ATI Advanced Nutrition Practice Exam 2024

A nurse is caring for a client. Exhibit 1 Nurses' Notes: 2 months ago: Client discharged from hospital following total gastrectomy. Client tolerating full liquid diet. May advance to pureed diet in 1 week. Client instructed to schedule appointments with surgeon for monthly follow-up visits. Today: Client presents to surgeon's office for monthly follow-up visit. Client reports that they advanced their diet to a soft diet as instructed. Client states, "I am eating fine, but about 15 minutes after I eat, I get abdominal cramps, nausea, diarrhea, and it feels like my heart is racing. When that happens, my muscles feel weak, and I get sweaty." Exhibit 2 Vital Signs: 2 months ago: Temperature 37° C (98.6° F) Heart rate 82/min Respiratory rate 14/min Blood pressure 129/84 mm Hg SpO2 98% on room air Today: Temperature 37° C (98.6° F) Heart rate 62/min Respiratory rate 16/min Blood pressure 122/76 mm Hg SpO2 99% on ro - 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. Assessment Findings Dumping Syndrome: Abdominal cramping Muscle Weakness Nausea Diarrhea Sweating Timing of manifestations after eating Hypoglycemia: Muscle Weakness Sweating Refeeding Syndrome: Muscle weakness