Slides from a must-know WEBINAR lecture for NCLEX -high-yield review of Dietary concepts and frequently tested nutrition topics with focus on client counseling, dietary advice in select in disease conditions, prioritization, and nursing interventions.
This document provides an overview of a pediatric nursing crash course on congenital heart defects. It begins with welcoming participants and providing instructions. It then provides definitions and examples of various congenital heart defects including atrial and ventricular septal defects, patent ductus arteriosus, tetralogy of Fallot, transposition of the great arteries, and hypoplastic left heart syndrome. Signs, symptoms, treatments, and surgical repairs are discussed for each condition. The document concludes with sample NCLEX questions to test understanding.
A client presented with a positive home pregnancy test. A positive home pregnancy test provides a presumptive sign of pregnancy, not a definitive diagnosis. Naegele's rule is used to calculate the estimated due date based on the first day of the last menstrual period. The third month of pregnancy is a critical time as the fetus is fully formed by the end of the third month and the risk of miscarriage decreases significantly.
Slides and handouts from Archer NCLEX Live and OnDemand webinars. These cover extensive NCLEX Highyield concepts topic-wise providing in-depth learning. Combine the content review with NCLEX
A must-know for NCLEX -high-yield review of Cardiology concepts and frequently tested EKGs. Includes CAD, Sock, CHF, arrhythmias, asystole, hypertension, and many more. Cardiology and EKGs with focus on Prioritization, Nursing interventions, Client counseling, and all other high yield concepts to ace NCLEX system-wise!
This document provides information on acid-base balance, alcoholism, drug abuse, and various pharmacology topics. It begins with the "Rule of the B's" for determining if an acid-base imbalance is metabolic or respiratory based on pH and bicarbonate levels. It then covers signs and symptoms of acidosis and alkalosis. Principles of treating alcoholism focus on confronting denial, addressing dependency/codependency, and limiting manipulation. Distinctions are made between overdose and withdrawal symptoms for various drugs. Aminoglycoside antibiotics are described as treating serious infections while being potentially ototoxic and nephrotoxic.
This document provides an overview of labor and delivery topics including:
- The four P's of labor from the mother's perspective: powers, passageway, passenger, and psyche.
- Assessment of the baby's attitude, lie, presentation, position, and station.
- Complications like placenta previa and abruptio placentae.
- Causes and assessment of dystocia.
- Terminology and interventions for preterm labor.
- It includes sample NCLEX questions to assess understanding.
The document provides an overview of an Archer Review Crash Course. It introduces the instructor, Morgan Taylor, and covers several topics that will be discussed including advanced directives, medical power of attorney, HIPAA, documentation, SBAR communication, positioning, NCLEX questions, and ethical concepts. Breaks will be taken every 10 minutes throughout the 2 hour course.
This document provides an overview of a pediatric nursing crash course on congenital heart defects. It begins with welcoming participants and providing instructions. It then provides definitions and examples of various congenital heart defects including atrial and ventricular septal defects, patent ductus arteriosus, tetralogy of Fallot, transposition of the great arteries, and hypoplastic left heart syndrome. Signs, symptoms, treatments, and surgical repairs are discussed for each condition. The document concludes with sample NCLEX questions to test understanding.
A client presented with a positive home pregnancy test. A positive home pregnancy test provides a presumptive sign of pregnancy, not a definitive diagnosis. Naegele's rule is used to calculate the estimated due date based on the first day of the last menstrual period. The third month of pregnancy is a critical time as the fetus is fully formed by the end of the third month and the risk of miscarriage decreases significantly.
Slides and handouts from Archer NCLEX Live and OnDemand webinars. These cover extensive NCLEX Highyield concepts topic-wise providing in-depth learning. Combine the content review with NCLEX
A must-know for NCLEX -high-yield review of Cardiology concepts and frequently tested EKGs. Includes CAD, Sock, CHF, arrhythmias, asystole, hypertension, and many more. Cardiology and EKGs with focus on Prioritization, Nursing interventions, Client counseling, and all other high yield concepts to ace NCLEX system-wise!
This document provides information on acid-base balance, alcoholism, drug abuse, and various pharmacology topics. It begins with the "Rule of the B's" for determining if an acid-base imbalance is metabolic or respiratory based on pH and bicarbonate levels. It then covers signs and symptoms of acidosis and alkalosis. Principles of treating alcoholism focus on confronting denial, addressing dependency/codependency, and limiting manipulation. Distinctions are made between overdose and withdrawal symptoms for various drugs. Aminoglycoside antibiotics are described as treating serious infections while being potentially ototoxic and nephrotoxic.
This document provides an overview of labor and delivery topics including:
- The four P's of labor from the mother's perspective: powers, passageway, passenger, and psyche.
- Assessment of the baby's attitude, lie, presentation, position, and station.
- Complications like placenta previa and abruptio placentae.
- Causes and assessment of dystocia.
- Terminology and interventions for preterm labor.
- It includes sample NCLEX questions to assess understanding.
The document provides an overview of an Archer Review Crash Course. It introduces the instructor, Morgan Taylor, and covers several topics that will be discussed including advanced directives, medical power of attorney, HIPAA, documentation, SBAR communication, positioning, NCLEX questions, and ethical concepts. Breaks will be taken every 10 minutes throughout the 2 hour course.
The document provides an overview of a live NCLEX review webinar, including:
- Participants can ask questions in the chat and download handouts from the control panel.
- The webinar will be available for on-demand streaming within a week.
- Part 1 covers fundamentals like lab values, ABG interpretation, fluids and electrolytes. Reference ranges are provided for common labs like CBC, metabolic panel, coagulation tests, and more. Concepts of acid-base balance and how to analyze an ABG result are explained. Sodium, potassium, hyponatremia, and hyperkalemia are reviewed in depth.
Archer NCLEX Endocrine, DM, and Insulin - Live webinar.
Archer Review, a comprehensive reviewer for NCLEX-RN and NCLEX-PN exams, is focused on making quality and comprehensive test prep affordable to every nurse worldwide. Combine these crash courses along with Archer's highly popular NCLEX Qbanks with 2500 Qs that have consistently achieved a 97% pass rate.
This 3-hour Endocrinology, Diabetes, and insulin management crash course is one such webinar to shed light on one of the difficult and frequently tested topics on NCLEX. This is one of the several Archer content review crash courses to strengthen your concepts and face NCLEX more confidently. The idea of this webinar is to:
1. Go over all frequently tested NCLEX concepts in Endocrine disorders - Addison's, Cushing's, Thyroid, SIADH, Hyperparathyroidism, hypoglycemia, Diabetes, and Insulin management.
2. Endocrine diseases labs interpretation, Diabetes types/ concepts, insulin-related issues, diabetic diets, Client education, reduction of risk potential, and nursing interventions.
3. Provide you with challenge quizzes throughout the course after every class of disorders. You may actively participate by entering your answers or asking questions during Q and A sessions. Get your doubts clarified and understand concepts!
COST: just $10
Syllabus for both ON-DEMAND and LIVE sessions - Syllabus - snapshot and detailed. Register at
ON-DEMAND access - 2months : -
https://ppv.audiovideoweb.com/ppvlnk/purchase/add/grp/160590567727448?id=06152009200616T
Live session: https://attendee.gotowebinar.com/register/8591903128354705678
The document provides definitions and information about various medical terms and procedures. It covers topics such as medication administration routes, hormone functions, disease signs and symptoms, and nursing care for procedures. For example, it states that IV administration absorbs medication the fastest, defines ACTH and its function, and outlines post-operative care for a detached retina.
Notified primary health care provider about client status. Awaiting orders.
Abdominal CT scan shows findings consistent with bowel obstruction.
Surgeon notified, recommends exploratory laparotomy.
IV fluids started. Foley catheter inserted, urine output 50 mL in 1 hour.
Vital signs: T 102.2° F (39° C), P 110, RR 24, BP 110/70.
