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ATI Virtual Fundamentals alternate item format quiz.
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ATI Virtual Fundamentals alternate itemformat quiz
A nurse is caring for a client with Crohn's Disease. Which of the following foods can be
included in this client's diet? Select all that apply.
a. Pasta
b. Eggs
c. Raisins
d. Fresh celery
e. Wild rice - ANS-Eggs, Pasta
Low-fiber, low-residue diets are recommended for clients with Crohn's Disease.
Foods that are appropriate for clients with Crohn's
Disease include: Tender, ground, well-cooked meat, eggs, fish, poultry, refined pasta
and cereal, white rice and bread, canned or cooked vegetables without skin or seeds
and juices without pulp.
A nurse is caring for a client in Buck's Traction. Which of the following nursing
interventions would ensure effective therapy? Select all that apply.
a. Support the leg in adduction.
b. Prevent wrinkling of the traction bandage.
c. Maintain countertraction with weights.
d. Ensure that all weights are free hanging.
e. Assist the client to roll from side to side. - ANS-Ensure that all weights are free
hanging., Prevent wrinkling of the traction bandage.
A nurse is caring for a client who is one month post bariatric surgery and has been
diagnosed with dumping syndrome. Which of the following recommendations is
appropriate? Select all that apply.
a. Sit up for at least an hour after each meal.
b. Reduce the amount of protein and fat in the diet.
c. Eliminate liquids with meals, and for one hour before and after meals.
d. Avoid consuming milk, sweets, and sugars.
, e. Eat small, frequent meals during the day. - ANS-Avoid consuming milk, sweets, and
sugars., Eat small, frequent meals during the day., Eliminate liquids with meals, and for
one hour before and after meals.
Dumping syndrome frequently occurs after bariatric surgery and symptoms can include
vertigo, syncope, pallor, diaphoresis, tachycardia, and palpitations. Therapy includes:
small, frequent meals rather than large ones; avoidance of milk, sweets, and sugars;
elimination of liquids with meals and for one hour before and after meals; reduction in
the amount of fluid ingested at one time, eating a high-protein, high-fat, and low-to-
moderate carbohydrate diet; and lying down after meals to slow transit time of food in
the intestines.
A nurse is caring for a client hospitalized with Guillain-Barré Syndrome who has been in
the intensive care unit on a ventilator for four days. Which of the following would be
most appropriate in assessing for complications of immobility? Select all that apply.
a. Assess the character of bowel sounds and frequency of stools.
b. Observe skin color over sacral, heels, and scapulae areas.
c. Assess rate and depth of respiratory effort.
d. Assessing the client's ability to move lower extremities.
e. Performing range of motion on the client's ankles, knees, and hips. - ANS-The correct
answer is: Performing range of motion on the client's ankles, knees, and hips., Assess
the character of bowel sounds and frequency of stools., Observe skin color over sacral,
heels, and scapulae areas.
Potential complications of immobility could include the following: loss of joint motion and
contractures, decreased gastrointestinal motility and constipation, deep vein thrombosis
with erythema and swelling of the calf areas, and skin breakdown with early evidence of
pallor, erythema, blistering over bony prominences.
An 87-year-old client has been admitted repeatedly to the acute care setting for
pneumonia. The client's family asks what measures can help prevent recurrent
respiratory issues. Which of the following measures should the nurse discuss to prevent
respiratory issues? Select all that apply.
a. Use a humidifier to moisten the air in the client's room, when needed.
b. Administer a prior dosage of antibiotics when the client has a cough.
c. Ambulate the client regularly, daily.
d. Encourage a diet high in protein.
e. Reassure the client during respiratory distress. - ANS-Ambulate the client regularly,
daily., Use a humidifier to moisten the air in the client's room, when needed., Reassure
the client during respiratory distress.
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