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ATI NUTRITION PROCTORED A REVISION GUIDE.

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A home health nurse is providing dietary teaching to the parents of a 3-year-old child. Which of the following statements by the parents should the nurse identify as understanding of the teaching? I will put low-fat milk in her cup for her to drink (Whole milk only appropriate up to 2 years of age; after that, low-fat or skim milk should be given.) A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? Infuse dextrose 10% in water when the current infusion ends. A nurse is teaching a female client about a healthy diet to control hypertension. Which of the following statements indicates an understanding of the teaching? I will eat four servings of unsalted nuts per week. A nurse is caring for a client who is being treated for cancer using chemotherapy. Which of the following interventions should the nurse suggest to aid in management of treatment-related changes in taste? Use plastic utensils. A nurse is leading a discussion at a prenatal education class with a group of expectant mothers who plan to breastfeed. Which of the following instructions should the nurse include in the teaching? Plan 5-minute feedings on each breast on the first day after birth. (5-minute nursing on each breast the first day promotes milk production in both breasts.) A nurse is providing teaching to a client who has Crohn’s disease. Which of the following statements by the client indicates and understanding of the teaching? I will eat eggs for breakfast (easy to digest and high in protein; avoid fiber, fats, and fructose) A nurse is assisting a client who has dysphagia with an oral feeding. Which of the following actions should the nurse take? (SATA) Gently palpate the client’s throat during swallowing. Inspect for food pockets in the mouth before feeding. Allow the client to rest for 30 minutes before meals. A nurse is assessing a client who is suspected of having lactose intolerance. Which of the following is an expected finding? Flatulence A nurse is providing dietary teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following should the nurse recommend as having the highest amount of zinc? 4 oz ground beef patty A nurse is administering a continuous tube feeding and 60 mL/hr with 50 mL of water every 4 hours. What should the nurse document as the total mL of enteral fluid administered during the 8 hour shift? 580 mL A nurse is teaching a client about stress management. Which of the following statements by the client should indicate to the nurse that the client understands the teaching? I will take a long walk every evening. A nurse is providing teaching to a client who reports nausea during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? I will eat dry cereal before I get out of bed. A nurse is caring for a client who practices Orthodox Judaism and adheres to a kosher diet. Which of the following food choices would be appropriate for this client? Vegetable salad with cheese A nurse is planning discharge teaching for a client who is postoperative following placement of a colostomy. Which of the following information should the nurse include? Increase your intake of foods containing pectin. A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client’s plan of care? Select grains with less than 2 g fiber per serving. (Low fiber grains slow gastric emptying.) A nurse is providing information about cardiovascular risk to a client who has received his lipid panel report. Which of the following is within an expected reference range to include in the information? HDL 79 mg/dL (HDL greater than 45 for male and 55 for female is normal.) A nurse is teaching a client who is overweight about nutritional recommendations during pregnancy. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? I should take an iron supplement during pregnancy. A nurse is providing education to an adolescent about making nutrient-dense food choices. Which of the following statements by the client indicates an understanding of the teaching? Canned pinto beans are a better choice than refried beans. A nurse is performing dietary teaching with a client who has a family history of cardiovascular disease. Which of the following statements should the nurse include in the teaching? Increase your dietary fiber intake. (Increasing dietary fiber decreases LDL and the risk for cardiovascular disease and stroke.) A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following is an expected finding? Increased serum glucose (Decreased insulin production by the pancreas) A nurse is providing dietary teaching for a client who has COPD. Which of the following instructions should the nurse include in the teaching? Consume foods that are soft in texture and easy to chew. A nurse is teaching a client about managing irritable bowel syndrome (IBS). Which of the following information should the nurse include in the teaching? Take peppermint oil during exacerbation of manifestations. (Peppermint oil relaxes the smooth muscle of the GI tract.) A nurse in a long-term care facility is monitoring a client who has Parkinson’s disease during mealtime. Which of the following findings should the nurse identify as the priority? The client drools while eating A nurse is providing teaching to a client who has dumping syndrome and is experiencing weight loss. Which of the following instructions should the nurse include in the teaching? Consume liquids between meals. (Slows movement of food from the stomach) A nurse is caring for a client who is at 8 weeks of gestation and has a BMI of 34. The client asks about weight goals during her pregnancy. The nurse should advise the client to do which of the following? Gain approximately 6.8 kg/15 lb ....................................................................................................CONTINUE

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