Diagnostic Results
1230: Abdominal CT scan shows dilated small bowel loops with air-fluid levels consistent with bowel obstruction.
1445: Complete blood count shows WBC 18,000/mm3 with 90% neutrophils.
The nurse should insert a nasogastric tube.
It would be
This document provides NCLEX prioritization tips from Dr. Zeeshan, including the ASK GRAPH pneumonic for prioritizing airway, sepsis, potassium levels, altered mental status, glucose levels, lethargy, peritonitis, and hemorrhage, especially for post-op patients. It also emphasizes encouraging post-op patients to ambulate using an incentive spirometer to prevent complications like deep vein thrombosis and atelectasis.
This document provides quick tips and summaries related to prioritizing patient care on the NCLEX exam. It discusses the ASK GRAPH method for prioritizing patients and focuses on topics like airway management, sepsis, hypoglycemia, and hemorrhage. Other tips include encouraging early ambulation and incentive spirometry for postoperative patients. The document also provides mnemonics and summaries for various medical conditions and treatments.
This document provides information about the authors and contributors of the 8th edition of the Saunders Q&A Review for the NCLEX-RN Examination. It includes biographies of the main authors, Linda Anne Silvestri and Angela Elizabeth Silvestri, as well as contributors and consultants. The preface provides an overview of the book's contents and features, including its focus on the NCLEX-RN test plan, multiple choice questions, and special resources on the accompanying Evolve website.
Presented by Scrub Ninjas® NCLEX-RN Review Game
www.scrubninjas.com
10 NCLEX Practice Questions on Management of Care for your NCLEX-RN/PN Review.
Scrub Ninjas® NCLEX-RN/PN Review APP
NCLEX RN Exam Review, the first ever NCLEX video game! Conquer your nursing boards by playing an action-packed ninja video game designed to make learning fun. Our content tailor-made for the NCLEX (A full range of high yield questions like the actual exam) based on the content guidelines from the NCSBN.
Awaken the mind with the Scrub Ninjas® and arm yourself with epic surgical infused ninja weapons, and traditional Japanese masks. Created for the visual learner, this stimulating game will help you retain high yield content and facts while as you strengthen your nursing skills. A perfect NCLEX study tool for all of you students on the go! Maximize and master your exams with friends and classmates. We wish you success future nurses of America, game on!
AVAILABLE ON
iTunes: http://bit.ly/NCLEXRNitunesFULL
Google Play: http://bit.ly/NCLEXANDROID
This document contains medical notes covering various topics for nursing exams, including cardiology, dermatology, emergency medicine, endocrinology, ENT, and gastroenterology. It is organized into chapters covering specific body systems and contains subsections on related clinical topics, pharmacology, and disease management. The notes provide an overview of key terms, concepts, treatments and nursing considerations for common and important medical conditions.
This document provides strategies for taking the NCLEX PN and RN exams. It discusses key strategies such as carefully reading questions to identify the key concept, re-reading and re-phrasing questions to understand what is being asked, evaluating each answer choice, and using a process of elimination to rule out incorrect answers. Specific tips are provided for identifying important words in questions and answers, prioritizing nursing actions, and understanding different types of questions related to nursing concepts.
Most students have many doubts on NCLEX Exam and preparation. Here we are providing common question and answers which are asked by previous students. Hope these may help you to clear your doubts.
This document provides strategies and information to help prepare for the NCLEX-PN exam. It begins with an introduction to the exam format and content. It then provides 12 general test-taking strategies such as understanding test intimidation, finding an optimal pace, and avoiding perfectionism. The document continues with reviews of various nursing content areas like respiratory conditions, circulatory system, endocrinology, and more. It concludes with sample questions, an answer key, and additional exam resources.
Download NCLEX NCLEX-RN Exams - Free VCE Exams For All NCLEX-RN Examcollectionexamcollection67
This document provides information about NCLEX exam preparation resources available on examcollection.us, including NCLEX dumps, practice tests, and sample questions and answers to help users prepare for the NCLEX exam. It summarizes the key offerings of examcollection.us such as NCLEX exam dumps, 100% money back guarantee, student discounts, printable PDF format, interactive exam software, and free live updates. It also includes links to download NCLEX VCE and encourages users to use the provided resources to pass the NCLEX exam.
The document discusses the NCLEX exam which is required to obtain a license to practice as a registered nurse in the United States. The NCLEX is administered by the National Council of State Boards of Nursing and tests a nurse's specialized knowledge, skills, and ability to meet requirements in the nursing process. It contains multiple choice and other types of questions to evaluate candidates' competency as an entry-level nurse.
This book provides strategies and practice questions to help students prepare for the Next Generation NCLEX exam (NGN). It introduces the six cognitive skills that NGN questions will assess: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes. Each chapter focuses on one cognitive skill, providing test-taking strategies and examples of question types that assess that skill. The book concludes with a practice test allowing students to apply what they've learned. The goal is to familiarize students with NGN question formats and help them develop the clinical judgment needed to succeed.
1. The document provides tips for effective study habits, including using memory aids, reviewing notes daily, planning study time for when most receptive, setting a schedule, setting study goals with a method and schedule, and tips for effective group study and reducing test anxiety.
2. It recommends limiting group study to 4-5 serious students, agreeing on a schedule, and finding an alternative if the group makes one anxious.
3. Tips are given for the night before an exam, including doing something pleasant, avoiding extremely anxious people, settling accounts in advance, and bringing past success to feel positive.
This document discusses surgical nutrition and perioperative diet. It begins by outlining objectives around identifying malnourished patients pre-surgery, post-operative diet advancement, nutritional support, and monitoring. It then discusses traditional dogma around pre-operative fasting and post-operative diet progression. Recent research shows early enteral nutrition and carbohydrate loading pre-surgery reduces complications compared to traditional practices. The document outlines pre-operative risk assessment, concepts of prehabilitation for high-risk patients, and updated fasting guidelines. Post-operative nutrition focuses on early oral diets rather than delaying until bowel function fully resumes. Enteral nutrition is preferred over total parenteral nutrition when possible. Monitoring supports providing adequate but not excessive calories
Dr. Zeeshan provides tips for remembering key information about mental health topics for the NCLEX exam. The tips cover side effects of SSRIs including increased suicide risk, slow onset and taper, and symptoms of serotonin syndrome. MAOI risks include headaches, avoiding tyramine and OTC drugs causing hypertensive crisis. Those at highest risk for suicide on the SAD PERSONS scale are male, young or elderly, depressed, with prior attempts, substance abuse, psychosis, terminal illness, with an organized plan and no family support. Extrapyramidal symptoms include acute dystonia, akathisia, parkinsonism, and tardive dyskinesia. Malignant hyperthermia causes high temperature
This patient was admitted with symptoms of nausea, vomiting, abdominal pain and black stools. He has a history of hypertension, gallbladder removal and GERD. Diagnosis includes GERD, GI bleeding and cirrhosis of the liver. A jejunostomy tube was placed for nutrition due to malabsorption from liver disease. The patient was started on TPN and stabilized. TPN was tapered and the patient advanced to a clear liquid diet and then oral diet as tolerated. He was discharged on a soft diet restricted to 2000ml fluids per day with sodium and protein recommendations.
The patient, a 57-year-old male with a history of alcoholism and cirrhosis, was admitted with upper GI bleeding and esophageal varices. He underwent placement of a surgical jejunostomy tube due to his bleeding varices. His condition deteriorated, requiring transfer to the ICU and initiation of TPN using Hepatamine to provide nutrition support and manage his liver disease. He was later transitioned to a clear liquid diet and discharged on a soft diet with fluid restrictions and electrolyte management.
The document provides an overview of a live NCLEX review webinar, including:
- Participants can ask questions in the chat and download handouts from the control panel.
- The webinar will be available for on-demand streaming within a week.
