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NCLEX-RN Nutrition & Diet Therapy Flashcards

Master 38 nutrition & diet therapy concepts for the NCLEX-RN.

Question

Complete the discharge teaching instructions for a client with Heart Failure regarding diet and monitoring.


Limit sodium intake to less than per day. Report weight gain of more than in a day or in a week.

Question

A client with advanced cirrhosis develops hepatic encephalopathy. Which dietary modification is indicated to help reduce confusion?


Question

Name one common food source that is high in Potassium (K+).


Think of fruits and vegetables often restricted in renal failure.

Question

Which food substance must be avoided by patients taking MAO Inhibitors (e.g., phenelzine), and what is the potential medical emergency if ingested?


Question

The nurse is assisting a client with dysphagia during a meal. Which action best reduces the risk of aspiration?


Question

Complete the standard carbohydrate counting guidelines for diabetes management:


One carbohydrate serving represents grams of carbohydrates. A typical meal plan targets grams of carbohydrates per meal.

Question

What is the physiological advantage of consuming Low Glycemic Index (GI) foods compared to High GI foods?


Question

The nurse is teaching a client to identify high Glycemic Index (GI) foods. Which food item should the nurse identify as causing the most rapid blood glucose spike?


Question

Name one category or example of a food source with a Low Glycemic Index (GI).


Think of foods rich in fiber like vegetables, beans, or whole grains.

Question

Using the 'Create Your Plate' method, describe how the three sections of a 9-inch plate should be divided.


Question

Name one grain that is naturally gluten-free and safe for a client with Celiac disease.


Common examples include Rice, Corn, and Quinoa.

Question

Which of the following items typically contains hidden gluten?


Question

How is a bolus enteral feeding administered regarding equipment, volume, and duration?


Question

A nurse administers enteral formula via a gravity drip bag over a period of 45 minutes every 6 hours. Which type of feeding is this?


Question

Complete the characteristics of Continuous Enteral Feeding:


Continuous feeding requires an to maintain a steady rate over hours; preferred for critically ill patients.

Question

Which nursing intervention is the priority for preventing aspiration in a client receiving enteral feedings?


Question

List three common causes of diarrhea in patients receiving enteral nutrition.


Question

Select the correct flushing protocol to prevent enteral tube clogging:


Flush with mL of warm water every hours during continuous feeding to prevent clogging.

Question

What is the most common metabolic complication of Total Parenteral Nutrition (TPN), and what assessment is performed every 4-6 hours to manage it?


Question

Which laboratory panel should be monitored weekly for a patient receiving TPN to assess for potential hepatic complications?


Question

Why must TPN never be discontinued abruptly, and what is the standard procedure for stopping the infusion?


Question

The nurse is preparing to administer IV antibiotics to a patient receiving TPN via a triple-lumen central line. Which action is appropriate?


Question

Select the correct intervention for a TPN supply interruption:


If the TPN bag runs out and a new one is unavailable, hang at the same infusion rate to prevent .

Question

Complete the standard ASA guidelines for NPO status prior to elective procedures requiring sedation/anesthesia:


Patients may consume clear liquids up to hours before and a light meal/solids up to hours before the procedure.

Question

Arrange the IDDSI liquid consistency levels from least viscous (thinnest) to most viscous (thickest).


Tap tiles below to build the sentence...

Question

A client with dysphagia is prescribed an IDDSI Level 5 'Minced & Moist' diet. Which food selection is appropriate for this client?


Question

Name one clinical indication for a low-residue (low-fiber) diet.


Think of conditions requiring bowel rest or reduced stool volume.

Question

Regarding diverticular disease, when is a high-fiber diet indicated versus contraindicated?


Question

Which food item should the nurse instruct a client with heart failure to avoid due to high sodium content?


Question

Name one category of food that is high in phosphorus and should be limited in Chronic Kidney Disease (CKD).


Think about beverages, snacks, or protein sources often restricted in renal diets.

Question

Complete the guideline regarding calcium and phosphorus management in CKD.


In CKD, foods are often limited because they are also high in . Additionally, calcium-based binders should be avoided if the patient is .

Question

Which specific vegetable group must be kept consistent in the diet of a patient taking warfarin, and why?


Question

Name at least two foods that are naturally high in iron.


Think of both meats (heme) and plant sources (non-heme).

Question

What vitamin or food source should be consumed with iron supplements to enhance absorption?


Question

A nurse is teaching a client about maximizing oral iron absorption. Which of the following beverages should the client avoid taking within 1-2 hours of the iron dose?


Question

Which client is at the highest risk for developing refeeding syndrome upon the initiation of nutritional support?


Question

Complete the statement regarding the mechanism of refeeding syndrome:


Reintroduction of carbohydrates triggers a spike in , causing a rapid shift of electrolytes , resulting in severe.

Question

What is the priority nursing intervention regarding the rate of administration when starting TPN or tube feeds for a severely malnourished patient?