A nurse is assessing the meal pattern of a client who has diverticular disease and a prescription for a high-fiber diet. Which of the following food choices by the client contains the most fiber?
- 1 medium banana
- 1/2 cup oatmeal
- 1 medium apple with skin
- 1/2 cup bran cereal
- 1/2 cup bran cereal
Rationale: A high-fiber diet is recommended for clients who have diverticular disease because bulky, soft stools are easier for the client to pass and result in decreased pressure within the colon. The nurse should determine that a 1/2 cup of bran cereal contains the most fiber at 10 g per serving.

A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding?
- Flatulence
- Bloody stools
- Hyperemesis
- Steatorrhea
- Flatulence
Rationale: Flatulence, bloating, cramping, and diarrhea are expected findings associated with lactose intolerance.

A nurse is assessing a client who has type 2 diabetes mellitus. The nurse should recognize which of the following as a manifestation of hypoglycemia?
- Confusion
- Polydipsia
- Vomiting
- Ketonuria
- Confusion
Rationale: The nurse should recognize confusion as a manifestation of hypoglycemia.

A nurse is assessing a client's risk for pressure injuries using a skin risk assessment tool. The client eats more than half of most meals by occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the skin risk assessment tool?
- 1 (Very Poor)
- 2 (Probably Inadequate)
- 3 (Adequate)
- 4 (Excellent)
- 3 (Adequate)
Rationale: A client who eats more than half of most meals, occasionally refuses a meal, and has 4 servings of protein each day scores a 3 (Adequate) in the nutrition category of the skin risk assessment tool.

A nurse is providing dietary teaching about increased zinc intake for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of zinc?
- 1 cup apple slices
- 4 oz low-fat cottage cheese
- 4 oz ground beef patty
- 1 cup raw spinach
- 4 oz ground beef patty
Rationale: The nurse should determine that a ground beef patty is the best food source to recommend because a 4 oz ground beef patty contains 5.49 mg of zinc.

A nurse is caring for a client.
For each assessment finding, click to specify if the finding is consistent with dumping syndrome, hypoglycemia, or refeeding syndrome. Each finding may support more than one condition.
- Diarrhea
- Timing of manifestations after eating
- Muscle weakness
- Nausea
- Abdominal cramping
- Sweating
Dumping Syndrome:
- Abdominal cramping
- Muscle weakness
- Nausea
- Diarrhea
- Sweating

Hypoglycemia:
- Muscle weakness
- Sweating

Refeeding Syndrome:
- Muscle weakness