Question

1. The nurse is caring for a patient who is recovering from gastroenteritis. The nurse teaches the patient about dietary recommendations as the digestive system recovers. Which menu selection by the patient indicates that additional teaching is needed?

A. White toast

B. Orange Popsicle

C. Coffee with cream

D. Applesauce

2. A patient has hypertension and is on a very-low-sodium diet. However, the patient is going to celebrate an important religious holiday soon that includes many food items high in sodium. What action by the nurse is best?

A. Consult with the prescriber about increasing the blood pressure medications.

B. Collaborate with the patient and dietitian to include some of these foods.

C. Tell the patient you are so sorry she can’t have any of these foods.

D. Tell the patient eating these foods once won’t hurt her condition.

3. The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the patient’s medications can the nurse administer through the tube? (Select all that apply.)

A. Ceclor (cefaclor for oral suspension) 250 mg q 6 hours

B. Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours

C. Edluar (zolpidem tartrate) sublingual tablet 5 mg nightly at bedtime

D. Potassium chloride oral solution 20 mEq daily

E. Ondansetron (Zofran) oral disintegrating tablet 8 mg q 8 hours PRN nausea

F. Oxymorphone hydrochloride extended release (Opana ER) 40 mg q 12 hours

4. The nurse is planning dietary education for her patient. What food labeling consideration should she be aware of when planning her education? (Select all that apply.)

A. Explain to them all food labels are different.

B. Encourage them to read the food labels.

C. Assess their level of understanding of food labels.

D. Ask patients if they read food labels.

Answer 1

1. C. Coffee with cream menu selection by the patient indicates that additional teaching is needed for the patient about dietary recommendations as the digestive system recovers gradually. The patient who is recovering from gastroenteritis should avoid coffee and dairy products for a few days. White toast, orange popsicle, and applesauce are menu selections that can be made by a gastroenteritis patient while recovering.

2. A. The best action by the nurse would be to consult with the prescriber about increasing the blood pressure medications for the patient who has hypertension and is on a very-low-sodium diet but wants to celebrate an important religious holiday soon that includes many food items high in sodium. The choice of the other three options would not yield any positive results and the patient will find it hard to remain at his present blood pressure level.

3. The medications that the nurse can administer through the PEG tube are Ceclor (cefaclor for oral suspension) 250 mg q.6 hours, phenytoin (Dilantin) chewable tablet 100 mg q.12 hours, potassium chloride oral solution 20 mEq daily, and ondansetron (Zofran) oral disintegrating tablet 8 mg q.8 hours p.r.n. nausea.

Sublingual tablets are not given through PEG tubes as this causes reduced effectiveness, so Edluar (zolpidem tartrate) sublingual tablets cannot be given. Extended release tablets should not be given through PEG tubes as these cannot be crushed, so oxymorphone hydrochloride extended release (Opana ER) cannot be given.

4. When planning dietary education for patients, the nurse should assess their level of understanding of food labels and ask patients if they read food labels. The other two options are not required during the planning stage and can be done during the education stage.