Nokea
The patient who had a gastrostomy complains to the nurse about frequent episodes of dumping syndrome. What can the nurse recommend to this patient to decrease this problem?
- A. Eat small frequent meals.
- B. Include more fiber in meals.
- C. Increase seasoning on food.
- D. Limit intake to semiliquids.
Correct Answer: A
Rationale: The symptoms of dumping syndrome can be reduced by consuming small frequent meals of mildly seasoned food; extra fiber is not essential.
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When reviewing a patient's dietary intake the nurse recommends that sugar consumption be reduced to the recommended daily level. What is this level?
- A. No more than 24% of total daily kilocalories
- B. No more than 16% of total daily kilocalories
- C. No more than 8% of total daily kilocalories
- D. No more than 4% of total daily kilocalories
Correct Answer: C
Rationale: DRIs relating to carbohydrates indicate that 45% to 65% of an adult's total calorie intake should be in the form of carbohydrates and that added sugars should be limited to no more than 8% (approximately 40 g) of the total number of calories consumed daily.
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.
At approximately 4 to 6 months of age solid food is introduced to a baby. What foods with high iron content should be recommended by the nurse?
- A. Pureed fruit
- B. Fortified cereals
- C. Fruit juice
- D. Rice
Correct Answer: B
Rationale: At approximately 4 to 6 months, iron-rich foods, such as fortified cereal and pureed meat, are introduced to a baby.
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.
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.