- Part 1 covers fundamentals like lab values, ABG interpretation, fluids and electrolytes. Reference ranges are provided for common labs like CBC, metabolic panel, coagulation tests, and more. Concepts of acid-base balance and how to analyze an ABG result are explained. Sodium, potassium, hyponatremia, and hyperkalemia are reviewed in depth.
Archer NCLEX Endocrine, DM, and Insulin - Live webinar.
Archer Review, a comprehensive reviewer for NCLEX-RN and NCLEX-PN exams, is focused on making quality and comprehensive test prep affordable to every nurse worldwide. Combine these crash courses along with Archer's highly popular NCLEX Qbanks with 2500 Qs that have consistently achieved a 97% pass rate.
This 3-hour Endocrinology, Diabetes, and insulin management crash course is one such webinar to shed light on one of the difficult and frequently tested topics on NCLEX. This is one of the several Archer content review crash courses to strengthen your concepts and face NCLEX more confidently. The idea of this webinar is to:
1. Go over all frequently tested NCLEX concepts in Endocrine disorders - Addison's, Cushing's, Thyroid, SIADH, Hyperparathyroidism, hypoglycemia, Diabetes, and Insulin management.
2. Endocrine diseases labs interpretation, Diabetes types/ concepts, insulin-related issues, diabetic diets, Client education, reduction of risk potential, and nursing interventions.
3. Provide you with challenge quizzes throughout the course after every class of disorders. You may actively participate by entering your answers or asking questions during Q and A sessions. Get your doubts clarified and understand concepts!
COST: just $10
Syllabus for both ON-DEMAND and LIVE sessions - Syllabus - snapshot and detailed. Register at
ON-DEMAND access - 2months : -
https://ppv.audiovideoweb.com/ppvlnk/purchase/add/grp/160590567727448?id=06152009200616T
Live session: https://attendee.gotowebinar.com/register/8591903128354705678
The document provides definitions and information about various medical terms and procedures. It covers topics such as medication administration routes, hormone functions, disease signs and symptoms, and nursing care for procedures. For example, it states that IV administration absorbs medication the fastest, defines ACTH and its function, and outlines post-operative care for a detached retina.
Notified primary health care provider about client status. Awaiting orders.
Abdominal CT scan shows findings consistent with bowel obstruction.
Surgeon notified, recommends exploratory laparotomy.
IV fluids started. Foley catheter inserted, urine output 50 mL in 1 hour.
Vital signs: T 102.2° F (39° C), P 110, RR 24, BP 110/70.
Diagnostic Results
1230: Abdominal CT scan shows dilated small bowel loops with air-fluid levels consistent with bowel obstruction.
1445: Complete blood count shows WBC 18,000/mm3 with 90% neutrophils.
The nurse should insert a nasogastric tube.
It would be
This document provides NCLEX prioritization tips from Dr. Zeeshan, including the ASK GRAPH pneumonic for prioritizing airway, sepsis, potassium levels, altered mental status, glucose levels, lethargy, peritonitis, and hemorrhage, especially for post-op patients. It also emphasizes encouraging post-op patients to ambulate using an incentive spirometer to prevent complications like deep vein thrombosis and atelectasis.
This document provides quick tips and summaries related to prioritizing patient care on the NCLEX exam. It discusses the ASK GRAPH method for prioritizing patients and focuses on topics like airway management, sepsis, hypoglycemia, and hemorrhage. Other tips include encouraging early ambulation and incentive spirometry for postoperative patients. The document also provides mnemonics and summaries for various medical conditions and treatments.
This document provides information about the authors and contributors of the 8th edition of the Saunders Q&A Review for the NCLEX-RN Examination. It includes biographies of the main authors, Linda Anne Silvestri and Angela Elizabeth Silvestri, as well as contributors and consultants. The preface provides an overview of the book's contents and features, including its focus on the NCLEX-RN test plan, multiple choice questions, and special resources on the accompanying Evolve website.
Presented by Scrub Ninjas® NCLEX-RN Review Game
www.scrubninjas.com
10 NCLEX Practice Questions on Management of Care for your NCLEX-RN/PN Review.
Scrub Ninjas® NCLEX-RN/PN Review APP
NCLEX RN Exam Review, the first ever NCLEX video game! Conquer your nursing boards by playing an action-packed ninja video game designed to make learning fun. Our content tailor-made for the NCLEX (A full range of high yield questions like the actual exam) based on the content guidelines from the NCSBN.
Awaken the mind with the Scrub Ninjas® and arm yourself with epic surgical infused ninja weapons, and traditional Japanese masks. Created for the visual learner, this stimulating game will help you retain high yield content and facts while as you strengthen your nursing skills. A perfect NCLEX study tool for all of you students on the go! Maximize and master your exams with friends and classmates. We wish you success future nurses of America, game on!
AVAILABLE ON
iTunes: http://bit.ly/NCLEXRNitunesFULL
Google Play: http://bit.ly/NCLEXANDROID
This document contains medical notes covering various topics for nursing exams, including cardiology, dermatology, emergency medicine, endocrinology, ENT, and gastroenterology. It is organized into chapters covering specific body systems and contains subsections on related clinical topics, pharmacology, and disease management. The notes provide an overview of key terms, concepts, treatments and nursing considerations for common and important medical conditions.
This document provides strategies for taking the NCLEX PN and RN exams. It discusses key strategies such as carefully reading questions to identify the key concept, re-reading and re-phrasing questions to understand what is being asked, evaluating each answer choice, and using a process of elimination to rule out incorrect answers. Specific tips are provided for identifying important words in questions and answers, prioritizing nursing actions, and understanding different types of questions related to nursing concepts.
Most students have many doubts on NCLEX Exam and preparation. Here we are providing common question and answers which are asked by previous students. Hope these may help you to clear your doubts.
This document provides strategies and information to help prepare for the NCLEX-PN exam. It begins with an introduction to the exam format and content. It then provides 12 general test-taking strategies such as understanding test intimidation, finding an optimal pace, and avoiding perfectionism. The document continues with reviews of various nursing content areas like respiratory conditions, circulatory system, endocrinology, and more. It concludes with sample questions, an answer key, and additional exam resources.
Download NCLEX NCLEX-RN Exams - Free VCE Exams For All NCLEX-RN Examcollectionexamcollection67
This document provides information about NCLEX exam preparation resources available on examcollection.us, including NCLEX dumps, practice tests, and sample questions and answers to help users prepare for the NCLEX exam. It summarizes the key offerings of examcollection.us such as NCLEX exam dumps, 100% money back guarantee, student discounts, printable PDF format, interactive exam software, and free live updates. It also includes links to download NCLEX VCE and encourages users to use the provided resources to pass the NCLEX exam.
The document discusses the NCLEX exam which is required to obtain a license to practice as a registered nurse in the United States. The NCLEX is administered by the National Council of State Boards of Nursing and tests a nurse's specialized knowledge, skills, and ability to meet requirements in the nursing process. It contains multiple choice and other types of questions to evaluate candidates' competency as an entry-level nurse.
This book provides strategies and practice questions to help students prepare for the Next Generation NCLEX exam (NGN). It introduces the six cognitive skills that NGN questions will assess: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes. Each chapter focuses on one cognitive skill, providing test-taking strategies and examples of question types that assess that skill. The book concludes with a practice test allowing students to apply what they've learned. The goal is to familiarize students with NGN question formats and help them develop the clinical judgment needed to succeed.
1. The document provides tips for effective study habits, including using memory aids, reviewing notes daily, planning study time for when most receptive, setting a schedule, setting study goals with a method and schedule, and tips for effective group study and reducing test anxiety.
2. It recommends limiting group study to 4-5 serious students, agreeing on a schedule, and finding an alternative if the group makes one anxious.
3. Tips are given for the night before an exam, including doing something pleasant, avoiding extremely anxious people, settling accounts in advance, and bringing past success to feel positive.
