A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?

Magnesium.

Vitamin A.

Omega-3 fatty acids.

Potassium.

Answer and Explanation

The Correct Answer is C

The correct answer is choice c. Omega-3 fatty acids.

Choice A rationale:

Magnesium is generally abundant in a vegan diet, as it is found in many plant-based foods such as nuts, seeds, and leafy green vegetables.

Choice B rationale:

Vitamin A can be obtained from plant sources in the form of beta-carotene, which the body can convert into vitamin A. Therefore, vegans are not at high risk for vitamin A deficiency if they consume a variety of colorful fruits and vegetables.

Choice C rationale:

Omega-3 fatty acids are primarily found in fish and other seafood, which are not part of a vegan diet. While some plant-based sources like flaxseeds, chia seeds, and walnuts provide ALA (a type of omega-3), they may not be sufficient to meet the body’s needs for EPA and DHA, the more active forms of omega-3 fatty acids.

Choice D rationale:

Potassium is readily available in a wide range of fruits and vegetables, such as bananas, potatoes, and spinach, making it unlikely for vegans to be deficient in this nutrient.

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Correct Answer is B

Explanation

Choice A rationale:
Temperature 38.4°C (101.1°F) An elevated temperature could indicate an infection, which would not be a therapeutic response to total parenteral nutrition (TPN). TPN is provided to support the client's nutrition and help improve their condition; an elevated temperature might suggest ongoing illness.
Choice B rationale:
BMI 18.5 A BMI of 18.5 is considered within the normal range, indicating that the client's malnutrition is improving due to the TPN therapy. A higher BMI suggests a better nutritional status, which is a therapeutic response to the intervention.
Choice C rationale:
BUN 25 mg/dL Blood Urea Nitrogen (BUN) levels can be affected by various factors, including hydration status, renal function, and protein intake. While BUN levels might be monitored to assess renal function and overall nutritional status, a specific BUN level of 25 mg/dL does not directly indicate a therapeutic response to TPN.
Choice D rationale:
Hgb 10 g/dL Hemoglobin (Hgb) level of 10 g/dL is within the normal range for hemoglobin levels. Adequate nutrition, as provided by TPN, can support the production of red blood cells and maintain hemoglobin levels. Therefore, an Hgb level of 10 g/dL can be considered a positive therapeutic response to TPN.

A. Salami. B. Wheat germ. C. Corn. D. Barley.

Correct Answer is C

Explanation

Choice A rationale:
Salami. Salami is a processed meat product that is typically not recommended for individuals with celiac disease. It might contain additives, preservatives, and flavorings that could potentially contain gluten or cross-contamination. While the primary concern in celiac disease is gluten, it's also important to avoid processed meats due to potential hidden sources of gluten.
Choice B rationale:
Wheat germ. Wheat germ is derived from wheat and therefore contains gluten. For individuals with celiac disease, avoiding all sources of gluten is crucial to prevent immune reactions and damage to the intestines. Recommending wheat germ to a client with celiac disease would be contradictory to their dietary needs.
Choice C rationale:
Corn. Corn is a gluten-free grain and is a safe choice for individuals with celiac disease. It is a versatile food ingredient that can be used in various forms, such as cornmeal, cornstarch, and corn flour. Corn does not contain gluten and can be included in a gluten-free diet without any adverse effects.
Choice D rationale:
Barley. Barley is a gluten-containing grain and should be avoided by individuals with celiac disease. It contains gluten proteins that can trigger immune responses and cause damage to the small intestine. Including barley in the diet of a client with celiac disease would worsen their condition and lead to gastrointestinal symptoms.

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A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has AIDS and is malnourished. The client has been receiving total parenteral nutrition (TPN). Which of the following findings should the nurse identify as a therapeutic response to the TPN?

Correct Answer is B

Explanation

A nurse is providing teaching about a gluten-free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet?

Correct Answer is C

Explanation

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