ATI RN Nutrition
ATI RN Nutrition Remediation
• Aging Process
o Cardiovascular and Hematologic Disorders: Dietary Management for an Older Adult
... [Show More] Client Who Has Heart Failure (Ch. 12)
Consuming allow-fat diet, low-cholesterol diet can reduce the risk of developing CHD.
Encourage the client to exercise.
Instruct the client to stop all use of tobacco products.
• Health Promotion/Disease Prevention
o Guidelines for Healthy Eating: Evaluating Client Understanding of Nutrient-Dense Food (Ch. 4)
Salmon is the number one seafood that is considered the most nutrient-dense food.
Kale is the number one leafy vegetable that is considered to be the most nutrient-dense food.
Potato, garlic, seaweed are all great nutrient-dense food that contains lots of vitamins and nutrients.
o Sources of Nutrition: Evaluating Client Understanding of a Low-Saturated Fat Diet (Ch. 1)
A low-saturated fat diet can help prevent cardiovascular disease, hypertension, and diabetes mellitus.
Children under two years of age needs a higher amount of fat to form brain tissue.
A diet that is less than 10% of fat cannot supply adequate amounts of essential fatty acids and results in a cachectic (wasting) state.
• Cultural Awareness/Cultural Influences on Health
o Cultural, Ethnic, and Religious Influences: Food Selection for a Client Who Follows Orthodox Judaism Dietary Laws (Ch. 6)
Cannot have meat or diary products touch.
There is a prescriptive guideline for animal slaughter.
Kosher is divided into three categories: meat, dairy, and pareve.
o Cultural, Ethnic, and Religious Influences: Planning Care for a Client Who Follows Seventh-Day Adventist Dietary Laws (Ch. 6)
This religion are vegetarians.
Cannot have certain food or beverages that contain animal products or is considered to be “unclean” in the Bible.
Some eat meat that they considered to be “clean.”
• Nutrition and Oral Hydration
o Cancer and Immunosuppression Disorders: Managing Nausea Following Chemotherapy (Ch. 16)
Eat cold or room-temperature foods.
Try high-carbohydrate, low-fat foods.
Avoid fried foods.
o Cancer and Immunosuppression Disorders: Strategies to Increase a Client's Protein Intake (Ch. 16)
Eat more on days feeling better.
Encourage nutritional supplements that are high in protein.
Substitute whole milk for water, add milk, cheese, yogurt, or ice cream to dishes.
o Gastrointestinal Disorders: Instructions for Dumping Syndrome (Ch. 13)
Recommend small, frequent meals.
Consume liquids 1 hr before or after eating instead of during meals.
Instruct client to lie down for 20-30 mins after meals to delay gastric emptying.
o Gastrointestinal Disorders: Recommended Foods for Managing Diarrhea (Ch. 13)
Consume a high-fiber diet.
Liberal fluid intake to replace losses.
Broccoli and beans are some foods that are high in fiber.
o Modified Diets: Mechanically Altered Diet (Ch. 8)
Indications include: limited chewing ability, dysphagia, poorly fitted dentures, patients without teeth, surgery to the head, neck, or mouth, and strictures of the intestinal tract.
Excludes harder foods (dried fruits, most raw fruits and vegetables, foods containing seeds and nuts).
Butter, gravies, sugar, or honey may be added to increase calorie intake.
• Total Parenteral Nutrition (TPN)
o Total Parenteral Nutrition: Identifying Adverse Effects of Therapy (Ch. 10)
The patient can experience infection or sepsis through contamination of the catheter.
There can be metabolic complications such as hypo/hyperglycemia, dehydration, and etc.
Mechanical complications such as misplacement of the catheter, arterial puncture, and etc.
o Total Parenteral Nutrition: Planning Care for a Client Who Has a Prescription for Total Parenteral Nutrition (Ch. 10)
Ongoing assessments such as daily weights, VS, intake and output.
Monitor serum and urine glucose as prescribed.
Monitor the flow rate carefully.
• Laboratory Values
o Cardiovascular and Hematologic Disorders: Priority Cholesterol Levels to Report (Ch. 12)
Triglycerides that are greater than or equal to 150 mg/dL.
Low HDL for men less than or equal to 40 mg/dL and for women is less than or equal to 50 mg/dL.
Fasting blood glucose level greater than or equal to 100 mg/dL.
o Renal Disorders: Identifying Laboratory Values Requiring Further Assessment (Ch. 14)
Stage 1 to 4 are predialysis and can be characterized by increasing serum creatinine levels or a decreasing GFR.
Monitor vitamin D and calcium, and replace as needed.
Monitor potassium level and replace as needed.
Illness Management
o Cancer and Immunosuppression Disorders: Nutritional Teaching for a Client Who Has AIDS-Related Wasting Syndrome (Ch. 16)
Encourage the client to consume small, frequent meals that are composed of high-protein, high-calorie, nutrient-dense foods.
Liberal fluid intake to prevent dehydration.
Take multivitamin supplements. [Show Less]