This document discusses surgical nutrition and perioperative diet. It begins by outlining objectives around identifying malnourished patients pre-surgery, post-operative diet advancement, nutritional support, and monitoring. It then discusses traditional dogma around pre-operative fasting and post-operative diet progression. Recent research shows early enteral nutrition and carbohydrate loading pre-surgery reduces complications compared to traditional practices. The document outlines pre-operative risk assessment, concepts of prehabilitation for high-risk patients, and updated fasting guidelines. Post-operative nutrition focuses on early oral diets rather than delaying until bowel function fully resumes. Enteral nutrition is preferred over total parenteral nutrition when possible. Monitoring supports providing adequate but not excessive calories
Dr. Zeeshan provides tips for remembering key information about mental health topics for the NCLEX exam. The tips cover side effects of SSRIs including increased suicide risk, slow onset and taper, and symptoms of serotonin syndrome. MAOI risks include headaches, avoiding tyramine and OTC drugs causing hypertensive crisis. Those at highest risk for suicide on the SAD PERSONS scale are male, young or elderly, depressed, with prior attempts, substance abuse, psychosis, terminal illness, with an organized plan and no family support. Extrapyramidal symptoms include acute dystonia, akathisia, parkinsonism, and tardive dyskinesia. Malignant hyperthermia causes high temperature
This patient was admitted with symptoms of nausea, vomiting, abdominal pain and black stools. He has a history of hypertension, gallbladder removal and GERD. Diagnosis includes GERD, GI bleeding and cirrhosis of the liver. A jejunostomy tube was placed for nutrition due to malabsorption from liver disease. The patient was started on TPN and stabilized. TPN was tapered and the patient advanced to a clear liquid diet and then oral diet as tolerated. He was discharged on a soft diet restricted to 2000ml fluids per day with sodium and protein recommendations.
The patient, a 57-year-old male with a history of alcoholism and cirrhosis, was admitted with upper GI bleeding and esophageal varices. He underwent placement of a surgical jejunostomy tube due to his bleeding varices. His condition deteriorated, requiring transfer to the ICU and initiation of TPN using Hepatamine to provide nutrition support and manage his liver disease. He was later transitioned to a clear liquid diet and discharged on a soft diet with fluid restrictions and electrolyte management.
A 57-year-old male was admitted with nausea, vomiting and abdominal pain due to cirrhosis and bleeding esophageal varices. He has a history of alcoholism. Initial labs showed hyponatremia and low albumin. A jejunostomy tube was placed for nutrition but caused intolerance. He was started on TPN with Hepatamine which was later tapered as he transitioned to an oral soft diet.
This case study describes a 41-year-old male patient with chronic kidney disease who is undergoing hemodialysis treatment. His medical history, social history, physical exam findings, laboratory results, medications, and dietary intake are presented. The patient's lab results show abnormalities including high phosphorus and potassium levels. His current diet does not meet the nutritional recommendations for dialysis patients. The case study involves assessing the patient's diet, creating a sample meal plan meeting his needs, and addressing risks such as secondary hyperparathyroidism resulting from his chronic kidney disease.
This document presents a case study of a 41-year-old male patient (SW) with chronic kidney disease who is undergoing hemodialysis 3 times per week. It provides details on his medical history, social history, physical exam findings, laboratory values, current diet, and medication regimen. It finds that his current diet is low in calories and protein and high in phosphorus and potassium. It develops an intervention plan focused on increasing calorie intake, reducing phosphorus intake, and educating on limiting high potassium and phosphorus foods given his chronic kidney disease and medications. It discusses how the patient is at risk for secondary hyperparathyroidism due to low calcium levels and provides a recent literature reference on managing this condition in
The patient has chronic kidney disease and is on hemodialysis 3 times per week. He has secondary hyperparathyroidism due to low calcium levels from his kidney disease. This causes overproduction of parathyroid hormone which can lead to bone and cardiovascular problems if not managed. The patient is at risk due to his low calcium levels. His secondary hyperparathyroidism is managed through a low phosphorus diet, phosphate binders, vitamin D, and potentially parathyroidectomy for severe cases. Controlling serum phosphorus and parathyroid hormone levels is important to prevent complications.
This patient has end stage liver disease due to chronic alcoholism. He has a history of gastrointestinal bleeding from esophageal varices. He was admitted with edema, ascites, and weight gain. His medications and conditions require careful management of nutrients. Tube feedings were started but caused intolerance, so a soft diet was ordered to prevent further bleeding. Nutrition interventions focus on managing malnutrition and gastrointestinal symptoms while supporting organ function and transition to an oral diet.
A 57-year-old male with a history of alcoholism and cirrhosis was admitted with upper GI bleeding and black stools. Evaluation found esophageal varices and laboratory abnormalities including low sodium and albumin. He was started on medications and tube feeding but developed intolerance. A TPN was started but also not well tolerated. He was placed on a soft diet low in sodium as he prepared for discharge with a diagnosis of chronic alcoholic cirrhosis and esophageal varices.
This document contains a case study and renal diet calculation for a patient with chronic kidney failure undergoing hemodialysis. It evaluates the patient's laboratory values compared to goals and assesses their current dietary intake. Recommendations are provided for calorie, protein, phosphorus, potassium, sodium and fluid intake. A sample one-day renal diet is created meeting the recommendations. Two PES statements are written, one in the clinical domain addressing altered laboratory values and one in the behavioral domain addressing undesirable food choices. Interventions, monitoring and evaluations are proposed for each.
This document discusses nutrition and fasting in chronic liver disease. It outlines several metabolic changes that occur in chronic liver disease, including decreased glycogen stores and glucose intolerance. It provides general nutrition guidelines for patients with liver disease, recommending adequate calories, proteins, vitamins and minerals. It discusses the benefits of fasting, including detoxification, reduced inflammation, blood sugar and weight loss. However, it notes fasting can worsen conditions in some patients and is not advised for all cases of liver disease.
This document discusses nutritional management for three COPD patients with different conditions. For case 1, a stable patient, the plan is oral diet with monitoring. For case 2, an acute exacerbated patient, the plan emphasizes high calorie and high protein supplements and nutrition via feeding tube if needed. For case 3, a mechanically ventilated patient, the initial focus is resuscitation with enteral nutrition within 24-48 hours at high calorie and protein levels. The document also reviews nutritional challenges with COPD, consequences of malnutrition, screening tools, macro and micronutrient recommendations, and interventions to support adequate eating.
CN is a 41-year-old female on hemodialysis for stage 5 chronic kidney disease. Her current diet provides too much phosphorus and calcium compared to recommendations. She takes several medications to manage complications of kidney disease, including hyperparathyroidism. Her lab values show abnormalities consistent with kidney failure. Her diet needs modification to meet nutrient guidelines for dialysis patients and support medication treatment of her conditions.
This document provides an overview of renal nutrition for non-renal dietitians. It discusses the basics of kidney function including measurement of glomerular filtration rate and stages of chronic kidney disease. Prevalence of CKD and end stage renal disease are noted. The roles and responsibilities of renal dietitians are outlined. Guidelines for protein and fluid intake at different stages of CKD are presented. Management of complications like potassium levels, edema and malnutrition are covered. A case study is provided to demonstrate application of renal nutrition principles.
Nutrition & drug dosing in dialysis patientPabitra Thapa
1. Dialysis is a treatment for kidney failure that filters waste and excess fluid from the blood. It significantly extends life but does not cure kidney disease, so dietary restrictions and medication are also needed.
2. Patients on dialysis must follow a renal diet low in potassium, phosphorus, sodium, and fluid to manage levels between treatments. This diet is difficult and can lead to malnutrition if not properly supplemented.
3. Drug dosing for patients on dialysis requires consideration of renal clearance and therapeutic index, as kidney failure reduces clearance for some drugs, potentially requiring lower doses or less frequent administration. Consulting dosing guides is essential for safety.
