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NURSING 2362 MODDULE 7 EXAM Questions 1 ID 8482583554The nurse is instructing a client with hypertension about foods that are low in sodium Which menu selections by the client indicate to the nurse that the client understands what has been taught Select all that apply Spaghetti with fresh tomatoes Correct Boiled lobster with baked potato Grilled chicken with turnip greens Correct Instant hot cereal with bacon Tomato soup with a ham sandwich Rationale Foods that are lower in sodium include fruits and vegetables which do not contain physiologic saline Fresh poultry and pastas are also low in sodium Highly processed and refined foods and luncheon meats are high in sodium unless they are specifically labeled low sodium Saltwater fish and shellfish are higher in sodium Test Taking Strategy Use the process of elimination and focus on the subject selecting low sodium foods Begin to answer this question by eliminating boiled lobster with baked potato because saltwater fish and shellfish are high in sodium Next eliminate the options that contain processed foods and luncheon meats Review foods that are high and low in sodium if this question was difficult Level of Cognitive Ability Evaluating Client Needs Physiological Integrity Integrated Process Nursing Process Evaluation Content Area Nutrition References Black J Hawks J 2009 Medical surgical nursing Clinical management for positive outcomes 8th ed pp 138 1439 St Louis Saunders Ignatavicius D Workman M 2010 Medical surgical nursing Patient centered collaborative care 6th ed p 184 St Louis Saunders Awarded 2 0 points out of 2 0 possible points 2 ID 8482583566A nurse has provided dietary instructions to a client with a new diagnosis of gout Which menu suggestions by the client indicate to the nurse that the client needs additional instruction Select all that apply Carrots Tapioca Scallops Correct Broccoli Chicken liver Correct Rationale Organ meats such as liver as well as certain sea foods including scallops sardines and herring should be omitted from the diet of the client who with gout because of the high purine content The foods identified in the other options contain negligible amounts of purines and may be consumed freely by the client with gout Test Taking Strategy Note the strategic words needs additional instruction which indicate a negative event query and the need to select foods that are unacceptable for this client Recalling foods that are high in purines will direct you to the correct options Review these foods if you had difficulty with this question Level of Cognitive Ability Evaluating Client Needs Physiological Integrity Integrated Process Teaching and Learning Content Area Nutrition Reference Ignatavicius D Workman M 2010 Medical surgical nursing Patient centered collaborative care 6th ed p 354 St Louis Saunders Awarded 2 0 points out of 2 0 possible points 3 ID 8482583570A clear liquid diet has been prescribed for client who has just undergone surgery Which foods should the nurse offer to the client Select all that apply Custard Apple juice Correct Orange juice Chicken broth Correct gelatin Orange Correct Vanilla ice cream Rationale A clear liquid diet consists of foods such as apple juice chicken broth and gelatin which are relatively transparent Custard orange juice and vanilla ice cream are components of a full liquid diet Test Taking Strategy Remembering that a clear liquid diet consists of foods that are relatively transparent will direct you to the correct options Review the foods allowed on clear liquid and full liquid diets if you had difficulty with this question Level of Cognitive Ability Applying Client Needs Physiological Integrity Integrated Process Nursing Process Implementation Content Area Nutrition References Nix S 2009 Williams basic nutrition and diet therapy 13th ed p 330 St Louis Mosby Perry A Potter P 2010 Clinical nursing skills techniques 7th ed p 809 St Louis Mosby Awarded 3 0 points out of 3 0 possible points 4 ID 8482587634Triamterene Dyrenium has been prescribed for a client with a history of hypertension Which fruits should the nurse tell the client to avoid while taking this medication Select all that apply Prunes Correct Apples Incorrect Peaches Avocados Correct Nectarines Correct Cranberries Rationale Triamterene is a potassium sparing diuretic so the client should avoid foods high in potassium Fruits that are naturally high in potassium include dried prunes avocado bananas fresh oranges and mangoes nectarines and papayas Test Taking Strategy Note the strategic word avoid in the query of the question To answer this question correctly you need to recall that triamterene is a potassium sparing diuretic then identify the high potassium foods This will direct you to the correct options If you had difficulty with this question review this medication and food items high in potassium Level of Cognitive Ability Applying Client Needs Physiological Integrity Integrated Process Teaching and Learning Content Area Nutrition References Hodgson B Kizior R 2010 Saunders nursing drug handbook 2010 p 1151 St Louis Saunders Nix S 2009 Williams basic nutrition and diet therapy 13th ed p 480 St Louis Mosby Awarded 1 0 points out of 3 0 possible points 5 ID 8482585505Diverticulitis has been diagnosed in a client who has been experiencing episodes of gastrointestinal cramping The nurse should tell the client to maintain during the asymptomatic period a soft diet that is Low in fat High in fiber Correct Low in residue High in carbohydrates Rationale When a client s diverticulitis is asymptomatic a soft high fiber diet containing fruits vegetables and whole grains is recommended The client is also instructed to consume a small amount of bran daily and to take bulk forming laxatives if prescribed to increase stool mass and softness Increasing fluid intake to 2500 to 3000 mL daily unless contraindicated is also important A low fat diet may be healthy but is not specific to this disorder A high carbohydrate diet is not helpful for the client with this condition Test Taking Strategy Note the strategic word asymptomatic Recalling the pathophysiology of this disorder and the effects of the diets identified in the options will assist you in answering correctly Review dietary treatment for diverticulitis if you had difficulty with this question Level of Cognitive Ability Applying Client Needs Physiological Integrity Integrated Process Teaching and Learning Content Area Nutrition Reference Black J Hawks J 2009 Medical


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SU NSG 6001 - Nursing Exam

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