Chapter 32 Nutrition

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Chapter 32  Nutrition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Melvin is a 68-year-old man who has high cholesterol. He asks the nurse if he needs to limit all fat in his diet in order to lower his cholesterol. What is the nurse’s best response?
A.
“You should limit the amount of monounsaturated fats.”
B.
“You should limit the amount of unsaturated fatty acids.”
C.
“You should limit the amount of saturated fats.”
D.
“Your cholesterol shouldn’t be influenced by your diet.”

ANS: C
A monounsaturated fatty acid is able to take up another hydrogen atom, and a polyunsaturated fatty acid is able to take up many more hydrogen atoms and become hydrogenated or saturated fat. Ingestion of saturated fatty acids appears to increase blood cholesterol levels. Ingestion of unsaturated fatty acids has a minimal effect on blood cholesterol. Monounsaturated fatty acids appear to lower blood cholesterol levels

PTS: 1 DIF: Cognitive Level: Application REF: 907
OBJ: Explain the significance of saturated, unsaturated, and polyunsaturated lipids in nutrition TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

2. Mary is a nurse caring for five patients on the oncology unit where she works. She is prioritizing her care for the day. One of her concerns is that her patients receive the nutrition that is needed to promote metabolism for energy. Which of the following patients should Mary be most concerned about?
A.
50-year-old woman with pancreatic cancer
B.
38-year-old man with liver cancer
C.
67-year-old man with prostate cancer
D.
83-year-old woman with colon cancer

ANS: B
Absorbed nutrients are carried to the liver, where major metabolic processes occur. The liver also regulates energy through its control of glucose metabolism. Glucose is the primary fuel for the body. The liver and muscles store glucose in the form of glycogen via a process called glycogenesis.

PTS: 1 DIF: Cognitive Level: Analysis REF: 908
OBJ: Identify nutritional problems and describe a patient at risk for these problems
TOP: Nursing Process: Planning MSC: Client Needs: Physiological Integrity

3. Emma is a 14-year-old patient with cancer who is concerned about her diet. She asks Rachel, the student nurse, about taking vitamins to supplement her diet. Emma states that she has been reading and doesn’t think her diet alone is providing the UL of vitamins that she needs. What is the best response from Rachel?
A.
“You should try to get your vitamins from food, rather than a supplement.”
B.
“‘UL’ stands for the tolerable upper intake level; you should be trying to achieve the ‘RDA.’”
C.
“You should compare your diet to the UL for children, not the UL for adults.”
D.
“Vitamins aren’t important as long as you are getting enough calories.”

ANS: B
The RDA is the average needs of 98% of the population, not the exact needs of an individual. The tolerable upper intake level (UL) is the highest level that likely poses no risk for adverse health events. It is not a recommended level of intake.

PTS: 1 DIF: Cognitive Level: Analysis REF: 910
OBJ: Explain dietary guidelines TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

4. William is a student nurse who is doing his community health rotation. One of his clients is a pregnant teen. William has been teaching his client about infant nutrition. Which of the following statements indicates to William that his client needs additional teaching?
A.
“Breast milk is all my baby will need for the first 6 months.”
B.
“Breast milk should be the major source of nutrition for the first year.”
C.
“My baby won’t need as many calories per kilogram as I will.”
D.
“Breast-feeding my baby will decrease his chances for food allergies.”

ANS: C
Infants need an energy intake of approximately 108 kcal/kg of body weight in the first half of infancy.

PTS: 1 DIF: Cognitive Level: Analysis REF: 911
OBJ: Establish a plan of care to meet the nutritional needs of a patient
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

5. Timothy is a nurse who works on a medical unit in the hospital. He admits four patients on his shift. After his nursing assessment, which of his patients should Timothy refer for a nutritional consultation?
A.
24-year-old patient with dry skin
B.
45-year-old patient who has lost 34 pounds over the last year with a weight-loss diet
C.
33-year-old patient with dehydration
D.
74-year-old patient with urinary incontinence

ANS: C
Certain nutritional risk factors, such as unintentional weight loss, the presence of a modified diet, or the presence of nutritional impact symptoms (i.e., nausea, vomiting, diarrhea, constipation), are triggers for nutritional consultation.

PTS: 1 DIF: Cognitive Level: Analysis REF: 914
OBJ: Identify nutritional problems and describe a patient at risk for these problems
TOP: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

 

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