Obesidad: nutrientes moduladores de neuropeptidos y neurotransmisoresNutriline SRL
This document discusses ketogenic enteral nutrition (KEN) as a treatment for obesity. It describes a study of over 19,000 obese patients who underwent 10-day cycles of receiving 50-65 grams of protein per day via continuous nasogastric tube infusion, without any carbohydrates. This protocol resulted in an average weight loss of 10.2 kg over 2.5 cycles, with 57% of the loss being fat mass. No significant adverse effects occurred. KEN is concluded to be a safe, fast, and inexpensive treatment that provides good long-term weight maintenance results.
The document discusses the role of nutrition in cardiovascular disease. It outlines nutrition guidelines for conditions like hypercholesterolemia and hypertriglyceridemia. Nutrition therapy aims to lower total and LDL cholesterol through a diet low in saturated fat and cholesterol. Enteral or parenteral nutrition support may be needed for patients with congestive heart failure or after cardiac surgery to meet increased calorie and protein needs and avoid weight loss. Nutrition also plays a role in managing cardiovascular risk factors in diabetes.
The document discusses two cases of pediatric diarrhea and provides recommendations for treatment. It evaluates the patients' nutritional status and hydration, describes the metabolic changes that occur during diarrhea, and advises breastfeeding and oral rehydration solutions to prevent dehydration. Proper feeding practices and nutrition are emphasized to break the cycle of malnutrition and diarrhea.
COPD can cause malnutrition due to difficulty eating and breathing, increased calorie needs, and side effects from medications. Nutritional management for COPD involves increasing protein and fluid intake, limiting carbohydrates and salt, and choosing nutrient-dense, easy to chew foods high in vitamins, minerals, and antioxidants. Small, frequent meals and remaining upright after eating can help promote comfort and digestion.
How is COPD and Nutrition Overlapped and Affecting Each Other
How to Solve the Problem as a Part of Pulmonary Rehabilitation
The Presentation is Discussing these items in the form of Problem Solving
Similar to Archer NCLEX Webinars - Diets and Nutrition crash course (20)
Safety and infection control constitutes 12% of total items on NCLEX as per NCLEX-RN test plan. This webinar will explain all safety issues, isolation precautions frequently tested on NCLEX. Archer focus on SMART-PREP strategy by identifying th highly tested areas, preparing you thoroughly with content review webinars, and repeatedly challenging you with multiple questions from these areas in the Q-bank. Lowest focus is placed on areas that are tested less than 2% times but very high focus placed on areas tested more than 7% time in the test - this SMART-PREP strategy is the reason why Archer NCLEX achieves 99% PASS RATE even for the repeaters.
Archer NCLEX Webinars offer most comprehensive coverage of highyield concepts that are frequently tested on NCLEX. The goal is to explain you the fundamentals and reinforce your understanding with concurrent quizzing during webinars. Attendance is limited to focus on every single attendee. These slides are snapshots of what will be discussed during ARCHER NCLEX Pharmacology Webinar.
Archer Review is the most widely used Step 3 lecture and CCS course and has led to an extremely high pass rate even for repeaters. By focusing on what is tested frequently exam and mastering it from one single resource, reduce your prep-time by cutting back on referring to multiple sources! An Archer strategy that has worked time and again over a decade!
This document summarizes information on allergic rhinitis and sinusitis. It discusses the pathophysiology, symptoms, diagnosis and management of allergic rhinitis. Intranasal corticosteroids are identified as the most effective treatment. It also covers the diagnosis and treatment of acute and chronic sinusitis, including complications. Imaging such as CT is recommended for complicated cases or recurrent sinusitis.
This document provides an overview of thyroid disorders and diagnostic tests. It discusses various thyroid function tests including TSH, free T4, T3, and thyroid antibodies. It describes how to interpret abnormal thyroid function test results and outlines approaches to common thyroid disorders like Graves' disease, subacute thyroiditis, and hypothyroidism. Treatment options for hyperthyroidism such as antithyroid medications, radioiodine therapy, and surgery are also summarized. The document is intended as a brief review of key endocrinology concepts that will be covered in more detail in video lectures.
Infectious Diseases HighYield and Frequently tested concepts on USMLE Step 3. These slides are samples from Archer USMLE Step 3 Review Lectures. Couple it with Archer Step 3 Question bank and Step 3 CCS to easily pass your final part of USMLE licensing exams
Archer USMLE Step 3 CCS Workshop - Strategies and Slides. To be used with Archer CCS Video demonstrations/ CCS software practice demonstrations. Learn why CCS is crucial to pass Step 3 exam @ https://archerreview.com/ccs-cases/
The document discusses new changes to the USMLE Step 3 Clinical Case Simulations (CCS) component starting in February 2012, including fewer cases with longer times and more cases with shorter times. It provides tips on prioritizing tasks, sequencing orders, and monitoring patients in CCS cases. Key areas that are scored include diagnosis, location, timing, sequencing, and monitoring of patients. Guidance is given on stabilizing patients in emergency settings and managing conditions like shock, respiratory failure, and sepsis.
A comprehensive review of Cutaneous Lymphomas - both B-Cell and T-Cell with latest treatment strategies. Target audience are oncologists, dermatologists, oncology physicians, dermatology and oncology fellows
This document provides a summary of acute lymphoblastic leukemia (ALL) including its epidemiology, etiology, classification, clinical features, diagnosis, treatment approaches, and genetic subtypes. It notes that ALL is most common in children and accounts for 30% of all childhood cancers. The document discusses immunophenotyping and cytogenetics in classifying ALL and identifies several genetic subtypes associated with different prognoses like the Philadelphia chromosome. Standard treatment involves induction, consolidation, and maintenance chemotherapy with central nervous system prophylaxis.
The document provides an overview of esophageal disorders, including their symptoms, diagnosis, and management. Key points include:
- Dysphagia can be caused by obstructive lesions like cancer/strictures or motility disorders. Diagnosis involves barium swallow, endoscopy, and manometry.
- Odynophagia can be due to conditions like GERD, infections, pill esophagitis, or radiation esophagitis.
- Barrett's esophagus develops in some with longstanding GERD and requires surveillance due to cancer risk.
- H. pylori testing is recommended if treating, for persistent dyspepsia, or lymphoma risk. Endoscopy is considered
Target Audience: Oncology fellows and Oncologists
Carcinoma of unknown primary is a challenging scenario often encountered in Oncology practice. This slide presentation discusses favorable and unfavorable presentations of CUP and it's management
Target audience : Oncology fellows and Oncologists.
Four challenging cases of Bladder cancer and managing decisions including latest management principles are discussed here.
The document summarizes key topics related to plasma cell dyscrasias and multiple myeloma, including definitions, investigations, classifications, and treatment approaches. It describes the typical features of plasma cells, abnormalities like Russell bodies and Mott cells. It outlines criteria for monoclonal gammopathy of undetermined significance (MGUS), smoldering myeloma, solitary plasmacytoma, extramedullary plasmacytoma, and multiple myeloma. It discusses workup, staging, cytogenetics, and management options for multiple myeloma including stem cell transplantation and novel agents.
Thrombophilias are hypercoagulable conditions that can be acquired or inherited. Most important hypercoagulable conditions =, testing procedures, duration of anticoagulation will be discussed here. Useful for Internal Medicine Boards and Hematology boards. Some aspects on duration of anticoagulation, HIT are high-yield for USMLE exams.
Thrombocytopenia is most frequently encountered Hematological problem in hospitalized patients. The most common causes and differential diagnosis of In-patient and Outpatient presentations of Thrombocytopenia is discussed here. Useful for Internal Medicine Boards . Archer Internal Medicine Board review lectures will be released soon.
My interest in medicine began from a family incident where my aunts suffered from schizophrenia without treatment. This sparked my interest in studying medicine to help people. I earned top scores and attended a premier medical college in India. During my education and internship, I found internal medicine most interesting due to the variety of cases and diagnostic challenges. After working as a government medical officer for two years in a rural tribal area, I gained leadership and clinical experience but feel I need more training to best help patients. I am seeking a residency program that will further my clinical and academic education to become a skilled physician.
