Chapter 37: Nutrition - Nurselytic

Questions 20

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Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition

Chapter 37 : Nutrition Questions

Question 1 of 5

Although the patient reports feeling better, which of the following objective measures would the nurse use to evaluate the success of the nursing interventions and resolution of the health problem for this particular patient? Select all that apply.

Correct Answer: A,B,E

Rationale: Success is indicated by increased caloric intake (
A), no vomiting after supplements (
B), and appropriate weight gain for gestational age (E), as these reflect improved nutrition and nausea resolution. Alcohol consumption (
C) is contraindicated in pregnancy, and suppository use (
D) is unrelated to nutritional outcomes.

Question 2 of 5

A nurse at a health fair calculates the body mass index (BMI) of a person who weighs 68 kg and is 165 cm (1.65 m) tall. How will the nurse document the BMI?

Correct Answer: A

Rationale: BMI is calculated as weight (kg) divided by height (m) squared: 68 ?· (1.65)^2 = 24.98, rounded to 25 kg/m^2 (
A). Options B, C, and D result from incorrect calculations or misinterpretations of the formula.

Question 3 of 5

After administering an enteral feeding, a nurse evaluates the patient's tolerance of the feeding. Which findings suggesting intolerance require collaboration with the dietician and health care provider? Select all that apply.

Correct Answer: A,D,F

Rationale: Nausea/vomiting (
A), high gastric residual (
D), and abdominal pain/distention (F) indicate feeding intolerance, requiring collaboration to adjust the feeding plan. Weight gain (
B) is expected, normal bowel sounds (
C) suggest normal function, and absence of diarrhea/constipation (E) indicates tolerance.

Question 4 of 5

A nurse is feeding an older adult patient with dementia. What intervention will best promote nutritional intake?

Correct Answer: A

Rationale: Stroking the chin (
A) promotes swallowing in dementia patients, aiding nutritional intake. Varying meal locations/times (
B) can confuse patients, a full tray (
C) may overwhelm, and avoiding snacks (
D) risks inadequate intake given small meal consumption.

Question 5 of 5

A patient with COPD is experiencing anorexia and weight loss. Which intervention would be most helpful in stimulating appetite in this patient?

Correct Answer: B

Rationale: Familiar foods from home (
B) can stimulate appetite in a COPD patient with anorexia. Pain medication post-meals (
A) is irrelevant without pain, nebulizer treatments before meals (
C) may fatigue the patient, and reinforcing eating (
D) doesn't address appetite.

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