Nutrition ATI Proctored Remediation Exam 2023 with complete solutions

Cardiovascular and Hematologic Disorders: Dietary Management for an Older Adult Client Who Has Heart Failure (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM Nutrition 6.0 Chp. 12) - Answer- reduce sodium to 2000mg/day or less monitor fluid intake and restrict to 2L/day if necessary increase protein intake to 1.12g/kg small, frequent meals that are soft, easy to chew foods are ideal Nutrition Across the Lifespan: Planning Breastfeeding Care for a Client (RM Nutrition 6.0 Chp. 7, RN QSEN - Patientcentered Care, Active Learning Template - Basic Concept) - Answer- AAP recommends breast feeding exclusively for first 6-12 months advantages: carbs, proteins and fats are predigested and ready for absorption; high in omega-3 fatty acids; low in sodium; risk of allergies is reduced; amternal infant bond is promoted 8-12 feedings in 24 hour period mother should feed to infants demand nurse 15-20 minutes per breast do not offer newborn any other supplements Sources of Nutrition: Heme Sources of Iron (RN QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 1) - Answer- heme iron is doun in meat, fish, poultry nonheme iron is found in grains, legumes, and vegetables iron supplements can cause: constiation, nausea, vomiting, diarrhea, and teeth discoloration Barriers to Adequate Nutrition: Promoting the Use of Nutritional Supplements (Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 11) - Answer- a key issue behind inadeqaute nutrition is lack of knowledge or misinformation regarding nutrition it is important to teach our patient how to achieve adeqaute nutrition and suppplements to take if they are not at this point Guidelines for Healthy Eating: Health Promotion Recommendations (RM Nutrition 6.0 Chp. 4, Active Learning Template - Basic Concept) - Answer- balance energy intale wth energy expenditure by selecting a wade varierty of foods limit sat fats, trans fats, suagrs, sodiu, and alcohol consume a minimum o five servings per day of fiber rich foods choose monounsat/polyunsat fats from fish, llean meats, nuts, and vegggies limit sugar and starchy foods dink alcohol in moderation less tha 7% of fats should come from sat fats Sources of Nutrition: Evaluating Client Understanding of a Low-Saturated Fat Diet (RN QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 1) - Answer- saturated fats are solid at room temperature and are primarily found in animal sources the AMDR for fats is approoximatey 20-35% , with 10% or less coming fom saturated fats it is important to have a low sat fat diet to prevent heart problems, hypertension, or diabetes Cultural, Ethnic, and Religious Influences: Planning Care for a Client Who Follows Seventh-Day Adventist Dietary Laws (RN QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 6) - Answer- seven-day adventitists practice vegetarianism as a nurse, we should acknowledge this and plan orprovide an appropriate meal this includes plant based meals no meat or meat products dairy/eggs are allowed because this is not a vegan diet - if pateint specifies they are vegan, make appropriate chagnes Gastrointestinal Disorders: Caring for a Client Who Has Dysphagia (RN QSEN - Safety , Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 13) - Answer- modiifying textures of foods can enable the client to achieve proper nutrition place client in an upright or high fowlers position to prevent aspiration and facilitate swallowing provide oral care prior to meak refer to speech patholigst for check up allow adequate eating time Gastrointestinal Disorders: Gluten-Free Dietary Choices (RM Nutrition 6.0 Chp. 13, Active Learning Template - System Disorder) - Answer- gluten free foods: Rice Cassava Corn (maize) Soy Potato Tapioca Beans Sorghum Nutrition Across the Lifespan: Dietary Recommendations for an Infant (RM Nutrition 6.0 Chp. 7, RN QSEN - Patientcentered Care, Active Learning Template - Growth and Development) - Answer- birth weight doubles by 4-6 months breast milk exclusively until 6-12 months old semisolid foods should not be introduced before 4 months of age iron fortified infant cereal is the first solid food introduced as gestational iron stores bein to deplete around 4 months cows milk should not be introduced until at least 1 year Cancer and Immunosuppression Disorders: Interventions for Stomatitis (RM Nutrition 6.0 Chp. 16, Active Learning Template - System Disorder) - Answer- use soft toothburch to clean teeth after eating avoud mouth washes that contain alcohol omit acidic, spicy, dry, or coarse foods include cold or room temp foods in the diet cut foods into small bies try using straws replace meals with ihgh-caolie, high protein drinks Diabetes Mellitus: Treating Hypoglycemia With Carbohydrates (Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 15) - Answer- clients with hypoglycemia should take 10-20 g of readily absorbable carbs this includes: 2-3 glucose tablets, six to ten hard candies, 1/2 cup (4 oz) juice or regular soda, tbsp honey or 4 tsp sugar