Nutrition questions students

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University of Notre Dame *

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2450

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Health Science

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Apr 3, 2024

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docx

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6

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Nutrition Questions 1. When developing the plan of care for an infant with a cleft lip before corrective surgery is performed, which of the following should be a priority? a. Maintaining skin integrity in the oral cavity b. Using techniques to minimize crying c. Altering the usual method of feeding d. Preventing the infant from putting fingers in the mouth 2. The nurse is administering gastrostomy feedings to an infant after surgery to correct a tracheoesophageal fistula. To prevent air from entering the stomach once the syringe barrel is attached to the gastrostomy tube the nurse should: a. Unclamp the tube after pouring the complete amount of formula to be administered into the syringe barrel. b. Pour all of the formula to be administered into the syringe barrel after opening the clamp. c. Maintain a continuous flow of formula down the side of the syringe barrel once the clamp is opened. d. Allow a small amount of formula to enter the stomach before pouring more formula into the syringe barrel. 3. A newborn admitted with pyloric stenosis is lethargic and has poor skin turgor. The physician has prescribed IV fluids of dextrose water with sodium and potassium. The baby’s admitting potassium level is 3.4 mEq/L. The nurse should: a. Notify the physician b. Administer the prescribed fluids c. Verify the infant has urinated d. Have the potassium level redrawn 4. A toddler is brought to the emergency room after ingesting an undetermined amount of drain cleaner who is in respiratory distress. The nurse should expect to assist with which of the following first? a. Administering an emetic b. Performing a tracheostomy c. Performing gastric lavage d. Inserting a Foley 5. Which of the following foods would be appropriate for a 12-month-old child with celiac disease? a. Oatmeal b. Pancakes c. Waffles d. Rice cereal
6. An infant has undergone repair of a cleft lip. Which of the following would not be part of the post-op care? They can eat by mouth a. Nasogastric feedings until sutures are removed b. Assess the infant’s pain every 4 hours c. Advance diet as tolerated starting with clear liquids d. Position infant in a supine position 7. When teaching the mother of a toddler diagnosed with lead poisoning, which of the following should the nurse include as the most serious complication if the condition goes untreated? a. Cirrhosis of the liver b. Stunted growth rate c. Neurologic deficits d. Heart failure 8. The mother of a child with celiac disease asks, "How long must he stay on this diet?" Which response by the nurse is best? Doesn’t go away a. "Until the jejunal biopsy is normal." b. "Until his stools appear normal." c. "For the next 6 months." d. " For the rest of his life." 9. When obtaining a history from the parents of a child diagnosed with Salmonella, the nurse should ask the parents if the child has been exposed to which of the likely possible sources of infection? a. Nonrefrigerated custard b. A pet canary c. Undercooked eggs d. Unwashed fruit
10. Which of the following would most likely alert the nurse to the possibility that a preschooler is experiencing moderate dehydration? a. Deep, rapid respirations b. Diaphoresis c. Absence of tear formation d. Decreased urine specific gravity (you would see an increase) 11. The primary care provider prescribes an IV infusion of D5.45NS to be infused at 4 mL/kg/hr in an infant who weighs 9 lbs. How many milliliters per hour of the solution should the nurse infuse? Round to one decimal. 16 12. An infant is admitted with dehydration. What is the most accurate intervention to monitor the patient's fluid balance? Select all that apply. a. Weigh all wet diapers b. Switch from breast-feedings to bottle-feedings c. Obtain daily weights d. Restrict fluids prior to weighing e. Obtain an accurate stool count 13. A nurse is caring for a 10-month-old weighing 8.0 kg, who was admitted for dehydration. The infant has vomited five times in the last three hours and has had no wet diapers in the last 8 hours. Which of the following orders received should the nurse question? a. Begin an IV line and infuse normal saline at 160 mL/hr over the next hour b. NPO while vomiting persists c. Begin an IV line and administer a fluid bolus of dextrose 25% (too much dextrose) d. Strict intake and output; weighing all diapers 14. The parent of an infant with a cleft palate asks when the palate will be repaired. The nurse responds by stating the repair is done at which of the following times. a. Before the teeth erupt b. When the child reaches 10 kg c. Before speech development d. After the child learns to drink from a cup
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