Question

A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube . Which of the following actions should the nurse take.

1. Obtain the clients electrolyte levels every 4hr

2. Keep the client’s head elevated at 15 degree during feedings

3. Measure the client’s gastric residual every 12hr

4. Flush the client’s tube with 30 ml of water every 4 h

A nurse is providing teaching about natural food sources that contain folate to a client who becomes pregnant . the nurse should identify that which of the following foods contains the highest amount of folate

1. 1 cup cooked lentils

2. 1 cup of mashed potatoes

3. 1 cup of cooked carrots

4. 1 cup of cooked green peppers

13. A nurse is reviewing the laboratory results of a client who who has bulimia nervosa the nurse should notify the provider of which of the following results

1. WBC 5200 mm3

2. Hgb 14 g/dl

3. Magnesium 1.6 MEQ/l

4. Potassium 3.2 meq/l

14. 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

1. Vitamin A

2. Potassium

3. Magnesium

4. Omega 3 fatty acids

15A nurse is teaching a client who has parkinson disease and is prescribed monoamine oxidase which of the following instructions should the nurse include

1. Avoid aged cheese while taking this medication

2. Do not eat grapefruit juice while taking this medication

3. Maintain a low protein diet

4. Reduce intake of a high-calorie foods

Answer 1

11c. Measure the gastric residual every 12hour. there may be an increased risk of aspiration if gastric contents accumulate, the gastric residual volume (RV) should be checked for continuous feeding. If rv is less the patient didnot meet the nutrition need.

12.a. 1cup cooked lentil contains higher amount of folate.

Folate

per Cup Folate

358μg

(90% DV)

per 100g Folate

181μg

(45% DV)

per 200 Calories

312μg
(78% DV)

13.d, hypokalemia

This is important in detecting possible occult metabolic complications of bulimia. With significant vomiting, hypokalemic metabolic alkalosis is possible.

14.d.omega3fattyacid, it is mostely seen in fish, so it is deficient in vegetarian diet.

15.avoid aged cheese while taking this medication, because it contains high amount of tyramine.If you take an MAOI and you eat high-tyramine foods, tyramine can quickly reach dangerous levels. This can cause a serious spike in blood pressure and require emergency treatment.so avoid food contains higher amount of tyramine.