1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Nutritional Problems Chapter 40

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.Which of the following patients is it most important for the nurse to refer to the dietitian for a complete nutritional assessment? 1.A 38-year-old diabetic patient who is undergoing laser eye surgery 2.A 55-year-old with a history of alcoholism who is hospitalized with a fractured femur resulting from a fall 3.A 24-year-old who has been taking a burst of corticosteroid therapy for 1 week for treatment of an asthma exacerbation 4.A 45-year-old hospitalized with nausea and abdominal pain who has had no oral intake and has received only IV fluids of D5½NS for 6 days

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.When assessing the patient’s nutritional status, the nurse asks which drugs the patient takes primarily because 1.foods alter the absorption or bioavailability of every drug. 2.if the patient skips a meal, medications may not be taken. 3.some drugs increase the requirements for essential nutrients. 4.medications should be taken with food to prevent GI irritation.

4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.The health care provider orders a 10% fat emulsion solution to be administered to a critically ill patient who is currently receiving peripheral parenteral nutrition. Which of the following assessment findings would alert the nurse to a systemic problem related to lipid administration? 1.The onset of vomiting and fever 2.Retention of fluid with peripheral edema 3.A random capillary blood glucose level of 148 mg/dl 4.Erythema, tenderness, and exudate at the catheter insertion site