P3 NUTRI LAB LONG QUIZ

Total points27/50

0 of 0 points
LAST NAME, FIRST NAME *

paasa,speedhope ivan

MOBILE NUMBER

09564529305

MULTIPLE CHOICE
27 of 50 points
1. This is a 50 item quiz.
2. Read each questions carefully.
3. Select the best answer/answer from the given choices.
4. You only have 50 minutes to finish this quiz.

Which of the following beverages has no fat, sugar, or oils? *

1/1
milk
root beer
coffee with cream
Iced tea unsweetened
lemonade

The presence of renal stones in the urinary system is called: *

1/1
Glomerulonephritis
Pyelonephritis
Renal Colic
Kidney Stone

The patient has been in the hospital for quite sometime now and he
refused to eat the food that was served. The behavior that the patient
is displaying is an example of: *
0/1
Despair and Depression
Anger
Control
All of the above
Because a client's renal stone was found to be composed of uric acid,
a low-purine, alkaline-ash diet was prescribed. Incorporation of which
of the following food items into the home would indicate that the
client understands the necessary diet modifications? *
1/1
Milk, apple, tomatoes and corn
Eggs, Spinach, dried peas, and gravy
Salmon, chicken, caviar, and asparagus
grapes, corn, cereals, and liver

A client who has cardiac disease must be aware to avoid these food
groups: *
1/1
Avocados, pork chop, tomatoes
baked potato, ceasar salad, oranges
celery, grapefruit, brocolli, chicken
all of the above

Which of the following is a common sign of renal colic? *

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Nocturia
Hematuria
Polyuria
Lumbar pain

The client with acute renal failure asks the nurse for a snack.
Because the client's potassium is elevated, which of the following
snacks is MOST appropriate? *
1/1
A gelatin dessert
Yogurt
An orange
Peanuts

The nurse is developing a teaching plan for a client with stress

incontinence. Which of the following instructions should be
included? *
0/1
Avoid activities that are stressful and upsetting
Avoid caffeine and alcohol
Do not wear a girdle
Limit physical exertion
Which of the following are cardinal signs of chronic renal failure?
SELECT ALL THAT APPLY *
0/1
vomiting
oliguria
loss of appetite
confusion
swelling of the legs
hematuria

After and intravenous pyelogram (IVP), the nurse should anticipate

incorporating which of the following measures into the client's plan of
care? *
1/1
Maintaining bed rest
Encouraging adequate fluid intake
Assessing for hematuria
Administering a laxative

The client has a long standing diabetes mellitus type 2, and is

showing severe muscle wasting. Which among the selection is the
priority diagnosis for the patient? *
1/1
Knowledge Deficit related to disease process
Fatigue related to muscle weakness
Imbalanced Nutrition related to lack of interest in food
All of the above

A client with acute renal failure has an increase in the serum

potassium level due to fluid retention. The nurse should monitor the
client for: *
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Cardiac arrest
Pulmonary edema
Circulatory collapse
Hemorrhage

The basic unit of the kidneys is: *

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Connecting tubules
Nephrons
Glomerulus
Bow of Henli

YOu were asked by the doctor to assess the nutritional status of your
patient. The BEST way to assess is by: *
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Pinching the skinfold on the chest
Measuring the skinfold thickness and midarm circumference
Calculating the patient's muscle ciricumference
All of the above

A client with chronic renal failure who receives dialysis three times a
week is experiencing severe nausea. What should the nurse advise
the client to do to manage the nausea? SELECT ALL THAT APPLY *
1/1
Drink fluids before eating solid foods.
Have limited amounts if fluids only when thirsty
Limit activity
Keep all dialysis appointments
Eat smaller, more frequent meals.

