Week 3 NCLEX Practice Questions

Week 3 NCLEX Practice Questions 4.5 (2 reviews) Students also studied Terms in this set (11) Save Week 4 NCLEX Practice Questions 15 terms MngrDwight_K_Schru...Preview

Week 3 Sherpath: Nutrient Status

36 terms Ashley_Dillard2 Preview EXIT HESI - Comprehensive Exam A ...100 terms Knc1014Preview Nutrien 36 terms Mn A common form of combined nutrition deficit among hospitalized patients is protein-caloric malnutrition (PCM). Which finding is a sign of marasmus?Loss of subcutaneous fat High creatinine excretion in the urine Low transferrin Low albumin Loss of subcutaneous fat Nutrition intervention in heart failure is aimed at a reduction in fluid retention and sodium limitation in order to achieve which goal?Reduce preload Increase central venous pressure Increase end-diastolic volume Reduce afterload Reduce preload Prompt use of nutrition support is especially important for patients with head injuries. Head-injured patients rapidly exhaust glycogen stores and begin to use body proteins to meet energy needs. What is this process called?Hypercatabolism Acute inflammatory response Hyperlipidemia Malnutrition Hypercatabolism

Anorexia may interfere with oral intake. Patients who are unable to meet their caloric needs on their own require nutrition intervention. Which statement best describes the goal of initiating a nutrition intervention for a patient with anorexia?Total parenteral nutrition (TPN) should be reserved for patients who are absolutely unable to tolerate oral and enteral feeding.Diarrhea from concurrent administration of lactulose coincides with feeding intolerance.Small, frequent feedings are usually tolerated less than are three regular meals daily.Standard nasogastric feeding tubes can be used safely without increasing the risk of variceal bleeding.Total parenteral nutrition (TPN) should be reserved for patients who are absolutely unable to tolerate oral and enteral feeding.Which disorder is characterized by a loss of exocrine and endocrine function related to the destruction of acinar and islet cells, resulting in malabsorption and glucose intolerance?Chronic pancreatitis End-stage renal failure Hepatic encephalopathy Hyperaldosteronism Chronic pancreatitis A patient with facial trauma is unable to eat after surgery.His albumin level is 1.5. Which nutritional alteration is the patient experiencing?Negative nitrogen balance Positive nitrogen balance Nitrogen equilibrium Nitrogen disequilibrium Negative nitrogen balance A patient has low albumin, prealbumin, and transferrin levels with a decreased total lymphocyte count. Which nursing diagnosis is a priority for this patient?Altered nutrition, less than body requirement Risk for infection Fluid volume overload Altered nutrition, more than body requirement Altered nutrition, less than body requirement The nurse is providing dietary education for the patient with hypertension. The patient asks what the DASH diet is.Which comment is appropriate for the nurse to make?"DASH stands for dietary approach to stop hypertension." "DASH refers to the salt-free spices you should learn to cook with now." "It means you must eliminate all salt from your diet." "The DASH diet eliminates fruits from the diet." "DASH stands for dietary approach to stop hypertension."

The nurse caring for a patient with chronic kidney disease.The nurse is administering aluminum hydroxide suspension (Amphojel) before lunch. The patient says, "I am not having indigestion. Why do I need this?" Which statement is an appropriate response from the nurse?"This is a phosphate binder that will lower your serum phosphorus." "This is to prevent indigestion at lunchtime." "This is a calcium supplement. You need it for your bones." "You should take it because your doctor ordered it." "This is a phosphate binder that will lower your serum phosphorus." A stroke patient is having difficulty eating and is coughing and choking during meals. Which actions should be included in the dietary care plan? (Select all that apply.) Moist foods are easier to swallow than dry ones.It is important to give the patient thinned liquids.The patient should be allowed to take his time when eating.The patient should always use a straw.Suction equipment should be kept nearby when the patient is eating.Moist foods are easier to swallow than dry ones.The patient should be allowed to take his time when eating.Suction equipment should be kept nearby when the patient is eating.Because of the losses that occur with peritoneal dialysis, patients with chronic renal failure require a dietary increase (more than usual) of which nutrient?Protein Potassium Carbohydrate Phosphorus Protein