RN NUTRITION Online Practice 2019 A (Retake) ATI 60 Questions with Correct Answers + rationale
A nurse is providing discharge teaching to a postpartum
... [Show More] client about breast milk use and storage. Which of the following statements should the nurse make?
A. "Refrigerate unused breast milk immediately after bottle feeding."
B. "You cannot place thawed breast milk back in the freezer."
C. "You can store expressed breast milk in the freezer for up to 18 months."
D. "Defrost frozen breast milk on the lowest defrost setting in the microwave." {{Correct Ans:- B. "You cannot place thawed breast milk back in the freezer."
The nurse should instruct the client that completely thawed breast milk can be stored in the refrigerator but must be used within 24 hr. Breast milk that has been previously frozen should not be refrozen once it has thawed completely. Thawing creates a possibility for bacterial growth and causes a decrease in antibacterial activity, which destroys antibodies in the milk.
A nurse is caring for a client who is receiving continuous enteral tube feedings. Which of the following actions should the nurse take to prevent aspiration?
A. Monitor gastric residual every 4 hr
B. Maintain elevation of the head of the bed at 15"
C. Confirm proper tube placement by radiograph every 24 hr
D. Flush tubing with 30 ml of water before and after medications {{Correct Ans:- A. Monitor gastric residuals every 4 hr
The nurse can identify delayed gastric emptying by monitoring gastric residuals regularly. Delayed gastric emptying places the client at risk for aspiration and can necessitate a decrease in the feeding rate.
A nurse is assessing a client for dysphagia following a stroke. The nurse should identify which of the following findings as a manifestation of dysphagia?
A. The client reports abdominal pain after eating
B. The client has an increase in bowel sounds after eating
C. The client has an increased interest in eating
D. The client's voices changes after eating {{Correct Ans:- D. The client's voice changes after eating
The nurse should identify that hoarseness or change in voice after eating is a manifestation of dysphagia because partially swallowed food can alter the client's voice.
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 of simple sugars to sweeten foods
B. Remain upright for 1 hr following meals
C. Limit eating to three large meals per day
D. Select grain with less than 2 g fiber per serving {{Correct Ans:- D. Select grains with less than 2 g fiber per serving
Clients at risk for dumping syndrome better tolerate low-fiber grains that contain less than 2 g fiber per serving to slow gastric emptying. [Show Less]