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Exam Review

RN HESI NUTRITION

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Total Questions : 49

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Question 1:

The client is a 26-year-old female with acute appendicitis. She has a 12-year history of type 1 diabetes and no other significant medical history. The appendectomy was completed without issue, and the client will be admitted to the surgical floor to recover.

0730

Admitted the client. She is awake and alert. She rates her pain 2/10. Her pulses are equal bilaterally. Heart rate is 76 beats per minute, normal sinus rhythm. Her oxygen saturation is 100% on room air. She has a gauze dressing over her surgical site, which is clean and dry. Her temperature is 98.5° F (37° C). She urinated 50 ml upon arrival in the unit and is stating she is very thirsty. The patient states her last insulin glargine dose was this morning before surgery.

0745

  • 2 units insulin lispro given 1800
  • 12 units insulin glargine given
  • The client ate 45 carbohydrates from her dinner tray. 3 units of insulin lispro given.
  • Admit to the surgical floor
  • Dextrose 5% and 0.9% sodium chloride to infuse at 125 mL/hr
  • Advance diet as tolerated
  • Insulin glargine 12 units subcutaneous every 12 hours
  • Ceftriaxone 2 g IV every 24 hours for 3 days, first dose given in surgery
  • Insulin lispro 1 unit subcutaneously per 15 carbohydrates

The nurse is preparing the client for discharge and discussing home medications. What home medications may affect the amount of insulin needed by the client? Select all that apply.

Answer and Explanation

A
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Question 2:

A female client with haemorrhoids tells the nurse that she understands the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Answer and Explanation

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Question 3:

The nurse is developing a food safety educational class for a group of parents. Which type of food is most likely to pose a threat of food poisoning after being stored in a refrigerator at 40°F (4.4°C) or below for more than two days?

Answer and Explanation

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Question 4:

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client which diet should the nurse recommend?

Answer and Explanation

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Question 5:

A client who haemorrhaged following surgery has a haemoglobin of 10 g/dl. (6.21 mmol/L) and a haematocrit of 36% (0.36 volume fraction) 48 hours later. The client has now progressed to a soft diet and is eating oatmeal for breakfast. Which beverage should the nurse encourage this client to drink to increase iron intake?

Reference Ranges

Haemoglobin (Hgb) [Reference Range: Male: 14 to 18 g/dL or 8.7 to 11.2 mmol/L]

Haematocrit (Hct) [Reference Range: Male: 42% to 52% or 0.42 to 0.52 volume fraction)

Answer and Explanation

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Question 6:

The nurse is caring for an older client with that is exhibiting signs of confusion. Which intervention should the nurse implement?

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Question 7:

Which client is at greatest risk for aspiration?

Answer and Explanation

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Question 8:

A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?

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Question 9:

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

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Question 10:

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates to the nurse that an adequate amount of Vitamin A is being provided?

Answer and Explanation

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