Nutrition & Metabolism Concepts Quiz

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid?

• Nonfat milk

• Chocolate

• Apples

• Oatmeal

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

• "Sleep upright in a chair to prevent nighttime reflux."

• "Avoid snacking between meals."

• "Limit foods that are high in fiber."

• "Avoid eating 2 to 3 hours before bedtime."

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

• Hyperactive bowel sounds

• Sudden abdominal pain

• Increased blood pressure

• Bradycardia

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

• History of bulimia

• Uses NSAIDs daily

• Drinks green tea

• Has a glass of wine with dinner each day

A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?

• Enroll the client in a nutritional class on the unit.

• Weight the client at the same time each morning.

• Ask the provider to arrange a consultation with the facility chaplain.

• Sit with the client during meals and snacks.

A nurse is providing teaching to a client who has cancer about foods that prevent protein-energy malnutrition. Which of the following foods should the nurse include in the teaching? (Select all that apply)

• Cottage cheese

• Milkshakes

• Tuna fish

• Strawberries and bananas

• Egg and ham omelet

A charge nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should prompt the charge nurse to intervene?

• Initiates the feeding after aspirating 50 mL of gastric residual.

• Irrigates the NG tube with tap water after feeding.

• Administers the feeding through a syringe barrel by gravity.

• Allows the client to rest in a supine position during feeding.

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspect which of the following types of anemia?

• Folic acid deficiency anemia

• Pernicious anemia

• Iron-deficiency anemia

• Sickle cell anemia

A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?

• Yogurt and mozzarella

• Spinach and beef

• Milk and turkey slices

• Fish and cottage cheese

A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following manifestations should the nurse expect? (Select all that apply.)

• Projectile vomiting

• Dry mucous membranes

• Currant jelly stools

• Sausage-shaped abdominal mass

• Constant hunger