gastroesophageal reflux disease (GERD). You are reviewing the discharge instructions with the client and family. Which of the following statements verifies that the client understood his discharge instructions? Selected Answer: “I should sleep with the head of my bed elevated and eat frequent small meals.” Correct Answer: “I should sleep with the head of my bed elevated and eat frequent small meals.” • Question 50 1 out of 1 points Your client has had an elevated BP of 156/98 for the last few months. With reviewing his diet, which of the following items would you tell the client to limit in his diet? Selected Answer: Processed cheeses Correct Answer: Processed cheeses