NR228 / NR 228 ATI (Latest Update 2024/2025) Nutrition, Health & Wellness |Review Questions and Verified Answers| 100% Correct| Grade A -Chamberlain Q: A client has gastroesophageal reflux disease. Which of the following recommendations should the nurse include in his teaching? Limit fluid intake not related to meals Chew on mint leaves Avoid eating within three hours of bedtime Season foods with black pepper Answer: Avoid eating within three hours of bedtime The nurse should instruct the client to eat small, frequent meals but to avoid eating with 3 hr of bedtime. Q: A nurse is teaching a client about appropriate snacks on a low-fat, low-sodium, and lowcholesterol diet. Which of the following food choices by the client indicates the need for further teaching? A slice of cheese A jam sandwich A cup of plain popcorn A small container of applesauce Answer: A slice of cheese The client should limit the intake of cheese due to high levels of fat and sodium. Q: A nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request on his meal tray? Cranberry juice Flavored gelatin Skim milk Chicken broth Answer: Full liquids include milk and milk products, so the client may now ask for skim milk. Clients on a clear liquid diet can already have flavored gelatin, cranberry juice, and chicken broth. Q: A nurse teaches a client about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching? Protein Calcium Vitamin B1 Vitamin D Answer: Protein Protein is the major structural and functional component of every cell. It is required in increased amounts during times when the body needs to heal itself and protein will promote wound healing. Calcium is a nutrient that functions in the formation and maintenance of bone and teeth. It does not promote wound healing. Vitamin B1 is a nutrient that functions to promote normal appetite and nervous system functioning. It does not promote wound healing. Vitamin D is a nutrient that helps to maintain serum calcium levels. It does not promote wound healing. Q: A nurse conducts a nutritional assessment for a client weighing 75kg (165 lbs). The nurse should calculate that the client's recommended dietary allowance for protein is how much per day. Round to the nearest whole number. Answer: 60grams The RDA for protein is 0.8 mg/kg. To calculate the client's RDA for protein, the nurse would first determine the client's weight in kg, and then multiply by 0.8 mg/kg.165 lb/X kg = 2.2 lb/1 kgX = 75 kg75 kg x 0.8 mg = 60 g Q: A nurse is teaching a postpartum client who has been diagnosed with iron deficiency anemia. What dietary recommendations should the nurse include in the teaching plan? Yogurt and mozzarella Spinach and beef Milk and turkey slices Fish and cottage cheese Answer: Spinach and beef are high in iron and would be recommended for this client. Q: A nurse is providing teaching to a group of adult athletes about preventing the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching? Impaired motor control Drop in body temperature during exercise Increase in appetite Decreased resting heartrate Answer: Impaired motor control is a clinical manifestation of dehydration. Q: A nurse is planning teaching for the parents of a toddler who follows a vegetarian diet. The nurse should plan to include which of the following foods as the best source of dietary protein for the child? Soy milk Peanut butter Dried beans Whole grains Answer: Soy products are a source of complete protein and should be included as the best source of dietary protein for the child. Q: A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect? Increased vital capacity Moist skin Heat intolerance Decreased mental status Answer: Decreased mental status -Lethargy and depression are manifestation of malnutrition. The brain requires glucose to function. When the body lacks adequate glucose, the body will metabolize ue such as muscle and fat. The resulting metabolic acidosis can further decrease the client's mental status. Q: A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C? Select all that apply. Green pepper Orange Cabbage Strawberries Milk Answer: Green pepper Orange Cabbage Strawberries Q: A nurse is teaching a client who has constipation about a high-fiber diet. Which of the following foods should be included as sources of fiber? Select all that apply.