Which among the laboratory result you will likely find in a patient with
kidney disease? SELECT ALL THAT APPLY *
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> decreased hematocrit
>increased creatinine
>increased BUN
> decreased wbc
> increased hematocrit
>increased wbc

Patients should be know that following statements about vitamin B3

(niacin) are true and should be taught except: *
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It helps to release energy in carbohydrates, fat, and protein
It improves blood lipid levels
Deficiency causes beriberi
It is involved in the synthesis of sex hormones

All of the following are symptoms of Renal Calculi EXCEPT *

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Hematuria
Sudden Interruption of urine stream
Oliguria
Flank pain
The recommended serving of milk for a pregnant woman is *
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8 glasses each day
3 - 5 glasses each day
2-3 glasses each day
3 glasses is enough

What is the best nursing diagnosis for a patient suffering from chronic
kidney disease and has a generalized edema? *
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Imbalanced Nutrition more than body requirements related to physiologic changes
Fluid Volume Excess related t0 fluid retention
Fluid Volume Deficit related to interstitial fluid shifting
Imbalanced Nutrition less than body requirments related to physiologic needs

A substance needed by the body for growth, energy, repair and

maintenance is called a _______________. *
0/1
nutrient
carbohydrate
calorie
fatty acid

A client who has acute kidney damage and was a known diabetic
came in to ER department with manifestation of shortness of breathe
and generalized edema. What diagnosis has the highest priority? *
0/1
Fluid volume excess related to fluid retention
Ineffective Renal Perfusion r/t severe kidney damage
Ineffective airway clearance r/t congestion
Impaired Gas Exchange r/t fluid accumulation

The tool used to measure the tricep skinfold is called: *

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Webber
Calipers
Tape measure
Thumb

What food doesn't belong to this food group? *

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apricot
squash
zucchini
potato

SDA's and Muslims should be taught that these food contains bones
and skins of animals, might also contain pork. *
1/1
Gelatin
Custard
Carageenan

A client with renal disease doesn't understand why dietary

instruction is being given on the use of high biologic value protein in
the diet, since he has always been told there is to be protein
restriction. How would you respond to the client's concern? *
1/1
High biologic value proteins help to increase urea excretion.
Increased protein is needed to prevent catabolism, regardless of the stage of renal disease.
High biologic value proteins contain essential amino acids that are necessary to maintain
nutritional balance.
High biologic value proteins are needed during times of stress to maximize metabolic efforts only
in clients on dialysis therapy.
Option 5

The nurse is preparing a discharge plan for a patient with renal

calculi, the nurse noted that the patient needs further teaching if he
states that: *
0/1
" I should drink plenty of fluid that is enough for my body to produce 1.5 to 2 liters of urine each
day."
"I will not notify my physician if my urine is cloudy and foul-smelling because it is a normal
appearance anyway."
"I will stick to my diet regimen."
" I will taken my medications that us prescribed by my doctor."

A client has renal colic due to renal lithiasis. What is the nurse's
FIRST priority in managing care for this client? *
1/1
Do not allow the client to ingest fluids
Encourage the client to drink at least 500 ml of water each hour
Request for central supply department to send supplies for straining urine
Administer and opoid analgesic as prescribed.

This food group is our body's best source of energy? *

1/1
Meat Group
fats, oils and sweets
breads and cereals
milk and cheese

A patient with CKD was on a dialysis session and showed no signs of

interest in food because of episodes of nausea and vomiting, What is
his nursing problem based on the scenario? *
0/1
Imbalanced Nutrition more than body requirements related to physiologic changes
Fluid Volume Excess related t0 fluid retention
Fluid Volume Deficit related to interstitial fluid shifting
Imbalanced Nutrition less than body requirements related to lack of interest in food

During the assessment phase, the nurse notes that a client with a
history of kidney stones is taking daily vitamin C supplements. What
dietary counseling is most appropriate for this client? *
1/1
The client should increase daily intake of vitamin C for its antioxidant effects.
Fluid intake should be monitored to prevent stone formation.
Stop taking vitamin C because it is only beneficial for common cold symptoms.
Limit intake of supplemental vitamin C, which can exacerbate stone formation if taken in high
doses.

