Nursing Elites

1. A nurse is caring for a client who is receiving chemotherapy treatments. The client states, 'I feel so nauseated after my treatments.' Which of the following instructions should the nurse provide the client?

• A. Common foods that are served cold.
• B. Sip fluids slowly throughout the day.
• C. Sit up for 1 hr after eating meals.
• D. All of the Above

Correct answer: D

Rationale: Common foods served cold, sitting up after meals, and sipping fluids slowly can help manage nausea associated with chemotherapy.

2. A nurse is caring for a client with a major burn injury and is receiving TPN. Which of the following lab tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition?

• A. Iron
• B. Magnesium
• C. Folic acid
• D. Prealbumin

Correct answer: D

Rationale: Prealbumin is a sensitive indicator of protein status and nutrition, making it a priority for assessing nutritional adequacy in clients receiving TPN.

3. A nurse is teaching a client who has chronic kidney disease about dietary needs. Which of the following foods should the nurse identify as being the lowest in phosphorus?

• A. Medium apple
• B. Bran cereal
• C. Scrambled eggs
• D. Ground turkey

Correct answer: A

Rationale: Apples are low in phosphorus, making them a suitable option for clients with chronic kidney disease.

4. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?

• A. Consume carbs every 3-4 hrs
• B. Decrease fluid intake to 1000 mL per day
• C. Monitor blood glucose twice per day
• D. Check urine for ketones every 24 hrs

Correct answer: A

Rationale: Consuming carbohydrates every 3-4 hours helps manage blood glucose levels during acute illness for clients with type 2 diabetes.

5. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

• A. Increase phosphorus intake
• B. Limit calcium intake
• C. Limit protein intake
• D. Increase potassium intake

Correct answer: C

Rationale: Clients with chronic kidney disease should limit protein intake to reduce the burden on the kidneys.

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