ATI NUTRITION A EXAM WITH ELABORATED ANSWERS

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ATI NUTRITION A EXAM WITH ELABORATED ANSWERS A nurse 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 a ... ctions 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. off the client hot tea w/ daytime meals D. allow the client fo 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.) During Ramadan: -clients who follow Islamic dietary laws can eat during nighttime hours. - clients who follow Islamic dietary laws fast during daytime hours. When not fasting, Islamic dietary law specifies that caffeine is prohibited and beverages are consumed after, rather than with, meals. -clients who follow Islamic dietary laws consume meals before dawn and after sunset. A nurse is performing a cultural nursing assessment for a client whose religious practice include fasting 1 day each week. which of the following questions should the nurse ask the client? (SATA) - -"Are you exempt from fasting during illness?" is correct. The nurse should ask the client if fasting is exempt during illness to determine an acceptable plan of care for the client. -"Does fasting mean refraining from drinking liquids?" is correct. The nurse should ask if fasting means refraining from drinking liquids to determine an acceptable plan of care for the client. -"Does your fasting occur during certain hours of the day?" is correct. The nurse should ask if there are certain hours of the day when fasting occurs to determine an acceptable plan of care for the client. -"Is vegetarianism a form of fasting?" is incorrect. Vegetarianism is not a form of fasting. This is not an acceptable question for the nurse to ask the client. -"Does fasting mean eating only a certain type of food?" is correct. The nurse should ask if fasting means eating only a certain type of food to determine an acceptable plan of care for the client. A nurse is creating a plan of care for a client who has mucositis following head & neck radiation therapy to treat cancer. Which of the following interventions should the nurse include in the plan? A. Encourage 3 serving of citrus food daily B. provide lemon-glycerin swabs for oral hygiene after meals C. increased fluid intake to 2 L per day D. heat oral hygiene mouth rinses before use - C. increased fluid intake to 2 L per day (A client who has mucositis should increase fluid intake to promote hydration and peristalsis. A client who has mucositis should -avoid acidic foods to prevent further irritation. -avoid glycerin-based swabs because they cause dryness and irritation. -be provided with room temperature or cooled liquids to reduce irritation. The nurse is providing discharge teaching to a postpartum client about breast milk use & storage. Which of the following statements should the nurse make? A. "refrigerate unused breast milk immediately after bottle feeding." B. "you cannot place thawed breast mil back in the freezer." C. "you can store expressed breast milk in the freezer for up to 18 months." D."defrost frozen breast mile on the lowest defrost setting in the microwave." - B. "you cannot place thawed breast mil back in the freezer." (The nurse should instruct the client that completely thawed breast milk can be stored in the refrigerator but must be used within 24 hr. Breast milk that has been previously frozen should not be refrozen once it has thawed completely. Thawing creates a possibility for bacterial growth and causes a decrease in antibacterial activity, which destroys antibodies in the milk.) The nurse should instruct the client -that any milk left in a bottle from a feeding should be immediately discarded. -that the recommended duration of time for safely storing expressed breast milk is 6 months. However, it is acceptable for expressed breast milk to be stored for a maximum of 12 months. -to place the container of breast milk in the refrigerator to slowly thaw. If the breast milk is needed sooner, the nurse should instruct the client to place the container of breast milk under warm, running water. Breast milk should not be thawed or warmed in a microwave. This practice can cause burns to the infant's mouth, throat, or upper gastrointestinal tract due to uneven heating, which might not be recognized when the client spot checks the milk's temperature. A nurse is teaching a female client about a healthy diet to control HTN. Which of the following statements indicated an understanding of the teaching? A. "I will drink 2 glasses of whole milk daily." B. "I will decrease the potassium in my diet." C. "I will eat 4 serving of unsalted nuts per week." "I will limit alcohol consumption to 3 drinks per day." - C. "I will eat 4 serving of unsalted nuts per week." (Female clients should consume four to five servings of unsalted nuts, seeds, or legumes per week for a heart-healthy diet.) Female clients should -eat a diet rich in nonfat or low-fat dairy products to control hypertension and therefore should avoid whole milk. -eat a diet rich in potassium to control hypertension. -drink alcohol in moderation, such as one to two drinks per day, to control hypertension. A nurse is caring for a client who adheres to a kosher diet. Which fo the following food choices would be appropriate for this client? A. vegetable salad w/ cheese B. lean cuts of pork C. turkey & cheese on rye bread D. shrimp salad & crackers - A. vegetable salad w/ cheese (Clients who adhere to a kosher diet can eat dairy products combined with non-meat products at the same meal.) Clients who adhere to a kosher diet -do not eat pork. -do not combine dairy products with meat products at the same meal. -do not eat shellfish. A community health nurse is planning to teach a class about weight management for cardiovascular health. Which of the following statements should the nurse plan to include? A. "limit your sodium intake to 1,800 mg per day." B. "reduce your daily intake or food that contain protein." C. "taking a daily multivitamin will prevent cardiovascular disease." D. "plan to loose weight gradually at 1/2 to 1 pound per week." - D. "plan to loose weight gradually at 1/2 to 1 pound per week." (The nurse should inform the participants that losing 0.23 to 0.45 kg (0.5 to 1 lb) per week is a healthy and attainable weight-loss goal. Setting realistic goals for weight loss is an important element of success. Trying to lose weight too quickly places clients at risk for nutritional deficiencies and inadequate energy, which can lead to frustration and defeat.) According to the American Heart Association, clients should limit their sodium intake to 1,500 mg/day. Evidence-based practice indicates that the most significant decreases in blood pressure are seen in clients who have a daily sodium intake of 1,500 mg or less. The nurse should inform the participants that -plant-based protein assists in lowering cholesterol levels, which ultimately reduces the workload of the heart. Adequate protein is also important for maintaining muscle mass, which aids in weight management. -if a nutritionally-balanced diet is carefully planned and followed, vitamin supplements are not necessary. Evidence-based practice indicates that multivitamin supplements do not decrease or prevent cardiovascular disease. A client is experiencing anorexia related to cancer treatment. Which of the following interventions should the nurse implement to increase the client's nutritional intake? A. recommend cooking aromatic foods to stimulate appetite. B. serve hot food rather than cold foods. C. instruct the client to eat 3 meals per day D. add extra calories & protein in every meal - D. add extra calories & protein in every meal (AD. add extra calories & protein in every meal) [Show More]

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