ATI nutrition, ATI Nutrition Proctored
Exam Study Set
• Age-related macular degeneration (AMD) (eyes) - ANS-o Inc lutein (carotenoid found in vit
A) foods - kale, spinach, collards, mustard greens
o Inc antioxidants, vit E & B12
• Anorexia nervosa - ANS-o Weight pt DAILY @ the same time
o Stay w/ pt during and 1hr after meal (pv vomit)
o RN sched meals
o Privileges based on direct wt gain
• Atorvastatin - ANS-o Lipitor (tx high cholesterol)
o Okay to take w/ OJ, coffee, milk
o Contraindicated w/ grapefruit juice (cx inc serum lvl)
• Braden scale - ANS-o Very poor (1) very poor nutrition
o Probably inadequate (2) ½ meals & sometimes sup
o Adequate (3) >1/2 & refuses sometimes
o Excellent (4) eats q meal & between meals
• Breast feeding - ANS-o No water f/ baby ONLY milk
o No sup formula d/t nipple confusion
o Feed on demand x8-12/day
o x5min feed on each breast 1st day after birth
o breast milk is all that is needed f/ 1st 6mo (nutritionally complete)
o no cow's milk until 1yr
o cottage cheese is a complete protein, eat when lactating
o incomplete proteins - legumes, peanut butter, & whole grain cereal
o storage - discard after feeding (cannot refreeze/use), store f/ 6-12mo, do not thaw in
microwave
• Bronchitis - ANS-o Enteral feeding - high protein, fat, & calorie; low carbs (breakdown prod
CO2)
• Calcium - ANS-o Almonds highest
o Yogurt 315mg
o Cheese 214mg
o Egg 25mg
o Spinach 122mg
• Cancer - ANS-o Sensitivity to odor ∴ dec aromatic foods to dec NV
o Avoid hot foods d/t odor
o Sm, freq meals q2hr
o Inc citrus food, pickles, & mouth wash to prod more saliva to dec metallic taste
o Inc cal & protein but not TOO high cal (cx cancer)
o Eat 2.5 cups fruit to maintain wt
o Exercise >150min/wk
o Limit alcohol male (2) & female (1)/day
, o Use plastic utensils (dec metallic taste)
o Inc fluid & tart f/ taste
o Prevention - 4-5 servings (2.5 cups) fruits & veggies/day; limit alcohol; inc whole grain not
refined; limit processed meats d/t inc sodium lvl; inc lean cuts w/out skin
• Captopril - ANS-o Limit potassium rich foods (cantaloupe)
• Carbohydrate - ANS-o Starchy vs non-starchy veggies
o 3-5 carbs/meal (45g)
o portion size effects carbs
o carb not r/t calorie amt
• Cardiovascular - ANS-o Inc K to dec risk HTN
o Inc fiber to dec cholesterol
o Dec trans FA
o x2> fatty fish/wk to dec HTN
o Limit alcohol & sodium
• Celiac - ANS-o No gluten (wheat, barely, rye)
• Child - ANS-o Dec choke ∴ peanut butter & celery, whole grapes, pretzels
o <2y/o whole milk
o >2y/o low fat milk
• Cirrhosis + ascites - ANS-o Limit sodium intake 2000mg / 2g
o Limit fluids to 1.5L
o 0.8-1.2g/kg protein pv malnutrition
o consume vit K d/t dec prothrombin prod by liver ∴ @ risk clots
• Cleft lip - ANS-o Feed upright
o Nipple to side of mouth to pv enter nasal passage
• Colostomy - ANS-o cx loose stool ∴ thicken w/ pectin
o return regular diet 6 wk post op
o fiber w/ cx obstruction
• Constipation - ANS-o Inc Ca dec peristalsis
• COPD - ANS-o 6 sm meals/day
o drinks w/ inc protein/cal between meal
o add gravy/sauce to pv dry mouth
o soft diet will dec SOB w/ chew
• Crohn's Disease - ANS-o Dec fiber, lactose, fructose
o Eat eggs (easily digest & high protein)
• DASH diet - ANS-o Dec Na to 135-145mEq/L
o Glucose 70-110mg/dL
o Total cholesterol <200mg/dL
• Dehydration - ANS-o Cont infusion enteral feeding to pv high carb load w/ each IM feed
• Diabetes mellitus - ANS-o Goal HgbA1c <7% - shows avg glucse lvl over past few mo ∴
>7% = not follow diet & avg high sugar lvl
• Dumping syndrome - ANS-o Drink liquid to slow movement
o Complex carbs better than simple
o Not associate w/ fat or protein content of food
o Lie down after eat to slow food movement via GI
o Dec fiber to slow gastric emptying
• Dysphagia - ANS-o Palpate throat during swallow
o High fowler 90 degrees
