ATI Nutrition A Exam With Complete Solution
you are admitting a patient with anorexia what measures will you take regarding food
assign privileges based on weight gain
what food item is appropriate to consume for a patient who has celiac disease
potatoes (gluten free)
(food items that are not gluten free: bread, pudding, brand muffin, graham cracker),
For this disease, eliminate gluten from diet, give vitamin (ADEK - fat soluble) supplements. Can have
rice & corn.
It is a chronic, inherited, genetic disorder with autoimmune characteristics. Clients who have celiac
disease are unable to digest the protein gluten. They lack the digestive enzyme DPP-IV, which is
required to break down the gluten into molecules small enough to be used by the body. In celiac
disease, gluten is broken down into peptide strands instead molecules. The body is not able to
metabolize the peptides. If untreated, the client will suffer destruction of the villa and the walls of
the small intestine. Celiac disease may go undiagnosed in both children and adults.
a patient with diabetes 1 mellitus assess somogyi phenomenon
monitor blood glucose levels during the night
when performing enteral tube feeding you must
increase volume of formula over first 4-6 feedings ,
a method of feeding by providing a liquid diet directly to the stomach or intestine through a tube
placed down the throat or through the wall of the GI tract
what is a normal lab value for a person with type 2 diabetes
HbA1c of 6.5%
abnormal: serum creatine 1.5 mg/dL
BUN of 25 mg/dL
pre-meal blood glucose of 145 mg/dL
If you had a fasting blood glucose test:
•A level of 100-125mg/dL means you have impaired fasting glucose, a type of prediabetes. This
increases your risk for type 2 diabetes.
•A level of 126 mg/dL and higher most often means you have diabetes
gastric bypass surgery
start each meal with protein ,
: surgically makes the stomach smaller and causes food to bypass the first part of the small intestine.
this procedure is not reversible
somogyi phenomenon
is fasting hyperglycemia that occurs in morning in response to hypoglycemia during the night time.
the nurse assesses for this phenomenon by monitoring blood glucose levels during the night.
Usually occurs during the night, but manifests as an elevated glucose in the morning and may be
inadvertently treated with an increase in insulin dosage. Check blood glucose around 3:00 a.m.
Adjusting insulin to avoid peaking during the night will correct this effect.
enteral feeding must report:
report sodium 128 mEq/L. this finding is the priority to report to provider.
normal range for blood sodium levels is 135 to 145 milliequivalents per liter ...
, hyponatremia occurs when hyperosmolar enteral feedings are being administered too rapidly and
places client at risk for dehydration. it is important that formula be prepared as directed. diluting
formula can decrease its nutritional content and cause inadequate weight gain.
Nutrients supplied to the gastrointestinal tract orally or by feeding tube.
engaging in what activity will burn more calories
125 lb person; playing soccer `
diverticulitis
limit fiber intake when experiencing manifestations.
Infected or inflamed pouch (diverticulum) in the colon. Common in older persons; Low-fiber diet and
constipation are risk factors.
type I diabetes (how to count carbs)
"I know the serving size can affect the number of carbs I can eat
:A chronic metabolic disease characterized by high blood sugar (glucose) levels associated with the
inability of the pancreas to produce insulin; also called insulin-dependent diabetes mellitus (IDDM) or
juvenile-onset diabetes.
total parenteral nutrition ( no bag available what should nurse do?)
:administer dextrose 10% in water
TPN provides a nutritionally complete solution. It can be used when caloric needs are very high,
when the anticipated duration of therapy is greater than 7 days, or when the solution to be
administered is hypertonic (composed of greater than 10% dextrose). It can only be administered
in a central vein.
TPN is commonly used in clients undergoing treatment for cancer, bowel disorders, and
those suffering from trauma or extensive burns, as these conditions are associated with high
caloric requirements.
Monitor for "cracking" of TPN solution. This occurs if the calcium or phosphorous content is
high or if poor-salt albumin is added. A "cracked" TPN solution has an oily appearance or a
layer of fat on top of the solution and should not be used.
iron deficiency anemia (prescribed oral supplement which fluid should nurse administer along?
:orange juice
■■ Manifestations
☐☐ Fatigue
☐☐ Lethargy
☐☐ Pallor of nail beds
☐☐ Intolerance to cold
■■ Children with low iron intake can experience short attention spans and display poor
intellectual performance before anemia begins.
Iron deficiency anemia can result from poor intestinal absorption, blood loss, and
inadequate consumption.
