NCLEX Review - Fundamentals of Nursing 7th edition (41-45)

41. An adult female client has a hemoglobin level of 10.8 g/dL. The nurse interprets that this result is most likely caused by which of the following conditions noted in the client's history?

a) dehydration
b) heart failure
c) iron deficiency anemia
d) chronic obstructive pulmonary disease


42. The nurse is conducting a dietary assessment on a client who is on a vegan diet. The nurse plans to provide dietary teaching focusing on foods high in which vitamin that may be lacking in a vegan diet?

a) vitamin A
b) vitamin B12
c) vitamin C
d) vitamin E

43. A client is recovering from abdominal surgery and has a large abdominal wound. A nurse encourages the client to eat which food item that is naturally high in vitamin C to promote wound healing?

a) milk
b) oranges
c) bananas
d) chicken

44. A postoperative client has been placed on a clear liquid diet. Select the items that the client is allowed to consume on this diet. Select all that apply

a) broth
b) coffee
c) gelatin
d) pudding
e) vegetable juice
f) pureed vegetables


45. A nurse is preparing to care for a client who will receive parenteral nutrition (PN) support. The client is receiving dextrose, amino acids, and lipids all in one solution (total nutrient admixture). The nurse plans to do which of the following?

a) use a 1.2 um filter
b) use 0.22 um filter to ensure sterility
c) use a 0.10 um filter to ensure sterility
d) administer the solution without a filter





Fundamentals of Nursing 7th edition:
ANSWERS AND RATIONALE

41) C

- The normal hemoglobin level for an adult female client is 12 to 15 g/dL. Iron deficiency anemia can result in lower hemoglobin levels. Dehydration may increase the hemoglobin level by hemoconcentration. Heart failure and chronic obstructive pulmonary disease may increase the hemoglobin level as a result of the body’s need for more oxygen-carrying capacity.

42) B

- Vegans do not consume any animal products. Vitamin B12 is found in animal products and therefore would most likely be lacking in a vegan diet. Vitamins A, C, and E are found in fresh fruits and vegetables, which are consumed in a vegan diet.

43) B

- Citrus fruits and juices are especially high in vitamin C. Bananas are high in potassium. Meats and dairy products are two food groups that are high in the B vitamins.

44) A, B, C

- A clear liquid diet consists of foods that are relatively transparent to light and are clear and liquid at room and body temperature. These foods include items such as water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, Popsicles, and regular or decaffeinated coffee or tea. The incorrect food items are items that are allowed on a full liquid diet.

45) A

- A total nutrient admixture (TNA) is a solution that combines dextrose, amino acids, and lipids in one solution. A 1.2-µm filter or larger filter should be used because the lipid particles are too large to pass through a smaller (0.22- or 0.10-µm) filter. A 0.22-µm filter is used for 2-in-1 solutions containing only dextrose and amino acids. A 0.10-µm filter is smaller than a 1.2-µm filter. Administering the solution without using a filter is not an appropriate action.


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Related Topics:

• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts