ATI Nutrition Practice 2019 Exam A V2| Questions and Verified Answers| 100% Correct (60 Q&A)
QUESTION
A nurse is assessing a client who has diabetes
... [Show More] mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
A. Diaphoresis
B. Bradycardia
C. Abdominal cramps
D. Acetone breath
Answer:
A. Diaphoresis
Explanation:
A. The nurse should identify that diaphoresis, irritability, and tremors are manifestations of hypoglycemia.
B. The nurse should identify that tachycardia as well as hunger are manifestations of hypoglycemia.
C. The nurse should identify that abdominal cramps as well as nausea and vomiting are manifestations of hyperglycemia.
D. The nurse should identify that breath with a fruity odor, also known as acetone breath, as well as rapid shallow breathing are manifestations of hyperglycemia.
QUESTION
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?
A. Use simple sugars to sweeten foods.
B. Remain upright for 1 hr following meals.
C. Limit eating to three large meals per day.
D. Select grains with less than 2 g fiber per serving.
Answer:
D. Select grains with less than 2 g fiber per serving.
Explanation:
A. The nurse should instruct the client to avoid simple sugars and sugar alcohols, which make food mass more hypertonic, causing a greater fluid volume shift and triggering dumping syndrome.
B. The nurse should instruct the client to lie down after eating to slow the movement of food through the gastrointestinal system.
C. The nurse should instruct the client to eat small, frequent meals to slow gastric emptying.
D. Clients at risk for dumping syndrome better tolerate low-fiber grains that contain less than 2 g fiber per serving to slow gastric emptying.
QUESTION
A nurse is providing dietary teaching to a client who is postoperative following a gastric bypass procedure. Which of the following instructions should the nurse include?
A. Eat six small meals per day.
B. Begin each meal with a protein.
C. Finish each meal even if feeling full.
D. Plan to eat each meal over 15 min.
Answer:
B. Begin each meal with a protein.
Explanation:
A. The nurse should instruct the client to eat three meals and two snacks of a limited portion size each day.
B. The nurse should instruct the client to begin each meal by eating a protein. The client should consume 60 to 120 g of protein each day.
C. The nurse should instruct the client to eat slowly and to stop eating after beginning to feel full.
D. The nurse should instruct the client to eat slowly, take time to chew food well, and plan for meals to last between 30 and 60 min.
QUESTION
A nurse is evaluating a client who is receiving a continuous enteral feeding and has diarrhea. Which of the following actions should the nurse take to reduce the client's diarrhea?
A. Flush the client's feeding tube.
B. Administer promethazine to the client.
C. Decrease the rate of the feeding.
D. Check the client's gastric residual.
Answer:
C. Decrease the rate of the feeding.
Explanation:
A. The nurse should flush the client's feeding tube before and after giving medications or if the tube is clogged. However, flushing the tube will not reduce the client's diarrhea.
B. Promethazine (Phenergan) is administered for the treatment and prevention of nausea and vomiting, rather than diarrhea.
C. To prevent diarrhea, the nurse should decrease the rate of the tube feeding, which allows for better absorption of the enteral formula.
D. The nurse should check the client's gastric residual routinely to reduce the risk for aspiration and monitor the absorption of the feeding. However, this action will not reduce the client's diarrhea.
QUESTION
A nurse is assessing a client who has an elevated blood pressure, headache, and is sweating. The client recently started taking MAOI. The nurse should question the client regarding the consumption of which of the following foods?
A. Grapefruit juice
B. Whole milk
C. Whole grain bread
D. Cheddar cheese
Answer:
D. Cheddar cheese
Explanation:
A. Grapefruit juice contains little or no tyramine; therefore, consumption is not restricted for clients who are taking MAOIs.
B. Whole milk contains little or no tyramine; therefore, consumption is not restricted for clients who are taking MAOIs.
C. Whole grain bread contains little or no tyramine; therefore, consumption is not restricted for clients who are taking MAOIs.
D. Clients who take MAOIs should avoid the consumption of most types of cheese and other foods that contain high levels of tyramine, which can lead to hypertensive crisis.
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