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Chapter 5 Question 1 An older adult patient was hospitalized for 2 weeks before having abdominal surgery 3 days ago. The nurse notes the patient’s hair is broken and dull. Which intervention is indicated? 1. Increase vigilance for dehiscence. 2. Talk to the family about trimming the patient’s hair. 3. Use a protein-based shampoo. 4. Increase the patient’s oral fluid intake. Question 2 A patient with a BMI of 32 is in the intensive care unit recovering from surgery to repair an abdominal aortic aneurysm. What should be the nurse’s focus regarding this patient’s nutritional needs? 1. Support elevated nutrient needs. 2. Maintain on intravenous fluids and clear liquids. 3. Limit food and fluid intake to three mealtimes daily. 4. Begin a weight-reduction program immediately. Question 3 A patient admitted for a gunshot wound to the leg and multiple abdominal stab wounds is transferred to the intensive care unit after surgery. The nurse would evaluate which finding as expected but as requiring monitoring? 1. Blood pressure 170/104 mm Hg 2. Elevated blood glucose level 3. Serum potassium of 5.4 mEq/L 4. Increase in body temperature Question 4 The nurse is planning a refeeding program for a patient diagnosed with cachexia from AIDS. Which nursing interventions are indicated? 1. Encourage the patient to eat as much as possible during each meal. 2. Plan to increase the patient’s calorie intake to goal in 2 or 3 days. 3. Limit the patient’s intake of fluids so to encourage a normal appetite. 4. Each day offer foods that provide 20kcal/kg of the patient’s actual body weight. Question 5 The nurse is caring for a patient with a history of hypercapnea. What should the nurse include when planning for this patient’s nutritional needs? 1. Monitor carbohydrate intake to reduce body carbon dioxide levels. 2. Encourage fat intake. 3. Minimize vitamin supplements. 4. Limit protein. Question 6 The nurse is caring for a patient diagnosed with chronic renal failure and being treated with hemodialysis who weighs 100 kg. What would be an appropriate intake of protein for this patient? 1. 120 g per day 2. 75 g per day 3. 240 g per day 4. 60 g per day Question 7 A patient, being treated for multiple injuries in the intensive care unit, had been NPO for several days. Clear liquids are started today, but the patient only takes a few sips before refusing additional fluids and then vomiting. The patient’s temperature is also elevated. The nurse would assess for findings associated with which disorder? 1. Gastric ulcer 2. Gut failure 3. Electrolyte imbalance 4. Diabetes insipidus Question 8 The nurse is caring for a patient who sustained burns of 40% of the total body surface area. What would the nurse plan to meet this patient’s nutritional needs? 1. Supply with balanced nutrients to meet current body weight needs. 2. Complete a nutritional assessment and supply with high-calorie, high-protein supplements. 3. Provide high dose therapy of vitamins C and B. 4. Supply with high-fat and high-carbohydrate supplements. Question 9 The nurse is caring for a patient who is comatose after a traumatic brain injury. What is important for the nurse to include when planning for this patient’s nutritional needs? 1. Provide adequate calories in the form of carbohydrates and fats. 2. Ensure adequate protein intake to maintain a positive nitrogen balance. 3. Plan to implement parenteral nutrition as soon as possible. 4. Increase dietary supply of cortisol. Question 10 A patient, in the intensive care unit, has been NPO for several days. The nurse is unable to assess bowel sounds. What should be included in to the plan to support this patient’s nutritional needs? 1. Maintain NPO status. 2. Prepare to assist with implementation of a large bore venous access device to support total parenteral nutrition. 3. Determine best enteral feeding approach and plan implementation. 4. Begin oral feeding with a diet as tolerated as soon as bowel sounds return.