ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 60 : Care of Patients with Malnutrition: Undernutrition and Obesity Questions
Question 1 of 5
A client's small-bore feeding tube has become occluded after the nurse administered medications. What actions by the nurse are best? (Select all that apply.)
Correct Answer: B,C,E
Rationale: If the tube is obstructed, use a 50-mL syringe and gentle pressure to attempt to open the tube with water. Cola products should not be used unless water is ineffective.
To prevent future problems, determine if medications can be dispensed in liquid form and flush the tube with water before and after medication administration.
Question 2 of 5
When working with older adults to promote good nutrition, what actions by the nurse are most appropriate? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Older adults need unhurried and uninterrupted time for eating. Dentures and glasses, if needed, should fit appropriately. High-calorie, high-protein snacks are beneficial. Salty snacks are not recommended due to sodium restrictions.
Question 3 of 5
A client weighs 225 pounds (102.1 kg) and is 5'3"? (160.0 cm) tall. What is this client's body mass index (BMI)? (Record your answer using a decimal rounded up to the nearest tenth.)
Correct Answer: A
Rationale: Using the formula BMI = weight (kg) / [height (m)]^2: 102.1 / (1.6)^2 = 40.4, rounded to the nearest tenth.
Question 4 of 5
A client wants to lose 1.5 pounds a week. After reviewing a diet history, the nurse determines the client typically eats 2450 calories a day. What should the client's calorie goal be to achieve this weight loss? (Record your answer using a whole number.) calories/day
Correct Answer: A
Rationale:
To lose 1 pound a week, subtract 500 calories per day; for 2 pounds, subtract 1000 calories. For 1.5 pounds, subtract 750 calories: 2450 - 750 = 1700 calories/day.
Question 5 of 5
A client is receiving continuous tube feeding at 70 mL/hr. When the bag is empty, how much formula does the nurse add? (Record your answer using a whole number.) mL
Correct Answer: A
Rationale: The nurse never adds more than 4 hours' worth of formula to a hanging bag of enteral feedings: 70 mL/hr ? 4 hr = 280 mL.