2. When assessing patient with nutritional needs, which patients will

require follow-up from the nurse? (Select all that apply.)

a. A patient with infection taking tetracycline with milk

b. A patient with irritable bowel syndrome increasing fiber

c. A patient with diverticulitis following a high-fiber diet daily

d. A patient with an enteral feeding

and 500 mL of gastric residual A

patient with dysphagia being

referred to a speech-language

e. pathologist

ANS: A, C, D

The nurse should follow up with the tetracycline, diverticulitis, and enteral

feeding. Tetracycline has decreased drug absorption with milk and

antacids and has decreased nutrient absorption of calcium from binding.

Nutritional treatment for diverticulitis includes a moderate- or low-residue

diet until the infection subsides. Afterward, prescribing a high-fiber

diet for chronic diverticula problems ensues. A patient with a gastric

residual volume of 500 mL needs to have the feeding withheld and

reassessed for tolerance to feedings. All the rest are normal and

expected and do not require follow-up. Patients manage irritable bowel

syndrome by increasing fiber, reducing fat, avoiding large meals, and

avoiding lactose or sorbitol-containing foods for susceptible

individuals. Initiate consultation with a speech-language pathologist

for swallowing exercises and techniques to improve swallowing and

reduce risk of aspiration for a patient with dysphagia.

3. To honor cultural values of patients from different ethnic/religious

groups, which actions demonstrate culturally sensitive care by the

nurse? (Select all that apply.)

a. Allows fasting on Yom Kippur for a Jewish patient

b. Allows caffeine drinks for a Mormon patient

c. Serves no ham products to a Muslim patient

d. Serves kosher foods to a Christian patient