Nokea
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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The young woman who is breastfeeding will need an increase of calories and protein. What foods should the nurse suggest as sources of protein?
- A. Green leafy vegetables
- B. Citrus fruits
- C. Asparagus
- D. Nuts
Correct Answer: D
Rationale: Nuts are a safe source of protein for lactating women.
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 nurse explains that a patient with a heart problem should follow a decreased sodium diet. What will a decreased sodium diet prevent or help reduce?
- A. Stroke
- B. Fluid excretion
- C. Heart attacks
- D. Obesity
Correct Answer: C
Rationale: Sodium attracts water and causes fluid retention. Hypervolemia increases the heart's workload, which can lead to a heart attack.
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.
To demonstrate the energy-producing potential of different foods the nurse explains that 3 g of lean meat produces 12 kcal/g. How many kcal/g does 3 g of fish oil produce?
- A. 6 kcal/g
- B. 15 kcal/g
- C. 21 kcal/g
- D. 27 kcal/g
Correct Answer: D
Rationale: Fat provides 9 kcal/g.