In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Advise the client to include aerobic exercise along with dietary changes.

Emphasize the need to reduce caloric intake, rather than increasing it.

Instruct the client to also increase the daily intake of dietary fiber.

Encourage the client to continue these changes in a dietary plan.

None

Answer and Explanation

The Correct Answer is D

Rationale for A: Advising the client to include aerobic exercise could be beneficial as it may help in weight management and overall health. However, it does not directly address the dietary concerns associated with hyperthyroidism.
Rationale for B: Reducing caloric intake is generally not recommended for hyperthyroidism as the condition often leads to weight loss and increased metabolism; therefore, patients may require more calories to maintain a healthy weight.
Rationale for C: Increasing dietary fiber is beneficial for general health and can aid digestion, but it is not the primary dietary change needed for managing hyperthyroidism.
Rationale for D: Encouraging the client to continue increasing protein and caloric intake is appropriate, as hyperthyroidism can cause weight loss and muscle wasting. Adequate protein and caloric intake can help mitigate these effects.

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Correct Answer is C

Explanation

A. Nutritional meal planning for older adults should only be planned by a dietitian. While a dietitian can provide valuable expertise in meal planning, it is not necessary for them to be the sole planner. Clients and their spouses can also learn and understand nutritional guidelines to plan meals effectively.
B. Socioeconomics should not be an issue in planning nutritional meals for older adults.

Socioeconomic factors can impact access to and affordability of nutritious foods, making them an important consideration in meal planning.
C. Dietary needs for older adults over and under age 70 are different. Nutritional needs may vary depending on factors such as age, health status, activity level, and underlying medical conditions. It's important for clients and their spouses to understand these differences to plan meals that meet individualized needs.

D. Age is not a factor in determining dietary needs for older adults. Age can indeed influence dietary needs, as nutritional requirements may change with aging, including considerations for maintaining muscle mass, bone health, and managing chronic conditions.

A. Check for body weight changes. B. Calculate 24-hour caloric intake. C. Observe for abdominal distention. D. Measure the urinary output.

Correct Answer is C

Explanation

A. Check for body weight changes. While changes in body weight can provide valuable

information about nutritional status, they may not be immediately relevant to addressing the high gastric residual volume.
B. Calculate 24-hour caloric intake. While important for overall nutritional assessment,

calculating 24-hour caloric intake may not address the immediate concern of the high gastric residual volume.
C. Observe for abdominal distention. High gastric residual volumes can indicate delayed gastric emptying or intolerance to the feeding formula, which may manifest as abdominal distention.
Assessing for this symptom helps determine the client's comfort and potential complications related to tube feeding.

D. Measure the urinary output. Monitoring urinary output is important for assessing hydration status and renal function, but it may not directly address the issue of high gastric residual volume associated with tube feeding.

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In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?

Correct Answer is C

Explanation

A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client's gastric residual volume as 325 mL during each of two consecutive hourly measurements. Which assessment should the nurse complete before contacting the healthcare provider?

Correct Answer is C

Explanation

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