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
2. Welcome!
● Please stay muted so that there is no background noise.
● If you have a question please enter it in the chat, or use the ‘raise hand’
feature, so that I can un-mute you and you can ask your question.
● We will be taking a 5-10 minute breaks throughout the course, and a
break for lunch.
5. When is a high potassium diet needed?
● Low potassium levels
○ K < 3.5
○ EKG changes
● When a patient is on a potassium wasting diuretic
○ Furosemide
○ Loop diuretics
● Cushing’s syndrome
● NGT to suction
● Vomiting
● Diarrhea
● Hyperinsulinism
6.
7. When is a low potassium diet needed?
● High potassium levels
○ K >5
○ EKG changes
● Adrenal insufficiency
● Renal failure
● DKA
● Drugs that increase potassium levels
○ ACE inhibitors
○ NSAIDs
○ Potassium-sparing diuretics
8.
9. NCLEX Question
A patient who is taking Lasix knows that he should increase the intake of
what food?
A. Avocado
B. Iceberg lettuce
C. Plums
D. Apples
10. Answer: A
The correct answer is A. Lasix is the most frequently prescribed loop diuretic. It can increase urine
output, even when blood flow to the kidneys is diminished. The rapid excretion of large amounts of
water caused by loop diuretics may produce adverse effects, such as dehydration and electrolyte
imbalances. Potassium loss may result in dysrhythmias. Therefore, potassium supplements and
foods high in potassium are encouraged. Avacado has high levels of potassium in it, which tends to
be lower in a patient taking Lasix.
B, C, and D are incorrect. Each of these options offers little no value of potassium to the diet.
NCSBN Client Need
Topic: Physiological Integrity
Subtopic: Pharmacological Therapies
Chapter 28: Drugs for Fluid, Acid-Base and Electrolyte Disorders
Core Concepts in Pharmacology (Holland/Adams)
12. When is a high calcium diet needed?
● Low calcium levels
○ Ca < 8.4
● Renal failure
● Acute pancreatitis
● Malnutrition
○ Bulimia
● Malabsorption
○ Celiac disease
○ Crohn's disease
● Alcoholism
● Vitamin D deficiency
● Hypoparathyroidism
● Hyperphosphatemia
13.
14. When is a low calcium diet needed?
● Low calcium levels
○ Ca >10.2
● Cancer of the bones
● Thiazide diuretics
● Glucocorticoids
● Immobility
● Kidney stones
● Vitamin D toxicity
● Hyperparathyroidism
● Hypophosphatemia
16. NCLEX Question
The nurse educates the client with urinary tract calculi that he may have which
of the following foods: Select All That Apply.
A. Broccoli
B. Lettuce
C. Cheese
D. Apples
17. Answer: A, B, and D
Kidney stones in the urinary tract are formed in several ways. Calcium can combine with chemicals,
such as oxalate or phosphorous, in the urine. This can happen if these substances become so
concentrated that they solidify. Kidney stones can also be caused by a buildup of uric acid related to
the metabolism of protein. Most urinary tract calculi can usually be avoided through diet.
The correct answers are A, B, and D.
C is incorrect. Cheese has a high calcium contact, which can increase the risk of developing urinary
tract calculi and should, therefore, be avoided.
NCSBN Client Need
Topic: Physiological Integrity
Subtopic: Physiological Adaptation
Chapter 48: Urinary Elimination
Lesson: Altered Urinary Elimination
Reference: Fundamentals of Nursing(Kozier and Erb)
23. NCLEX Question
The nurse is reviewing the diet of the patient with hypoparathyroidism. The
nurse understands that the client should be on what type of diet?
A. High calorie, low calcium diet
B. Low calcium, low phosphorus diet
C. High phosphorus, low calcium diet
D. High calcium, low phosphorus diet
24. Answer: D
A is incorrect. It does not matter whether the client is eating a high-calorie diet, as long as the client
adheres to high calcium and low phosphorus diet.
B is incorrect. A client with hypoparathyroidism should receive a diet that is high in calcium and low
in phosphorus.
C is incorrect. A client with hypoparathyroidism should receive a diet that is high in calcium and low
in phosphorus.
D is correct. A client with hypoparathyroidism should receive a diet that is high in calcium and low
in phosphorus. A high calcium diet may increase the client’s serum calcium levels through the food
he eats. A low phosphorus diet ensures that his phosphorus levels are small so that it will not
interfere with his calcium levels. Calcium and Phosphorus have an inversely proportional
relationship.
Reference
Black, JM, Hawkes, JH; Medical-Surgical Nursing: Clinical Care for Positive Outcomes 8th edition, Nebraska: Elsevier 2009
29. When is a high sodium diet needed?
● Addison’s disease
30.
31. NCLEX Question
A client has been placed on a sodium-restricted diet following a myocardial
infarction. Which of the following would be the most appropriate meals to
suggest?
A. Turkey, 1 fresh sweet potato, 1/2 cup fresh green beans, milk, and 1
orange
B. Broiled fish, 1 baked potato, ½ cup canned beets, 1 orange, and milk
C. Canned salmon, fresh broccoli, 1 biscuit, tea, and 1 apple
D. A bologna sandwich, fresh eggplant, 2 oz. fresh fruit, tea, and apple juice
32. Answer: A
The correct answer is A. People with heart failure may improve their symptoms by reducing the
amount of sodium in their diet. Sodium is a mineral found in many foods, especially salt.
Overeating salt causes the body to keep or retain too much water, worsening the fluid buildup.
Patients should be encouraged to follow a low-sodium diet to help manage symptoms of
hypertension and to reduce edema. One of the most natural things a patient can do at home to
reduce sodium intake is to eat fresh vegetables rather than canned. If canned vegetables are the
only option, the patient should rinse the plants with clean water and cook them with new, unsalted
water.
B is incorrect. Canned vegetables should be avoided.
C and D are incorrect. Canned or processed meats are higher in sodium and should be avoided.
NCSBN Client Need
Topic: Physiological Integrity
Subtopic: Basic Care and Comfort
Fundamentals of Nursing
Chapter 51: Circulation
Lesson: Alterations in Cardiac Functioning/Dietary Consideration
37. NCLEX Question
The home health nurse is talking to a client with iron-deficiency anemia.
Which meal plan would indicate to the nurse that the client understood her
discharge instructions?
A. Roast beef, gelatin salad, green beans, and peach pie
B. Chicken salad, coleslaw, French fries, ice cream
C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisins
D. Pork chop, creamed potatoes, corn, and coconut cake
38. Answer: C
A is incorrect. Roast beef is high in iron; however, the other dishes accompanying the meal are low
in iron.
B is incorrect. Chicken and green leafy vegetables are rich in iron; however, French fries and ice
cream have low nutritional value.
C is correct. Foods that are high in iron are egg yolks, wheat bread, carrots, green leafy vegetables,
and raisins. This is an optimal meal for the client to increase his dietary iron intake.
D is incorrect. Pork chops contain high iron. Potatoes, corn, and coconuts, however, contain low
iron.
Reference
Silvestri, L. Saunders Comprehensive Review for the NCLEX-RN Examination,6th Edition. Saunders-Elsevier 2014
Ignatavicius DD, Workman LM. Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th ed. St. Louis, MO: Elsevier; 2013
Black, JM, Hawkes, JH; Medical-Surgical Nursing: Clinical Care for Positive Outcomes 8th edition, Nebraska: Elsevier 2009
43. When is a low fiber diet needed?
● Crohn’s
● Ulcerative Colitis
44.
