NUTRITION RN ATI PROCTORED 2023 COMPLETE WITH QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
• A nurse in an acute care facility is planning care for a client who has chosen to follow Islamic dietary laws during Ramadan. Which of the following actions should the nurse plan to take? • Provide a snack for the client after sunset • Rationale: during Ramadan, pt following Islamic dietary laws eat meals before dawnand after sunset. • A nurse is creating a plan of care for a client who has mucositis following a head and neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan? a. Increase fluid intake to 2 L per day i. Rationale: promotes hydration and peristalsis • A nurse is providing discharge teaching to a postpartum client about breast milk use and storage.Which of the following statements should the nurse make? • “You cannot place thawed breast milk back in the freezer” • Rationale: The nurse should instruct the client that completely thawed breast milk can be stored in the refrigerator but must be used within 24 hr. Breast milk that has been previously frozen should not be refrozen once it has thawed completely. Thawing creates a possibility for bacterial growth and causes a decrease in antibacterial activity, which destroys antibodies in the milk. • A nurse is caring for a client who adheres to a kosher diet. Which of the following food choices wouldbe appropriate for this client? • Vegetable salad with cheese • Rationale: Clients who adhere to a kosher diet can eat dairy products combined withnon-meat products at the same meal. • A community health nurse is planning to teach a class about weight management for cardiovascularhealth. Which of the following statements should the nurse plan to include? • “Plan to lose weight gradually at ½ to 1 pound per week” • Rationale: The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5 to 1 lb) per week is a healthy and attainable weight-loss goal. Setting realistic goals for weight loss is an important element of success. Trying to lose weight too quickly places clients at risk for nutritional deficiencies and inadequate energy, which can lead to frustration and defeat • A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? • Add extra calories & protein to every meal • Rationale: Adding extra calories and protein to every meal will increase the client's nutritional intake. • A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet.Which of the following information should the nurse include in the teaching? • Include two servings per day of nuts when on a vegetarian diet • Rationale: The nurse should instruct the client to eat two servings of nuts or flaxseed per day to receive the daily requirement of omega-3 fatty acids. 8. A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following clientstatements indicates an understanding of the teaching? a. “I will eat four servings of unsalted nuts per week” i. Rationale: Female clientsshould consume fourto five servings of unsalted nuts, seeds,or legumes per week for a heart-healthy diet. • A nurse is caring for a client who is dehydrated and is receiving intermittent enteral feeding. Which of the following actions should the nurse plan to take? • Provide the formula as a continuous infusion • Rationale: A client who is experiencing dehydration should receive a continuous infusion to prevent receiving a high carbohydrate load with each feeding. • A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss.Which of the following instructions should the nurse include in the teaching? • Consume liquids between meals • Rationale: The nurse should teach the client to drink liquids between meals to slowmovement of food from the stomach. • A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which of the following foods should the nurse recommend the client eat in moderation while taking this medication? • Leafy green vegetables • Rationale: The nurse should recommend the client eat in moderation and maintain consistent intake of leafy green vegetables, which contain a natural form of vitaminK that can negate the anticoagulation effects of warfarin. • A nurse is teaching a client who has hypertension about decreasing sodium intake. Which of the following information should the nurse include in the teaching? • Season foods with herbs and spices • Rationale: The nurse should instruct the client to replace salt with herbs and spiceswhen seasoning foods. • A nurse is teaching a prenatal education class about breastfeeding. Which of the following instructions should the nurse include in the teaching? • Plan 5-min feedings on each breast on the first day after birth • Rationale: The nurse should instruct the clients to let the newborn nurse for 5 minon each breast on the first day to promote milk production. • 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 • Rationale: The nurse should recognize confusion as a manifestation of hypoglycemia. • A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching? • “I know the serving size can affect the number of carbohydrates I eat.” • Rationale: The nurse should instruct the client that the portion size affects the number of carbohydrates • A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following isan expected finding? • Flatulence • Rationale: Flatulence, bloating, and cramping, and diarrhea are expected findings associated with lactose intolerance. • A nurse is performing a cultural nursing assessment for a client whose religious practices include fasting 1 day each week. Which of the following questions should the nurse ask the client? (Select allthat apply.) • A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy.Which of the following interventions should the nurse include in the client's plan of care? • Select grains with less than 2 g fiber per serving
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