ATI RN Nutrition Online Practice 2023 A

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Questions and Answers

Which interventions should the nurse prioritize in the client's care? (Select all that apply)

Measure intake and output

Administer antibiotics (correct)

Obtain daily weights

Monitor pancreatic enzyme levels (correct)

Administer pain medication PRN (correct)

Which foods are recommended for a toddler with celiac disease? (Select all that apply)

Peanut butter on wheat crackers

Vegetable barley soup

Plain steamed brown rice (correct)

Scrambled egg with cheddar cheese (correct)

Oatmeal with raisins

Canned mixed fruit (correct)

Baked potato with butter (correct)

Increasing sodium intake is recommended for managing kidney stones.

False

What is the recommended daily fluid intake for someone managing kidney stones?

2 L Signup and view all the answers

Foods that contain gluten include those made from ______.

wheat, rye, barley, and oats Signup and view all the answers

What is expected in a client who has acute pancreatitis regarding glucose levels?

Increased glucose Signup and view all the answers

Which statement indicates an understanding of dietary recommendations during pregnancy?

I should plan to gain a total of 25 to 35 pounds. Signup and view all the answers

What finding should the nurse report as an indication of protein deficiency?

Prealbumin 8 mg/dL (15 to 36 mg/dL) Signup and view all the answers

Which information should the nurse include about decreasing sodium intake for a client with hypertension?

Season foods with herbs and spices. Signup and view all the answers

Which client is experiencing fluid overload?

A client who has a sodium level of 130 mEq/L (136 to 145 mEq/L) Signup and view all the answers

What should the guardian of a 6-month-old infant understand about introducing solid foods?

I will introduce a new solid food at least every 3 days. Signup and view all the answers

What advice should be given to a client with dumping syndrome?

Consume liquids between meals. Signup and view all the answers

What is a recommended action for cancer prevention?

I will eat 5 servings of fruits and vegetables each day. Signup and view all the answers

What intervention should the nurse include for a client with stomatitis?

Provide meals at room temperature. Signup and view all the answers

What should be done with thawed breast milk?

You cannot place thawed breast milk back in the freezer. Signup and view all the answers

What finding should the nurse identify as the priority for a client with Parkinson's disease during meals?

The client drools while eating. Signup and view all the answers

What solution should be infused until a new bag of TPN is available?

Dextrose 10% in water Signup and view all the answers

What indicates the client's understanding of carbohydrate counting in diabetes?

I know the serving size can affect the number of carbohydrates I eat. Signup and view all the answers

Which condition has an increased protein requirement?

Pressure injury Signup and view all the answers

What dietary action should a client with advanced Parkinson's disease take?

Offer the client a high-calorie diet. Signup and view all the answers

What action reduces the risk of aspiration for a client receiving NG tube feedings?

Place the client in a semi-Fowler's position. Signup and view all the answers

What finding should a nurse anticipate in a client with diabetic ketoacidosis?

Increased urination Signup and view all the answers

What should a client do to alleviate nausea during pregnancy?

I will eat dry cereal before I get out of bed. Signup and view all the answers

What should a client understand about iron supplements during pregnancy?

I should take a daily iron supplement during my pregnancy. Signup and view all the answers

What should be communicated regarding breastfeeding for a newborn?

Breast milk is the source of complete nutrition for an infant up to 6 months of age. Signup and view all the answers

What is the first action a nurse should take for a client wanting to lose weight?

Obtain a 24-hr dietary recall. Signup and view all the answers

What food choice contains the highest amount of calcium?

1 cup low-fat yogurt Signup and view all the answers

What should a postoperative colostomy client increase in their diet?

Increase your intake of foods containing pectin. Signup and view all the answers

Which food should clients on MAOIs avoid?

Cheddar cheese Signup and view all the answers

What action should be included in the care plan for a client with mucositis?

Increase fluid intake to 2 L per day. Signup and view all the answers

Which micronutrient should be increased for better night vision?

Vitamin A Signup and view all the answers

What is the total mL of enteral fluid administered during an 8 hr shift if a nurse is administering tube feeding at 60 mL/hr with 50 mL of water every 4 hr?

580 mL Signup and view all the answers

Which of the following findings indicates risk factors for malnutrition?

Age Signup and view all the answers

Match the assessment findings with the condition they are consistent with.