45. NCLEX Question
The client is talking to the nurse about dietary modifications for his Irritable
Bowel Syndrome. The nurse listens carefully to what the client says he has
been eating and interrupts to provide further instructions when she hears the
client say:
A. He has been drinking 8 glasses of water daily
B. He has been eating more broccoli and fresh vegetables lately
C. He ate pasta two days ago
D. He has been eating brown rice instead of white rice ever since he was
discharged from the hospital
46. Answer: C
A is incorrect. The patient should drink 6-8 eight-ounce glasses of water daily to help regulate stool
consistency and frequency.
B is incorrect. The patient with Irritable Bowel Syndrome should eat a high fiber diet to produce
bulkier stools and reduce the tension in the Sigmoid colon. Broccoli and other fresh vegetables are
foods that are high in fiber.
C is correct. The nurse should provide further teaching to the client when he states that he ate
pasta because pasta is a low fiber food, and patients with IBS should have a fiber diet.
D is incorrect. The patient with Irritable Bowel Syndrome should eat a high fiber diet to produce
bulkier stools and reduce the tension in the Sigmoid colon. Brown rice is high in fiber.
Reference:
Black, JM, Hawkes, JH; Medical-Surgical Nursing: Clinical Care for Positive Outcomes 8th edition, Nebraska: Elsevier 2009
61. When is a low cholesterol diet needed?
● Hyperlipidemia
62. Foods high in cholesterol
● Red meats
● Polyunsaturated fats
○ Vegetable oils
63. NCLEX Question
The patient has just been diagnosed with hyperlipidemia. Aside from the
prescribed Atorvastatin, she is advised to lose weight and implement some
dietary changes. The nurse talks to her about possible nutritional
modifications. All of the following are accurate except:
A. Replace vegetable oil with canola oil when cooking.
B. Eat fish like tuna and salmon more often.
C. Eat more fruits and vegetables.
D. Eat more red meats more often.
64. Answer: D
A is incorrect. Replacing vegetable oils high in polyunsaturated fats with canola oil
(monounsaturated fats) is beneficial to reduce cholesterol levels.
B is incorrect. Fish like tuna and salmon are rich in Omega 3 fatty acids, which help in
reducing harmful cholesterol levels.
C is incorrect. Fruits and vegetables contain fiber, which promotes a healthy cholesterol
level.
D is correct. Red meats are rich in saturated fat. They should be eaten less frequently
because it contributes to high cholesterol levels.
Reference
Nugent, P., et al., Mosby’s Comprehensive Review of Nursing for the NCLEX-RN Examination. 20th Edition, Elsevier 2012
67. What is the DASH diet?
● Dietary Approaches to Stop Hypertension
● Low sodium
● High calcium
● High potassium
● Low fat
● High fiber
68.
69. NCLEX Question
The patient is being discharged from the hospital after being admitted
because of Hypertension. The nurse is talking to the patient about dietary
modifications to address hypertension. The nurse should reinforce her
teaching when the client states which of the following:
A. “I’m glad I can still eat beef and pork every day.”
B. “I will need to get used to eating fruits and vegetables.”
C. “I should stop eating canned foods”
D. “I have already told my son to buy me some yogurt when I get home.”
70. Answer: A
A is correct. The client’s dietary modifications include low fat, low sodium, high fiber, high calcium,
and potassium diet. The nurse should reeducate the client that eating beef and pork is rich in
saturated fats and should only be eaten sparingly.
B is incorrect. The client’s dietary modifications include low fat, low sodium, high fiber, high calcium,
and potassium diet. Fruits and vegetables have a high fiber and vitamin and mineral content and
must be consumed regularly to help lower blood pressure.
C is incorrect. The client’s dietary modifications include low fat, low sodium, high fiber, high calcium,
and potassium diet. Canned foods have high sodium content due to its preservatives. The patient
should avoid these.
D is incorrect. The client’s dietary modifications include low fat, low sodium, high fiber, high calcium,
and potassium diet. Yogurt is rich in calcium and low in fat.
Reference
Nugent, P., et al., Mosby’s Comprehensive Review of Nursing for the NCLEX-RN Examination. 20th Edition, Elsevier 2012
72. What is a heart healthy diet?
● Low fat
● Low salt
● Low cholesterol
● Low saturated fats
● Complex carbohydrates and vegetable proteins
● Reducing caloric intake to achieve/maintain ideal body weight
73.
74. When is a heart healthy diet needed?
● Heart disease
● MI
● High cholesterol
● High BMI
● Metabolic syndrome
● CAD
75. NCLEX Question
The nurse is giving an in-service on decreasing CAD risk. Which information
regarding nutritional recommendations should be included? (Select all that
apply)
A. Increase complex carbohydrates in diet.
B. Decrease caloric intake to achieve BMI of 25-29.9.
C. Reduce sodium intake.
D. Reduce saturated fat intake.
76. Answer: A, C, and D
A, C, and D are correct. Dietary recommendations for reducing CAD risk
include increasing dietary complex carbohydrates and vegetable proteins,
reducing sodium intake, reducing caloric intake to achieve/maintain ideal
body weight, and limiting dietary cholesterol and total and saturated (animal)
fats.
B is incorrect. The BMI range of 25-29.9 is considered overweight. The target
BMI range is 18.5-24.9.
Subject: Adult health
Lesson: Nutrition
Topic: Nutrition and oral hydration, illness management
Reference: (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011, p. 767)
81. NCLEX Question
The mother of a toddler with Celiac disease is being instructed by the nurse
regarding dietary modifications for her child. Which food choice by the
mother would indicate a need for further discussion?
A. Rice cakes
B. Resturant made french fries
C. Milk shake
D. Grilled chicken
82. Answer: B
Choice B is correct. Clients with Celiac disease are advised on a gluten-free diet. While potatoes are naturally free of
gluten, French fries made at restaurants aren't necessarily gluten-free. According to the Celiac Disease Foundation,
French fries are among the most easily cross-contaminated food in the restaurants. The majority of fast food joints
and restaurants fry these fries with other gluten-filled eats (shared fryers), causing cross-contamination. Among the
options above, restaurant based French Fried are the ones to avoid unless they are labeled strictly gluten free. Such
food choice by the mother requires further discussion and clarification.
Choice A is incorrect. Anything made from brown, white, or wild rice, including rice-based products, such as rice
cakes and puffed rice usually, do not contain gluten. Therefore, it is safe for the child to eat Rice cakes.
Choice C is incorrect. Milk does not contain gluten; therefore, it is safe for the child.
Choice D is incorrect. Meat is naturally gluten-free. Chicken does not contain gluten; therefore, it is safe for the child
to eat.
Reference
Pillitteri, A. Maternal and Child Health Nursing: Care of the Childbearing and Childbearing Family, 4th Edition; Lippincott, Williams & Wilkins, 2003
84. What is a ketogenic diet?
● A ketogenic diet is a high-fat, adequate-protein, low-carbohydrate diet
used to treat hard-to-control epilepsy in children. In this diet, because the
body has so few carbs to use for energy, it burns fat, which produces
ketones.
87. Orthodox Jewish
● Kosher
○ No shellfish
○ No pork
○ Meats that are allowed include animals that are vegetable eaters, cloven-hoofed, and
those that are ritually slaughtered.
● Patient will need wrapped plastic utensils and they will unwrap the
utensils and prepare their own meal
● Do not combine meats and dairy products in the same meal.
88. Seventh-Day Adventist church
● No alcohol
● No caffeine
● Lacto-ovo vegetarians
○ Eggs and dairy products okay
○ No meat
● No pork
89. Islam
● Halal
○ No alcohol
○ No meat
○ No fish
○ No eggs
○ Dairy -okay!
● Ramadan
○ Fast during daylight hours
90. Hinduism
● Hindus practice ayurvedic medicine, which encompasses all aspects of
life, including diet, sleep, elimination, and hygiene.
● Most Hindus are lacto-vegetarians.
○ No eggs
○ No fish or other meat
○ Dairy - okay!
● Fasting usually means eating only pure foods, such as fruit or yogurt, but
is not expected of the sick.
