A patient diagnosed with renal failure is unable to excrete protein waste products and develops a condition that requires a protein-restricted diet. The nurse instructs the patient that azotemia can be diminished by substituting other food groups for protein. What is an example of a food that this patient can substitute for protein?
- A. Potatoes
- B. Beans
- C. Cheese
- D. Soy products
Correct Answer: A
Rationale: The foods that a patient with renal disease can substitute for energy are in the carbohydrate group. Potatoes are the only carbohydrate listed.
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What is the term for stored fat that insulates the body and serves as a cushion to protect organs?
- A. Subcutaneous tissue
- B. Adipose tissue
- C. Cohesive tissue
- D. Lipid tissue
Correct Answer: B
Rationale: Fat is stored in the body as adipose tissue.
Which are the energy-providing food groups?
- A. Carbohydrates
- B. Fats
- C. Proteins
- D. Vitamins
- E. Minerals
Correct Answer: A,B,C
Rationale: The food groups that provide energy are carbohydrates, fats, and proteins.
The nurse recognizes that when a patient is unable to consume adequate nutrition by mouth an alternative route such as a feeding ostomy may be used. What is the proper term for feeding a patient by this method?
- A. Total parenteral nutrition (TPN)
- B. Nasogastric
- C. Enteral
- D. Parenteral
Correct Answer: C
Rationale: The administration of nutritionally balanced liquid foods through a feeding ostomy is called enteral nutrition.
The patient complains to the nurse that he feels terrible since he has been taking several different kinds of vitamin preparations. What should the nurse assess for indications of vitamin toxicity?
- A. Edema
- B. Hypertension
- C. Fatigue
- D. Diarrhea
Correct Answer: C
Rationale: Toxicity usually occurs from the use of large supplemental doses of vitamins and minerals and presents as fatigue, nausea, vomiting, and headache.
The home health nurse is caring for a patient that has undergone removal of a part of the stomach. What condition associated with partial stomach removal should the nurse look for when assessing the patient?
- A. A stomach ulcer
- B. Digestive problems
- C. Pernicious anemia
- D. Malabsorption
Correct Answer: C
Rationale: Pernicious anemia results when the intrinsic factor is missing due to surgery on the stomach.
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