Chapter 40: Nursing Management: Nutritional Problems

Chapter 40: Nursing Management: Nutritional Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. When assessing a patient who is a vegan, which finding may indicate the need for
cobalamin supplementation?
a. Paresthesias
b. Ecchymoses
c. Dry, scaly skin
d. Gingival swelling
ANS: A
Cobalamin (vitamin B12) cannot be obtained from foods of plant origin, so the patient
will be most at risk for signs of cobalamin deficiency, such as anemia and peripheral
neuropathy. The other symptoms listed are associated with other nutritional deficiencies
but would not be associated with a vegan diet.
DIF: Cognitive Level: Application REF: 922-923
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A patient with a body mass index (BMI) of 17 kg/m2 and a low albumin level is being
admitted by the nurse. Which assessment finding will the nurse expect to find?
a. Restlessness
b. Hypertension
c. Pitting edema
d. Food allergies
ANS: C
Edema occurs when serum albumin levels and plasma oncotic pressure decrease. The
blood pressure and level of consciousness are not directly affected by malnutrition. Food
allergies are not an indicator of nutritional status.
DIF: Cognitive Level: Application REF: 923 | 925
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. Which choice from the hospital menu indicates that the patient has understood the nurse’s
teaching about choosing high calorie, high protein foods?
a. Baked fish with applesauce
b. Beef noodle soup and canned corn
c. Fresh vegetables with yogurt topping
d. Fried chicken with potatoes and gravy
ANS: D
Test Bank 40-2
Foods that are high in calories include fried foods and those covered with sauces. High
protein foods include meat and dairy products. The other choices are lower in calories
and protein.
DIF: Cognitive Level: Application REF: 929 TOP: Nursing Process:
Evaluation
MSC: NCLEX: Physiological Integrity
4. A 66-year-old patient has a body mass index (BMI) of 31 kg/m2, a normal C-reactive
protein level, and low transferrin and albumin levels. The nurse will plan patient teaching
to increase the patient’s intake of foods that are high in
a. iron.
b. protein.
c. calories.
d. carbohydrate.
ANS: B
The patient’s C-reactive protein and transferrin levels indicate low protein stores. The
BMI is in the obese range, so increasing caloric intake is not indicated. The data do not
indicate a need for increased carbohydrate or iron intake.
DIF: Cognitive Level: Application REF: 925-927 TOP: Nursing Process:
Planning
MSC: NCLEX: Physiological Integrity