Chapter 40 Nursing Management Nutritional Problems
Chapter 40: Nursing Management: Nutritional Problems
Test Bank
MULTIPLE CHOICE
1. Which finding for a 19-year-old female who is a vegan 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 paresthesias, peripheral neuropathy, and anemia. The other symptoms listed are associated with other nutritional deficiencies but would not be associated with a vegan diet.
DIF: Cognitive Level: Apply (application)
REF:
889
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2
2. A 76-year-old woman with a body mass index (BMI) of 17 kg/m and a low serum albumin
level is being admitted by the nurse. Which assessment finding will the nurse expect to find?
Restlessness
Hypertension
Pitting edema
Food allergies
a.
b.
c.
d.
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: Apply (application)
REF:
892
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. Which menu choice indicates that the patient is implementing plans to choose high-calorie,
high-protein foods?
a. Baked fish with applesauce
b. Beef noodle soup and canned corn
c. Fresh fruit salad with yogurt topping
d. Fried chicken with potatoes and gravy
ANS: D
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: Apply (application)
REF:
895
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
USTESTBANK.COM
2
4. A 48-year-old woman has a body mass index (BMI) of 31 kg/m , a normal
Test Bank
MULTIPLE CHOICE
1. Which finding for a 19-year-old female who is a vegan 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 paresthesias, peripheral neuropathy, and anemia. The other symptoms listed are associated with other nutritional deficiencies but would not be associated with a vegan diet.
DIF: Cognitive Level: Apply (application)
REF:
889
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2
2. A 76-year-old woman with a body mass index (BMI) of 17 kg/m and a low serum albumin
level is being admitted by the nurse. Which assessment finding will the nurse expect to find?
Restlessness
Hypertension
Pitting edema
Food allergies
a.
b.
c.
d.
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: Apply (application)
REF:
892
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. Which menu choice indicates that the patient is implementing plans to choose high-calorie,
high-protein foods?
a. Baked fish with applesauce
b. Beef noodle soup and canned corn
c. Fresh fruit salad with yogurt topping
d. Fried chicken with potatoes and gravy
ANS: D
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: Apply (application)
REF:
895
TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
USTESTBANK.COM
2
4. A 48-year-old woman has a body mass index (BMI) of 31 kg/m , a normal