Question

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

Answer 1

Correct Answers:

Reassure the parents that increased physical activity reduces the risk for diabetes.

Rationale :

⚽ For a child with prediabetes, regular aerobic activity like soccer helps improve insulin sensitivity, reduce blood glucose levels, and manage weight.

⚽ Encouraging exercise is part of preventive care for delaying or preventing type 2 diabetes progression.

⚽ Insulin adjustments are not needed at this stage because the child is not on insulin therapy.

⚽ It’s essential to promote a healthy, active lifestyle while monitoring for symptoms of hypoglycemia or fatigue.

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Answer 2

Correct Answers:

Inform the client that oatmeal contains gluten.

Rationale :

🌾 Oatmeal is often contaminated with gluten during processing, making it unsafe for clients with celiac disease, unless labeled certified gluten-free.

🌾 Gluten exposure triggers an autoimmune reaction in the small intestine, leading to malabsorption, diarrhea, and intestinal damage.

🌾 It is critical to ensure strict gluten avoidance, which includes avoiding products like standard oatmeal unless verified safe.

🌾 Nurses must educate clients on hidden gluten sources to promote long-term gut healing and symptom control.

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Answer 3

Correct Answers:

"Be sure to drink sugar-free cranberry juice."

Rationale :

🍒 Cranberry juice helps prevent urinary tract infections (UTIs) by inhibiting bacteria from adhering to the bladder wall.

🍒 It should be sugar-free to avoid increasing glucose in urine, which can promote bacterial growth, especially in diabetics.

🍒 This recommendation supports UTI prevention while also managing blood sugar levels in at-risk clients.

🍒 The nurse should also educate on hydration and hygiene practices for comprehensive prevention.

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Answer 4

Correct Answers:

Foods rich in Vitamin K.

Rationale :

🥬 Antibiotic therapy can disrupt intestinal flora, which synthesize Vitamin K, essential for blood clotting.

🥬 Bruising in this context may indicate Vitamin K deficiency due to microbial imbalance.

🥬 Foods like leafy greens (spinach, kale, broccoli) can replenish Vitamin K stores naturally.

🥬 This dietary addition aids in restoring coagulation balance and preventing further bruising.

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Answer 5

Correct Answers:

Ham and cheese sandwich.

Rationale :

🧂 Ham and cheese are high-sodium foods, which are appropriate for clients with hyponatremia (low serum sodium).

🧂 This helps restore serum sodium levels, especially in cases of moderate deficiency without fluid overload.

🧂 Sodium supports neurological and muscular function, and must be replenished cautiously based on severity.

🧂 The nurse should monitor fluid status and sodium trends as dietary sodium is increased.

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Answer 6

Correct Answers:

Restrict sodium-rich foods and excessive oral fluids.

Rationale :

🚱 In glomerulonephritis, fluid retention and hypertension are common due to impaired renal function.

🚱 Sodium restriction helps prevent edema and further fluid accumulation, while limiting fluids prevents overload.

🚱 These restrictions aid in controlling blood pressure and swelling, key issues in post-discharge management.

🚱 Clients should also avoid processed or canned foods high in sodium and monitor weight daily.

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Answer 7

Correct Answers:

Maintain a low-fat diet for 6 weeks.

Rationale :

🥗 After a laparoscopic cholecystectomy, the body adjusts to digesting fats without the storage and timed release of bile from the gallbladder.

🥗 A low-fat diet reduces strain on the digestive system and prevents post-op discomfort, diarrhea, or steatorrhea.

🥗 This allows the bile to flow directly from the liver to the small intestine in a manageable way.

🥗 Most clients can gradually reintroduce fats after about 6 weeks, based on tolerance.

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Answer 8

Correct Answers:

Dairy allergy.

Rationale :

🥛 Whey protein concentrate is derived from milk, so clients with a dairy allergy could experience severe allergic reactions, including anaphylaxis.

🥛 This makes it critical to review any history of milk protein allergy or lactose intolerance before starting supplementation.

🥛 Symptoms can include rash, wheezing, GI upset, or swelling, making allergy screening the nurse’s top priority.

🥛 Alternative non-dairy protein supplements like plant-based or soy protein may be recommended if allergy is present.

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Answer 9

Correct Answers:

Inform the client that oatmeal contains gluten.

Rationale :

🌾 Unless specifically labeled certified gluten-free, oatmeal is commonly contaminated with gluten during processing, making it unsafe for clients with celiac disease.

🌾 Gluten exposure in these individuals triggers autoimmune damage to the small intestine, leading to malabsorption and intestinal injury.

🌾 The nurse should educate the client on hidden sources of gluten, including oats, sauces, and processed foods.

🌾 Prompt correction prevents worsening of celiac symptoms and supports proper dietary adherence.

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Answer 10

Correct Answers:

Fatigue.

Rationale :

🩺 Fatigue in a professional dancer could indicate nutritional deficiencies, disordered eating, or inadequate caloric intake due to high energy demands.

🩺 It is a red flag that warrants further nutritional and psychosocial assessment for issues like anorexia, amenorrhea, or overtraining syndrome.

🩺 The nurse should evaluate dietary intake, weight trends, and energy levels, as dancers are at high risk for female athlete triad and electrolyte imbalances.

🩺 Early intervention supports performance, bone health, and overall well-being.

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Hesi-RN D440 Nutrition

No.

1 :
The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

2 :
A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

3 :
To help prevent urinary tract infections, which instruction should the nurse provide?

4 :
A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?

5 :
The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

6 :
A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon return. Which dietary teaching should the nurse include in the discharge instructions?

7 :
The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?

8 :
The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

9 :
A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

10 :
The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

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Hesi-RN D440 Nutrition

No.

1 : The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

2 : A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

3 : To help prevent urinary tract infections, which instruction should the nurse provide?

4 : A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?

5 : The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

6 : A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon return. Which dietary teaching should the nurse include in the discharge instructions?

7 : The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?

8 : The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

9 : A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

10 : The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

1 :
The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

2 :
A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

3 :
To help prevent urinary tract infections, which instruction should the nurse provide?

4 :
A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?

5 :
The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

6 :
A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon return. Which dietary teaching should the nurse include in the discharge instructions?

7 :
The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?

8 :
The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

9 :
A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

10 :
The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?