Nursing Elites

1. A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?

• A. Formula that remains in the bottle should be used for one more feeding.
• B. Formula should be changed to whole milk when the infant is 9 months old.
• C. If the infant is gaining weight too rapidly, dilute the formula.
• D. If the infant turns away after taking most of the feeding, stop the feeding.

Correct answer: D

Rationale: If the infant turns away after taking most of the feeding, it indicates they are full, and continuing to feed may lead to overfeeding.

2. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?

• A. Encourage the client to continue current daily caloric intake.
• B. Recommend a total fiber intake of 12g each day.
• C. Advise the client to add 500 calories per day to the diet.
• D. Refer the client to a weight-loss support group.

Correct answer: D

Rationale: Referring the client to a weight-loss support group can provide the necessary support and motivation to achieve weight loss goals.

3. 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.

4. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?

• A. This does not mean that my baby will have this disease.
• B. This means that I will have diabetes for the rest of my life.
• C. If I feel dizzy, I should drink six ounces of a non-diet soda.
• D. Being obese might be one reason why I developed diabetes.

Correct answer: B

Rationale: The belief that gestational diabetes results in lifelong diabetes is incorrect; it often resolves after pregnancy, though it does indicate a higher risk for developing type 2 diabetes in the future.

5. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

• A. Measure the client’s gastric residual every 12 hr.
• B. Obtain the client’s electrolyte levels every 4 hr.
• C. Keep the client’s head elevated at 15* during feedings.
• D. Flush the client’s tube with 30 mL of water every 4 hr.

Correct answer: D

Rationale: Flushing the client's tube with 30 mL of water every 4 hours helps maintain tube patency and prevent blockages.

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