Diarrhea = Dumping Syndrome, Refeeding Syndrome Muscle weakness = Dumping Syndrome, Hypoglycemia, Refeeding Syndrome Nausea = Dumping Syndrome Sweating = Dumping Syndrome, Hypoglycemia Signup and view all the answers

Which of the following findings indicate an improvement in the client's condition?

Capillary refill 3 seconds. Signup and view all the answers

Which mineral should the nurse identify as the possible cause of constipation?

Calcium Signup and view all the answers

What response should the nurse give regarding the continuation of TPN?

You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued. Signup and view all the answers

Which food choice contains the most fiber for a client with diverticular disease?

1/2 cup bran cereal Signup and view all the answers

Which of the following is an expected finding for someone suspected of having lactose intolerance?

Flatulence Signup and view all the answers

Which of the following is a manifestation of hypoglycemia for a client with type 2 diabetes mellitus?

Confusion Signup and view all the answers

What nutrition category score should be documented for a client who eats more than half of most meals but occasionally refuses a meal?

3 (Adequate) Signup and view all the answers

Which food contains the highest amount of zinc for a client with chronic skin ulcers?

4 oz ground beef patty Signup and view all the answers

Which dietary habit increases the risk for dysrhythmias in a client with end-stage kidney disease (ESKD)?

Eating a diet rich in potassium Signup and view all the answers

Which finding indicates a complication of TPN therapy?

Cardiac dysrhythmias Signup and view all the answers

What intervention should the nurse include for a client experiencing diarrhea from enteral feedings?

Feed the client in small, frequent volumes. Signup and view all the answers

What finding should indicate a nurse to increase the nutritional intake for a client with HIV?

Presence of herpes simplex virus infection Signup and view all the answers

Which potential adverse effect should a nurse monitor for in a client receiving radiation therapy to the head and neck?

Changes in the production of saliva Signup and view all the answers

Which statement indicates a client with celiac disease understands dietary teaching?

I can have tapioca pudding for dessert. Signup and view all the answers

Which finding should indicate a nurse that a client is dehydrated?

Orthostatic hypotension Signup and view all the answers

Which food allergy could place a client at risk for a reaction when administering an influenza vaccine?

Eggs Signup and view all the answers

What should the nurse recommend regarding dietary modifications for a client at high risk for cardiovascular disease?

Use canola oil instead of lard for frying. Signup and view all the answers

Which action should the nurse take to assess for Somogyi phenomenon in a client with type 1 diabetes mellitus?

Monitor blood glucose levels during the night. Signup and view all the answers

What instruction should the nurse include for measures to reduce the risk of osteomalacia?

Consume 20 mcg of vitamin D daily. Signup and view all the answers

Which food should a client on warfarin eat in moderation?

Leafy green vegetables Signup and view all the answers

Which food should a client taking levodopa-carbidopa consume with the medication?

One slice wheat toast Signup and view all the answers

Which instruction should the nurse include for a client with COPD?

Consume foods that are soft in texture and easy to chew. Signup and view all the answers

What intervention should the nurse include for a client with stomatitis receiving radiation to the neck?

Relieve mouth pain by consuming frozen foods. Signup and view all the answers

What dietary instruction should a nurse provide for a client who has cirrhosis and ascites?

Decrease your sodium intake to 1 to 2 grams per day. Signup and view all the answers

What action should the nurse take for a client who develops diarrhea while receiving a continuous enteral tube feeding?

Warm the formula to room temperature. Signup and view all the answers

Which information should the nurse include for a client starting a vegetarian diet?

Include two servings per day of nuts when on a vegetarian diet. Signup and view all the answers

Which food should be recommended as the best source of zinc for a vegetarian client?

Pinto beans Signup and view all the answers

Which snack food should the nurse recommend for a 2-year-old toddler?

1 cup of yogurt Signup and view all the answers

What is an expected finding in laboratory results for a client with acute pancreatitis?

Elevated levels of lipase and amylase Signup and view all the answers

Study Notes

Dumping Syndrome: Symptoms include abdominal cramping, muscle weakness, nausea, diarrhea, and sweating.
Common Symptoms: Diarrhea and timing of manifestations post-eating are important indicators for dumping syndrome, while muscle weakness and sweating can indicate both dumping and hypoglycemia.
Hypoglycemia: Presenting signs can include muscle weakness and sweating.
Refeeding Syndrome: Characterized primarily by muscle weakness.

