BEST EXAM PREPARATION SOLUTION RATED A+
ATI Nutrition Proctored
Part 1: General Notes
Part 2: Focused Review Notes
Part 3: ATI Rational with Additional/Supported Information
PART 1: GENERAL NOTES (Important Facts)
Vitamin B12 is for pernicious
anemia Ferrous sulfate for iron
deficiency 18.5-24.9 bmi is
healthy weight Below 18.5 BMI
is underweight
25-29.9 is overweight
30 BMI or greater is obese
rangea 10-20 is normal BUN
level
<200 is ok for blood glucose
Celiac disease remove any gluten from diet, wheat rye and
barley Pregnant woman increase iron to be able to promote
RBC growth to fetus Stomatitis you want to avoid spicy, acidic
foods and salty foods
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• Be wary of questions regarding children drinking too much milk i.e. more than 3-
4 cups of milk each day. Too much milk intake reduces intake of other essential
nutrients, especially iron. Watch for anemia with milk-aholics.
• Vitamin D’s presence is required by the parathyroid gland, in order for it to
function.
• If the patient is taking digoxin or K-supplements, avoid salt substitutes
because many are potassium based
• Potassium Sources: bananas, potatoes, citrus fruits
• No milk (as well as fresh fruit or veggies) on neutropenic precautions.
• Nondairy sources of calcium include RHUBARB, SARDINES, COLLARD
GREENS 24
• Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure
• Yogurt has live cultures, so do not give to immunosuppressed patients
• No phenylalanine with a kid positive for PKU (no meat, no dairy, no aspartame).
• Acid Ash diet: cheese, corn, cranberries, plums, prunes, meat, poultry, pastry,
bread
• Alk Ash diet: milk, veggies, rhubarb, salmon
PART 2: Focused Review Notes
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Manifestations of Vitamin A Toxicity
• Can cause teratogenic effects on fetuses
• Blurred vision
• Bone pain or swelling
• Hypercalcemia
• ICP
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• Liver damage
• Skin peeling, itching
• Nausea and vomiting
• Abnormal softening of the skull bone (children) and bulging fontanels
Planning Care for a Client Who Follows Seventh-Day Adventist Dietary Laws
• Vegetarianism
o Do not consume animal products of any type INCLUDING
eggs and milk products.
o Vitamin B12 and Vitamin D supplements may be needed with a pure
vegan diet.
• Vegan diets are adequate in protein due to intake of nuts and legumes
(dried peas and cooked beans).
Initiating Continuous Enteral Feeding
• This is recommended for critically ill patients because it is associated with
small residual volumes, and a lower risk of aspiration and diarrhea.
• Residual volumes should be measures q4-6hrs.
• Feeding tubes should be flushed with water q4hr to maintain patency and
hydration.
• If patient’s gastric volume exceeds 500ml, the continuous feeding should
be HELD and tolerance reassessed.
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