o Assess food pockets
Exam Study Set
• Age-related macular degeneration (AMD) (eyes) - ANS-o Inc lutein (carotenoid found in vit
A) foods - kale, spinach, collards, mustard greens
o Inc antioxidants, vit E & B12
• Anorexia nervosa - ANS-o Weight pt DAILY @ the same time
o Stay w/ pt during and 1hr after meal (pv vomit)
o RN sched meals
o Privileges based on direct wt gain
• Atorvastatin - ANS-o Lipitor (tx high cholesterol)
o Okay to take w/ OJ, coffee, milk
o Contraindicated w/ grapefruit juice (cx inc serum lvl)
• Braden scale - ANS-o Very poor (1) very poor nutrition
o Probably inadequate (2) ½ meals & sometimes sup
o Adequate (3) >1/2 & refuses sometimes
o Excellent (4) eats q meal & between meals
• Breast feeding - ANS-o No water f/ baby ONLY milk
o No sup formula d/t nipple confusion
o Feed on demand x8-12/day
o x5min feed on each breast 1st day after birth
o breast milk is all that is needed f/ 1st 6mo (nutritionally complete)
o no cow's milk until 1yr
o cottage cheese is a complete protein, eat when lactating
o incomplete proteins - legumes, peanut butter, & whole grain cereal
o storage - discard after feeding (cannot refreeze/use), store f/ 6-12mo, do not thaw in
microwave
• Bronchitis - ANS-o Enteral feeding - high protein, fat, & calorie; low carbs (breakdown prod
CO2)
• Calcium - ANS-o Almonds highest
o Yogurt 315mg
o Cheese 214mg
o Egg 25mg
o Spinach 122mg
• Cancer - ANS-o Sensitivity to odor ∴ dec aromatic foods to dec NV
o Avoid hot foods d/t odor
o Sm, freq meals q2hr
o Inc citrus food, pickles, & mouth wash to prod more saliva to dec metallic taste
o Inc cal & protein but not TOO high cal (cx cancer)
o Eat 2.5 cups fruit to maintain wt
o Exercise >150min/wk
o Limit alcohol male (2) & female (1)/day
, o Use plastic utensils (dec metallic taste)
o Inc fluid & tart f/ taste
o Prevention - 4-5 servings (2.5 cups) fruits & veggies/day; limit alcohol; inc whole grain not
refined; limit processed meats d/t inc sodium lvl; inc lean cuts w/out skin
• Captopril - ANS-o Limit potassium rich foods (cantaloupe)
• Carbohydrate - ANS-o Starchy vs non-starchy veggies
o 3-5 carbs/meal (45g)
o portion size effects carbs
o carb not r/t calorie amt
• Cardiovascular - ANS-o Inc K to dec risk HTN
o Inc fiber to dec cholesterol
o Dec trans FA
o x2> fatty fish/wk to dec HTN
o Limit alcohol & sodium
• Celiac - ANS-o No gluten (wheat, barely, rye)
• Child - ANS-o Dec choke ∴ peanut butter & celery, whole grapes, pretzels
o <2y/o whole milk
o >2y/o low fat milk
• Cirrhosis + ascites - ANS-o Limit sodium intake 2000mg / 2g
o Limit fluids to 1.5L
o 0.8-1.2g/kg protein pv malnutrition
o consume vit K d/t dec prothrombin prod by liver ∴ @ risk clots
• Cleft lip - ANS-o Feed upright
o Nipple to side of mouth to pv enter nasal passage
• Colostomy - ANS-o cx loose stool ∴ thicken w/ pectin
o return regular diet 6 wk post op
o fiber w/ cx obstruction
• Constipation - ANS-o Inc Ca dec peristalsis
• COPD - ANS-o 6 sm meals/day
o drinks w/ inc protein/cal between meal
o add gravy/sauce to pv dry mouth
o soft diet will dec SOB w/ chew
• Crohn's Disease - ANS-o Dec fiber, lactose, fructose
o Eat eggs (easily digest & high protein)
• DASH diet - ANS-o Dec Na to 135-145mEq/L
o Glucose 70-110mg/dL
o Total cholesterol <200mg/dL
• Dehydration - ANS-o Cont infusion enteral feeding to pv high carb load w/ each IM feed
• Diabetes mellitus - ANS-o Goal HgbA1c <7% - shows avg glucse lvl over past few mo ∴
>7% = not follow diet & avg high sugar lvl
• Dumping syndrome - ANS-o Drink liquid to slow movement
o Complex carbs better than simple
o Not associate w/ fat or protein content of food
o Lie down after eat to slow food movement via GI
o Dec fiber to slow gastric emptying
• Dysphagia - ANS-o Palpate throat during swallow
o High fowler 90 degrees
o Assess food pockets