Improving Client Condition

Assessment Indicators: Alertness, regular heart rhythm, non-labored respiration, normal bowel sounds, sufficient urine output, warm and intact skin, and appropriate capillary refill time signal improvement.

Constipation Causes

Calcium Supplementation: High calcium intake can lead to constipation by slowing down peristalsis.

Total Parenteral Nutrition (TPN) Guidelines

Criteria for Discontinuation: TPN should continue until at least 60% of caloric intake is achieved orally.

High-Fiber Diet for Diverticular Disease

Fiber Content: ½ cup of bran cereal is the best option for increasing fiber intake at 10 g per serving.

Lactose Intolerance Symptoms

Expected Symptoms: Flatulence, bloating, and cramping are common findings.

Manifestations of Hypoglycemia

Indicators: Confusion is a key manifestation of hypoglycemia in clients with diabetes.

Skin Risk Assessment for Nutrition

Adequate Intake: Eating more than half of meals, even with occasional refusals, typically scores a 3 (Adequate) in nutrition assessments.

Increased Zinc Intake Suggestions

Zinc-Rich Foods: Ground beef is highly recommended for its zinc content (5.49 mg in 4 oz).

Dietary Risks in End-Stage Kidney Disease (ESKD)

Potassium Intake: A diet rich in potassium elevates the risk of dysrhythmias due to impaired elimination in ESKD.

Complications of TPN

Signs of Complications: Cardiac dysrhythmias can stem from refeeding syndrome associated with TPN.

Managing Diarrhea from Enteral Feedings

Feeding Strategy: Administering smaller, frequent feedings may reduce diarrhea occurrences.

Nutritional Needs for Clients with HIV

Nutritional Increase Indication: The presence of infections, like herpes simplex, necessitates an increase in nutritional intake.

Effects of Radiation Therapy

Monitoring: Changes in saliva production are common post-cancer treatments in the head and neck region.

Celiac Disease Dietary Understanding

Permissible Foods: Tapioca pudding is gluten-free and safe for those with celiac disease.

Signs of Dehydration

Dehydration Indicator: Orthostatic hypotension is a clear sign of dehydration.

Egg Allergies: Clients with egg allergies may react adversely to the influenza vaccine.

Dietary Recommendations for Cardiovascular Health

Cooking Oils: Substitute canola oil for lard to reduce saturated fat intake.

Assessing Somogyi Phenomenon in Diabetes

Monitoring: Nightly blood glucose levels help assess for the Somogyi effect (rebound hyperglycemia post-hypoglycemia).

Osteomalacia Prevention

Vitamin D Intake: Daily intake of 20 mcg of vitamin D is essential to prevent osteomalacia.

Warfarin Dietary Considerations

Vitamin K Consistency: Moderation and consistency in the intake of leafy greens are critical for clients on warfarin.

Considerations for Parkinson's Disease and Medications

Food Pairing: Foods low in protein, such as toast, should accompany levodopa-carbidopa to improve absorption.

Dietary Modifications for COPD

Food Texture: Soft foods reduce the risk of shortness of breath during meals.

Managing Stomatitis from Radiation

Pain Relief: Consuming frozen foods can help alleviate mouth pain associated with stomatitis.

Dietary Needs in Cirrhosis

Sodium Restriction: Recommended sodium intake for clients with cirrhosis is 1-2 grams daily to reduce fluid retention.

Enteral Feeding Issues

Formula Temperature: Ensure enteral formula is warmed to room temperature to prevent diarrhea.

Zinc Sources for Vegetarians

Best Options: Pinto beans should be included as they are high in zinc for vegetarian diets.

Nutritional Recommendations for Toddlers

Safe Snacks: Yogurt is a recommended snack for toddlers, offering a good protein source without choking hazards.

Acute Pancreatitis Lab Findings

Glucose Levels: Increased glucose levels are a common laboratory finding in acute pancreatitis due to impaired insulin function.

Pregnancy Dietary Guidance

Weight Gain Expectation: Clients should aim for a weight gain of 25 to 35 pounds during pregnancy.

Protein Deficiency Indicators

Critical Laboratory Value: A prealbumin level of 8 mg/dL indicates severe protein deficiency and needs reporting.

