Nursing Elites

1. A nurse is teaching a client ways to manage anorexia while receiving radiation therapy. Which of the following instructions should the nurse include in the teaching?

• A. Limit high kilo-calorie supplements to between meals
• B. Avoid overeating during your “good” days
• C. Eat hot foods rather than cold foods
• D. Consume nutrient-dense foods first

Correct answer: D

Rationale: Consuming nutrient-dense foods first ensures that clients with anorexia during radiation therapy receive the necessary calories and nutrients.

2. A nurse is planning care for a client who reports increasing difficulty swallowing food. Which of the following interventions should the nurse plan to take?

• A. Turn on the client’s television during meals.
• B. Place the client into a semi-reclining position for meals.
• C. Encourage the client to rest prior to mealtimes.
• D. Encourage the client to use a straw when drinking liquids.

Correct answer: C

Rationale: Encouraging the client to rest prior to mealtimes can help reduce fatigue and improve the ability to swallow.

3. A nurse is planning care for a client who reports following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?

• A. Replace salt with pepper when seasoning water.
• B. Request that coffee is removed from meal trays.
• C. Offer pork with two meals per week.
• D. Provide a high-protein snack between meals.

Correct answer: B

Rationale: Seventh-Day Adventists typically avoid stimulants like caffeine, so requesting that coffee is removed from meal trays is appropriate.

4. A nurse is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the nurse that the client is experiencing Fluid Volume Deficit?

• A. Hct 53%
• B. Potassium 3.5
• C. Sodium 145
• D. HbA1c 5

Correct answer: A

Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit.

5. A nurse is caring for a client who is receiving a continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?

• A. Check for gastric residual.
• B. Apply low intermittent suction.
• C. Increase the rate of the feeding.
• D. Request a higher-fat formula.

Correct answer: A

Rationale: Checking for gastric residual can help identify the cause of cramping and abdominal distention during enteral feedings.

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