Solutions - Chapter 47 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. Which of the following meals would the nurse recommend to the client as highest in calcium, iron, and fiber?
1.  3 ounces cottage cheese with 1/3 cup raisins and 1 banana
2.  1/2 cup broccoli with 3 ounces chicken and 1/2 cup peanuts
3.  1/2 cup spaghetti with 2 ounces ground beef and 1/2 cup lima beans plus 1/2 cup ice cream
4.  3 ounces tuna plus 1 ounce cheese sandwich on whole-wheat bread plus a pear
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1ACT. How do Mrs. Santini’s personal characteristics influence her nutritional needs?
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2ACT. What further information do you need regarding Mrs. Santini’s present diet?
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2TYK. An adult reports usually eating the following each day: 3 cups dairy, 2 cups fruit, 2 cups vegetables, 5 ounces grains, and 5 ounces meat. The nurse would counsel the client to:
1.  Maintain the diet; the servings are adequate.
2.  Increase the number of servings of dairy.
3.  Decrease the number of servings of vegetables.
4.  Increase the number of servings of grains.
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3ACT. Offer suggestions for ways to modify Mrs. Santini's tendency to snack.
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3TYK. Which of the following are allowed on a full liquid diet? Select all that apply.
___________ 1. Scrambled eggs
___________ 2. Chocolate pudding
___________ 3. Tomato juice
___________ 4. Hard candy
___________ 5. Mashed potatoes
___________ 6. Cream of Wheat cereal
___________ 7. Oatmeal cereal
___________ 8. Fruit “smoothies”
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4ACT. Mrs. Santini asks what her weight should be. How do you respond?
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4TYK. What is the best indication of proper placement of a nasogastric tube in the stomach?
1.  Client is unable to speak.
2.  Client gags during insertion.
3.  pH of the aspirate is less than 5.
4.  Fluid is easily instilled into the tube.
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5TYK. What is the proper technique with gravity tube feeding?
1.  Hang the feeding bag 1 foot higher than the tube’s insertion point into the client.
2.  Administer the next feeding only if there is less than 25 mL of residual volume from the previous feeding.
3.  Place client in the left lateral position.
4.  Administer feeding directly from the refrigerator.
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6TYK. A 55-year-old female is about 9 kg (20 lb) over her desired weight. She has been on a “low-calorie” diet with no improvement. Which statement reflects a healthy approach to the desired weight loss? “I need to:
1.  Increase my exercise to at least 30 minutes every day.”
2.  Switch to a low-carbohydrate diet.”
3.  Keep a list of my forbidden foods on hand at all times.”
4.  Buy more organic and less processed foods.”
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7TYK. An older Asian client has mild dysphagia from a recent stroke. The nurse plans the client’s meals based on the need to:
1.  Have at least one serving of thick dairy (e.g., pudding, ice cream) per meal.
2.  Eliminate the beer usually ingested every evening.
3.  Include as many of the client’s favourite foods as possible.
4.  Increase the calories from lipids to 40%.
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8TYK. Two months ago a client weighed 195 pounds. The current weight is 182 pounds. Calculate the client’s percentage of weight loss and determine its significance.
1.  % weight loss
2.  Not significant
3.  Significant weight loss
4.  Severe weight loss
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9TYK. Which of the sites on the diagram below indicates the correct location for the tip of a small-bore nasally placed feeding tube?
Gastrointestinal tract
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