Hypertension and Sodium Intake

Seasoning Tips: Using herbs and spices is encouraged for flavoring food without increasing sodium intake.### Fluid Overload Identification
Hyponatremia indicated by sodium level of 130 mEq/L; normal range is 136 to 145 mEq/L.
Fluid overload can manifest through lower sodium levels, confusion, nausea, and fatigue.

Solid Food Introduction for Infants

New solid foods can be introduced every 3 to 5 days to monitor allergies.
Infants should not transition to solid foods before 6 months; initial servings should be limited.

Dumping Syndrome Dietary Management

Liquids should be consumed between meals to slow gastric emptying.
Avoid high carbohydrate intake; maintain a balanced diet with adequate protein.

Cancer Prevention Nutrition

Aim for 4 to 5 servings (approximately 2.5 cups) of fruits and vegetables daily to lower blood pressure and aid weight management.
Limit alcohol intake; avoid processed meats for better health outcomes.

Nutritional Support During Radiation Therapy

Serve meals at room temperature to reduce mucosal irritation for clients experiencing stomatitis.

Breast Milk Use and Storage Guidelines

Thawed breast milk cannot be refrozen; store in the refrigerator for up to 24 hours.
Breast milk is essential nutrition for infants; focus on proper storage methods.

Aspiration Risks in Parkinson’s Patients

Drooling while eating indicates high risk for aspiration due to dysphagia.
Monitoring and feeding strategies should be prioritized to ensure safety.

Total Parenteral Nutrition (TPN) Management

When TPN is not available, administer dextrose 10% in water to prevent hypoglycemia.
Ensure continuity of nutrition and monitor blood sugar levels.

Carbohydrate Counting in Diabetes Management

Portion size significantly impacts carbohydrate intake; education on servings is crucial.

Increased Protein Needs

Clients with pressure injuries require higher protein intake for effective healing.

Dysphagia Management in Advanced Parkinson’s

A high-calorie diet is essential to meet increased caloric needs due to metabolic changes.

Intermittent Enteral Feeding Safety

Maintaining a semi-Fowler's position during and after feedings minimizes the risk of aspiration.

Diabetic Ketoacidosis Symptoms

Increased urination is a key sign; other symptoms may include fruity breath and Kussmaul respirations.

Managing Nausea During Pregnancy

Eating dry cereal upon waking can help mitigate nausea; avoid liquids during meals.

Nutritional Needs During Pregnancy

Daily iron supplementation of 30 mg is recommended to prevent iron-deficiency anemia.

Breastfeeding Guidance

Breast milk provides complete nutrition for infants up to 6 months; solid foods introduced afterward.

Weight Management in Clients

A 24-hour dietary recall is an essential first step to assess eating habits and recommend changes.

Calcium Intake in Kidney Disease

Low-fat yogurt contains the highest calcium; clients should be educated on which foods to limit.

Postoperative Colostomy Care

Increase intake of pectin-containing foods to assist with stool consistency.

MAOI Dietary Restrictions

Avoid cheddar cheese and other high-tyramine foods to prevent hypertensive crises.

Mucositis Care Post-Radiation

Increased fluid intake (2 L/day) is vital for hydration and digestive health.

Micronutrients for Night Vision

Vitamin A is crucial for improving night vision; recommend foods rich in this micronutrient.

Total Enteral Fluid Calculation

Total enteral fluid for an 8-hour shift consists of continuous tube feeding (480 mL) plus additional water (100 mL), equaling 580 mL.

Risk Factors for Malnutrition

Age, weight loss over 10%, low albumin levels, and a history of dementia increase malnutrition risk.

Dietary Instructions for Kidney Stones

Recommendations include increasing fluid intake, eating 5 servings of fruits and vegetables, and avoiding sugar-sweetened beverages.

Pediatric Dietary Recommendations

Recommended foods include plain steamed brown rice and scrambled eggs; avoid gluten-containing items for toddlers.

Nursing Interventions for Medical-Surgical Clients

Prioritize pain management, monitor pancreatic enzymes, and administer antibiotics to avoid complications and ensure comfort.

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Description

This quiz focuses on the assessment findings related to dumping syndrome, hypoglycemia, and refeeding syndrome. Participants will identify symptoms such as diarrhea, muscle weakness, and nausea. Enhance your understanding of nutritional care and patient assessment with this essential practice.