■■ Sources of iron
☐☐ Meat
☐☐ Fish
☐☐ Poultry
☐☐ Tofu
☐☐ Dried peas and beans
you are admitting a patient with anorexia what measures will you take regarding food
assign privileges based on weight gain
what food item is appropriate to consume for a patient who has celiac disease
potatoes (gluten free)
(food items that are not gluten free: bread, pudding, brand muffin, graham cracker),
For this disease, eliminate gluten from diet, give vitamin (ADEK - fat soluble) supplements. Can have
rice & corn.
It is a chronic, inherited, genetic disorder with autoimmune characteristics. Clients who have celiac
disease are unable to digest the protein gluten. They lack the digestive enzyme DPP-IV, which is
required to break down the gluten into molecules small enough to be used by the body. In celiac
disease, gluten is broken down into peptide strands instead molecules. The body is not able to
metabolize the peptides. If untreated, the client will suffer destruction of the villa and the walls of
the small intestine. Celiac disease may go undiagnosed in both children and adults.
a patient with diabetes 1 mellitus assess somogyi phenomenon
monitor blood glucose levels during the night
when performing enteral tube feeding you must
increase volume of formula over first 4-6 feedings ,
a method of feeding by providing a liquid diet directly to the stomach or intestine through a tube
placed down the throat or through the wall of the GI tract
what is a normal lab value for a person with type 2 diabetes
HbA1c of 6.5%
abnormal: serum creatine 1.5 mg/dL
BUN of 25 mg/dL
pre-meal blood glucose of 145 mg/dL
If you had a fasting blood glucose test:
•A level of 100-125mg/dL means you have impaired fasting glucose, a type of prediabetes. This
increases your risk for type 2 diabetes.
•A level of 126 mg/dL and higher most often means you have diabetes
gastric bypass surgery
start each meal with protein ,
: surgically makes the stomach smaller and causes food to bypass the first part of the small intestine.
this procedure is not reversible
somogyi phenomenon
is fasting hyperglycemia that occurs in morning in response to hypoglycemia during the night time.
the nurse assesses for this phenomenon by monitoring blood glucose levels during the night.
Usually occurs during the night, but manifests as an elevated glucose in the morning and may be
inadvertently treated with an increase in insulin dosage. Check blood glucose around 3:00 a.m.
Adjusting insulin to avoid peaking during the night will correct this effect.
enteral feeding must report:
report sodium 128 mEq/L. this finding is the priority to report to provider.
normal range for blood sodium levels is 135 to 145 milliequivalents per liter ...
, hyponatremia occurs when hyperosmolar enteral feedings are being administered too rapidly and
places client at risk for dehydration. it is important that formula be prepared as directed. diluting
formula can decrease its nutritional content and cause inadequate weight gain.
Nutrients supplied to the gastrointestinal tract orally or by feeding tube.
engaging in what activity will burn more calories
125 lb person; playing soccer `
diverticulitis
limit fiber intake when experiencing manifestations.
Infected or inflamed pouch (diverticulum) in the colon. Common in older persons; Low-fiber diet and
constipation are risk factors.
type I diabetes (how to count carbs)
"I know the serving size can affect the number of carbs I can eat
:A chronic metabolic disease characterized by high blood sugar (glucose) levels associated with the
inability of the pancreas to produce insulin; also called insulin-dependent diabetes mellitus (IDDM) or
juvenile-onset diabetes.
total parenteral nutrition ( no bag available what should nurse do?)
:administer dextrose 10% in water
TPN provides a nutritionally complete solution. It can be used when caloric needs are very high,
when the anticipated duration of therapy is greater than 7 days, or when the solution to be
administered is hypertonic (composed of greater than 10% dextrose). It can only be administered
in a central vein.
TPN is commonly used in clients undergoing treatment for cancer, bowel disorders, and
those suffering from trauma or extensive burns, as these conditions are associated with high
caloric requirements.
Monitor for "cracking" of TPN solution. This occurs if the calcium or phosphorous content is
high or if poor-salt albumin is added. A "cracked" TPN solution has an oily appearance or a
layer of fat on top of the solution and should not be used.
iron deficiency anemia (prescribed oral supplement which fluid should nurse administer along?
:orange juice
■■ Manifestations
☐☐ Fatigue
☐☐ Lethargy
☐☐ Pallor of nail beds
☐☐ Intolerance to cold
■■ Children with low iron intake can experience short attention spans and display poor
intellectual performance before anemia begins.
Iron deficiency anemia can result from poor intestinal absorption, blood loss, and
inadequate consumption.
■■ Sources of iron
☐☐ Meat
☐☐ Fish
☐☐ Poultry
☐☐ Tofu
☐☐ Dried peas and beans
