ATI Nutrition Final Exam 2024

A nurse is teaching a client who has HTN about decreasing sodium intake. Which of the following information should the nurse include in the teaching? A. Use soy sauce as a marinade for meats. B. Season foods with herbs and spices. C. Select processed cheese products when available. D. Choose a frozen dinner for a quick meal option. B. Season foods with herbs and spices the client should replace salt with herbs and spices when seasoning foods 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? A. leafy green veggies B. whole grains C. fruits with skin D. nuts and seeds A. leafy green veggies the client should avoid foods high in vitamin K (the antidote for warfarin) A nurse is providing teaching to a client who is lactating about increasing protein intake. Which of the following foods should the nurse recommend as the best source of protein? a. legumes b. cottage cheese c. peanut butter d. whole grain cereal b. cottage cheese The nurse should recommend cottage cheese as the best source of protein because it is a complete protein. Complete proteins contain all nine essential amino acids and provide the best support for human growth and nourishment. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following laboratory findings indicates that the TPN therapy is effective? a. calcium 8 mg/mL b. hemoglobin 9 g/dL c. prealbumin 30 mg/dL d. cholesterol 140 mg/dL c. prealbumin 30 mg/dL Prealbumin level is a sensitive indicator of nutritional status. The nurse should identify that a level of 30 mg/dL is within the expected reference range of 15 to 36 mg/dL and indicates the TPN is effective. A nurse is caring for a client who is receiving continuous enteral feedings via an NG tube. The nurse notices that the tube feeding has stopped infusing. Which of the following actions is the nurses priority? a. change the formula b. change the tube c. notify the provider d. flush the tube with warm water d. flush the tube with warm water. according to evidence-based practice, the first action the nurse should take when a tube feeding stops infusing is to flush the tube with 30-50 mL of warm water to re-establish flow. Other interventions might be required if flushing does not remove the clog. A nurse in a clinic is reviewing laboratory findings of a client who recently began a Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following laboratory findings indicates the client has reached one of the goals of the DASH diet? A.Sodium 150 mEq/L B. Chloride 106 mEq/L C. Fasting glucose 130 mg/dL D. Total cholesterol 190 mg/dL D. Total cholesterol 190 mg/dL A feature of the DASH diet is a reduction in total cholesterol. This laboratory finding is within the expected reference range of cholesterol less than 200 mg/dL, and indicates that the client has achieved one of the goals of the DASH diet. A nurse is assessing a client who has fluid volume excess. Which of the following manifestations should the nurse expect? A. Weak peripheral pulses B. Increased Hematocrit C. Crackles in the lungs D. Weight loss from baseline C. Crackles in the lungs The nurse should identify that a client who has fluid volume excess can develop crackles in the lungs, shortness of breath, and dyspnea. A nurse is teaching a client who is newly diagnosed with type 1 DM how to count carbs. Which of the following statements made by the client indicates an understanding of the teaching? A. "I am including vegetables as starch items in my carbohydrate count." B. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day." C. "I know the serving size can affect the number of carbohydrates I eat." D. "I know the carbohydrate count is dependent on the calories in the food item." C. "I know the serving size can affect the number of carbohydrates I eat." The nurse should instruct the client that the portion size affects the number of carbohydrates. A nurse is 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? A. Place the client on NPO status during nighttime hours. B. Provide a snack for the client after sunset. C. Offer the client hot tea with daytime meals. D. Allow the client to eat privately with their family each day at 1300. B. Provide a snack for the client after sunset. During Ramadan, clients who follow Islamic dietary laws consume meals before dawn and after sunset. The nurse should offer the client a snack or light meal after sunset. A HH nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? A. The client's hemoglobin is 15 g/dL. B. The client's peripheral pulses are +3 distal to the affected extremity. C. The client consumes 1,000 kcal daily. D. The client takes zinc supplements. C. The client consumes 1,000 kcal daily. Adults who have had surgery require at least 1,500 kcal daily to meet energy needs and build protein for tissue healing. The nurse should recognize that a 1,000 kcal/day intake is below the client's needs.