91. NCLEX Question
You are caring for a client in the step-down unit who tells you that they are
an active member of the Seventh-Day Adventist church. When their breakfast
tray comes up, you see the following items. Knowing the religious dietary
preferences of these clients, which item does the nurse remove from the
breakfast tray? Select all that apply
A. Coffee
B. Bacon
C. Scrambled eggs
D. Pancakes
92. Answers: A and B
The correct answers are A and B. Members of the Seventh-Day Adventist church are not permitted
to consume alcohol or caffeinated beverages. Due to this dietary preference the nurse should
remove the coffee from the client’s breakfast tray. These individuals are usually Lacto-ovo
vegetarians, and for those who do consume meat pork is avoided. Because of this, the nurse
should remove the bacon from the breakfast tray.
C is incorrect. Scrambled eggs would be allowed for Lacto-ovo vegetarians.
D is incorrect. Pancakes would not violate any of these dietary restrictions.
NCSBN client need:
Topic: Psychosocial Integrity Subtopic: Religious and Spiritual Influences on Health
Reference:
Silvestri, L.; Saunders Comprehensive Review for the NCLEX-RN Examination, ed 6, St. Louis, 2014, Elsevier, p. 97
94. NPO
● Nothing by mouth
● Pre-op
● Post-op before bowel sounds return
95. Clear liquids
● Clear liquid diets
consist of foods and
liquids that are
transparent to light
and are liquid when
at body temperature.
● This diet is best for
patients who have not
had oral intake for
some time, and for
the first time, a
patient eats after
complete bowel rest.
96. Full liquids
● This diet is appropriate as a transition after a clear liquid diet for patients
following surgery, but should not be the first diet ordered.
● Ice cream
● Strained soups
● Sherbet
● Milk
● Pudding
● Custards
● Refined cooked cereals
● Strained vegetable juices
97. Mechanical soft
● Facilitate mastication
○ Patients without teeth
○ Jaw surgery or injuries
● Swallowing problems
● Dentition problems
98. NCLEX Question
While working in a post-operative unit, the nurse is assigned to take care of a
32-year-old who is post-op day one from an appendectomy. The patient has
not eaten for the past three days and is asking when she will be allowed to
have a meal again. Upon consulting with the interdisciplinary team, the
provider decides it is time to place a diet order for your patient. Which diet
does the nurse expect the provider will order?
A. Full liquid diet
B. Clear liquid diet
C. Soft diet
D. Mechanical diet
99. Answer: B
Correct Answer: B. A clear liquid diet is the most appropriate choice for this patient. Clear liquid
diets consist of foods and liquids that are transparent to light and are liquid when at body
temperature. This diet is best for patients who have not had oral intake for some time, and for the
first time, a patient eats after complete bowel rest.
A is incorrect. A full liquid diet is wrong. This diet is appropriate as a transition after a clear liquid
diet for patients following surgery, but should not be the first diet ordered.
C is incorrect. A soft diet is also wrong, as this is only indicated when patients have difficulty
chewing or swallowing and need foods that are much easier to eat.
D is incorrect. A mechanical diet is not appropriate for this patient. This diet consisted of foods that
have been processed so that they do not require some or any chewing. It is used for patients with
dental problems, surgeries to the head and neck, or other disorders that make chewing difficult or
unsafe.
NCSBN Client Need:
100. NCLEX Question
A post gastric bypass client has been advanced from a clear liquid diet to a
full liquid diet. The client verbalized that he was happy about the diet change
because he has been bored with the clear liquid diet. Which item should the
nurse offer to the client that belongs to a full liquid diet?
A. Gelatin
B. Tea
C. Custard
D. Popsicle
101. Answer: C
Rationale: A full liquid diet includes food items such as plain ice cream, soups
that are strained, sherbet, milk, pudding and custard, breakfast drinks,
refined cooked cereals, and strained vegetable juices. A clear liquid diet, on
the other hand, consists of relatively transparent foods. The food items in
options A, B, and D are clear liquids and are, therefore, the incorrect answer.
Custard is under the full liquid diet specification and is the correct answer.
Source: Ignatavicius DD, Workman LM. Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th ed. St. Louis, MO: Elsevier; 2013.
103. NCLEX Question
Select the diet that would most likely be ordered for a client who is
edentulous.
A. A low sodium diet to prevent edema and excessive fluid
B. A mechanical soft diet to facilitate mastication
C. A renal diet to prevent fluid retention and edema
D. A high fiber diet to prevent constipation secondary to edema
104. Answer: B
B is correct. A mechanical soft diet to facilitate mastication would most likely be ordered for a client
who is edentulous. This diet would help the client who is without teeth, or edentulous, to chew, or
gnaw, their food with their gums. Other diets do not meet this nutritional and safe eating need.
Choice A is incorrect. A low sodium diet to prevent edema and excessive fluid is indicated for
clients affected with edema, renal disease, and heart disease, but not edentulous clients.
Choice C is incorrect. A renal diet to prevent fluid retention and edema is indicated for clients
affected with renal disease and kidney failure, but not edentulous clients.
Choice D is incorrect. A high fiber diet is indicated for clients at risk for and constipated, but it is not
indicated for clients who are edentulous.
Reference: Knippa, Audrey, Sheryl Sommer, Brenda Ball et al. (2010) Nutrition for Nursing 4.0; ATI Nursing Education.
105. NCLEX Question
Select the therapeutic diet that is accurately paired with an indicator of it.
A. The DASH diet: Heart failure
B. A high fiber diet: Coronary artery disease
C. Mechanical soft diet: Myocardial infarction
D. A weight reduction diet: Heart disease
106. Answer: B
Choice B is correct. A high fiber diet and a low cholesterol diet are indicated for clients affected with
coronary artery disease. The goal of the low cholesterol diet is to decrease the patient’s LDL level by
limiting dietary cholesterol intake to less than 200 mg per day and the goal of a high fiber diet to lower
LDL.
Choice A is incorrect. The DASH diet is used for clients who are affected with hypertension rather than
heart failure. The DASH diet consists of foods low in sodium, high in calcium and high in potassium.
Choice C is incorrect. A mechanical soft diet is used for clients with swallowing and dentition problems
rather than for clients who have had a myocardial infarction. Instead, clients who have had a myocardial
infarction have a clear liquid diet for 24 hours post the event and then a diet without caffeine.
Choice D is incorrect. A weight reduction diet is not necessarily indicated with clients affected with heart
disease because many clients with heart disease may be of normal weight or underweight.
107. NCLEX Question
A client admitted due to emergent hypertension is about to be discharged.
The nurse is giving instructions about dietary modifications. Which food
choice by the client would indicate an accurate understanding of low fat, low
cholesterol diet?
A. Macaroni and cheese
B. Fish and chips
C. Turkey breast salad
D. Pepperoni pizza
108. Answer: C
A is incorrect. Macaroni and cheese contain 8 grams of cholesterol and 5 grams of fat per 100-gram
servings.
B is incorrect. Fish and chips contain an average of 11.1 grams of fat per 100-gram serving.
C is correct. Turkey breast contains 2.2 grams of saturated fats, 2.1 grams of polyunsaturated fats,
and 2.6 grams of monounsaturated fats per 100 grams. It is also a high protein source `with 29
grams per 100 grams.
D is incorrect. Pepperoni pizza contains 10 grams of fat per 100-gram serving. It is also high in
saturated fat.
Reference
109. Thank you for
joining our
Crash Course!
Upcoming Archer Review Courses:
● Endocrine (focus on Diabetes)
○ Dec. 14th 2-5 CST
● Safety & Infection control
○ Dec. 15th 12-2 CST
● Test Strategies, Prioritization, &
Delegation
○ Jan. 5th 2-4 CST
● Mental Health
○ Jan. 7th 12-2 CST
● Fundamentals
○ Jan 15th 2-5 CST
● FULL RAPID PREP REVIEW
○ JAN. 21st & 22nd
○ 8am-6pm CST