In teaching a client with diverculitis, the nurse should emphasize

which of the following? *
1/1
Include high fiber in diet
limit alcohol intake
caffeine is ok
none of the above

A high carbohydrate, low protein diet is prescribed for the client with
acute renal failure. The intended outcome of this diet is to: *
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Act as a diuretic
Reduce demands on the liver
Help maintain urine acidity
Prevent the development of ketosis

A client who is on her 25 weeks age of gestation understands the

teaching if she will tell the nurse that: SELECT ALL THAT APPLY *
0/1
" It's ok to take iron supplement with milk."
"Iron supplement is best taken at night."
"With the rusty odor of iron supplement, I can take it with orange juice."
" iron tablet is not needed as long as i am taking folic acid."
Other:

Consuming fewer than 130 grams of carbohydrate per day may lead
to: *
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Hypoglycemia
Kwashiorkor
Marasmus
Ketosis

All of the following nutrients are found in food except: *

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plasma
proteins
carbohydrates
vitamins

The client with AV fistula has understood the health teaching

imparted by the nurse if he states that: *
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"It's ok to have my blood pressure taken where my fistula is located."
" I can still go swimming even with my fistula."
" the fistula once inserted no longer needs dressing."
"My fistula is for lifetime."

A client with chronic renal failure verbalizes that he is afraid he can

no longer swim if he will be inserted with an AV fistula. What is the
nurse's priority diagnosis for the patient? *
0/1
Knowledge Deficit related to health treatment
knowledge Deficit related to disease condition
Anxiety related to disease process
none of the above

A patient diagnosed with CKD 1 year ago told the nurse that his
pitting edema was because of his prolonged standing since he was
working in a department store as a cashier. The nurse's diagnosis
based on NANDA should be: *
0/1
Knowledge Deficit related to the disease process
Fluid Volume Excess related t0 fluid retention
Fluid Volume Deficit related to interstitial fluid shifting
Imbalanced Nutrition less than body requirements related to lack of interest in food

The client with diverculitis needs further teaching if he states: *

1/1
" I need to increase fresh fruits and leafy vegetables in my diet."
"Cake and coffee is ok once in a while."
" I can have pineapples but in moderation."
"I will increase fluid intake as much as possible."

Teaching a teenager with decreased nutritional status should

include: *
0/1
2-3 glasses of milk each day
4 or more glasses of milk each day
1 glass is enough at night
2 glasses only

A client has an ileal conduit. Which of the following solutions will be

useful to help control odor in the urine collecting bag after it has
been cleaned? *
1/1
Salt water
Vinegar
Ammonia
Bleach

The nurse is instructing the client with chronic renal failure to

maintain adequate nutritional intake. Which of the following diets
would be MOST appropriate? *
1/1
High Carbihydrate, High Protein
High calcium, high potassium, High protein
Low protein, Low sodium, low potassium
Low protein, high potassium
The client has been drinking too much tea and has been complaining
of frequent urination especially at night. The best diagnosis would
be: *
0/1
Risk for Urge Urinary Incontinence
Urinary Retention r/t blockage
Disturbed Sleeping Pattern r/t nocturia
Ineffective renal Perfusion r/t glomerular damage

The nurse instructing the client with pyelonephritis would include the
following in the health teaching. *
1/1
wipe the genital area from front to back
do kegels exercise as tolerated
limit activities as possible
increase fluid intake
All of the above

What should the nurse teach the client to do to prevent stress

incontinence? *
1/1
Use techniques that strengthens the sphincter and structural support supports of the bladder
such
kegels exercise.
instruct not to laugh when in social gatherings
control the urgency as much as possible
none of the above

Diabetic clients should be taught that Fruits, vegetables and cereals

are potent sources of: *
1/1
Antioxidants
Unsaturated fat
Saturated fat
Free radicals

The teaching has been less effective if the client with renal failure
would say: *
1/1
" 2 grams of salt a day is enough."
"I will limit water intake to 1.5 liters a day but I can have 2 cups of coffee."
"I will notify my physician if my urine output is less than 30 ml per hour."
None of the above
A patient with known bronchial asthma should be taught to avoid
food that can trigger his condition and this food includes all EXCEPT
one: *
0/1
Summer Squash
Eggplants
Radish and Beets
Peanuts

The renal system does not play a direct role in regulating which of
the following?" *
1/1
BLOOD SOLUTES
blood temperature
BLOOD PH
BLOOD PRESSURE
This form was created inside of Phinma - Cagayan de Oro College.

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