ATI Skills Module 3.0 Virtual Scenario Nutrition test with complete solutions

At the beginning of the client's appointment, which of the following should you complete? (select all that apply). 1) Provide privacy 2) Perform hand hygiene 3) Introduce self 4) Verify client identity using name and date of birth The nurse is preparing to perform a general survey of Marco. Which of the following potential findings could indicate poor nutritional status? (select all that apply). - Dark circles under the eyes - Facial edema - Muscle atrophy - Dry, cracked lips, and pale flaky skin Observe Marco for cues of poor nutrition. - Thin, wasting appearance - Sunk in eyes with dark circles around them - Pale coloring - Dry, sore lips - Thin hair 1) Get info Obtain a dietary history 2) Get info What have you eaten in the last 24 hours? 3) Get info Can you tell me your food preferences? 4) Get info Can you describe your appetite? 5) Get info Do you do your own grocery shopping? The following are potential factors contributing to weight loss. Which may be applicable to Marco based on the data yo collected? (select all that apply). - Altered sense of smell - Weak hand grip - Mouth pain - Fatigue when eating 1) Action Inspect hair 2) Action Inspect teeth and mouth 3) Action Check gag reflex 4) Action Examine finger nails Which of the following interventions should the expect the provider to prescribe for Marco? (select all that apply). - Daily weights - Occupational therapy consult - Dietician consult - Blood albumin and pre-albumin screening Based on the prescribed diet in the client chart, which food would you select to test Marco's swallowing ability? Pudding cup 1) Advise Push your tongue against the roof of your mouth when swallowing 2) Advise Swallow twice each time 3) Advice Move the food around in your mouth before swallowing Choose where to place the spoon in Marco's mouth. Left side The nurse should assess for which of the following findings as an indication that Marco might have impaired swallowing? (select all that apply). - Report of feeling something in the throat - Small amount of food oozing from side of the mouth - Change in tone of voice after swallowing - Food pocketing in the mouth - increased salivation after eating Marco is coughing. What should I do? Observe Marco to make sure he can clear his airway. 1) Advice Drink thickened liquids after swallowing a bite of food 2) Advice Rest before meals and allow extra time for eating 3) Advice Moisten your foods with sauces and gravies Drag and drop the liquids Marco could consume without added thickener into the nectar-thick liquids category. - Tomato juice - Buttermilk - Cream of mushroom soup Based on Marcos diet history, what should I recommend he increase? Protein What foods will provide complete proteins for Marco? (select all that apply). - Wheat bread soaked in strained split pea soup - Chickpea spread with well-cooked carrots - Tofu rice pudding - Soup with pasta and purred white beans Legumes and grains