ATI Nutrition Exam #1 A+ GRADE 2024

1. How often should the nurse burp a bottle-fed infant who has a cleft lip during feeding? after each ounce or at least 2 to 3 times during the feeding 2. What type of bottle should the nurse use to bottle feed an infant who has a cleft lip? The nurse should use a bottle with a bottle with a one-way valve to assist the infant in effective feeding, because this allows the liquid to flow into the infant's mouth rather than back into the bottle. Providing an effective flow of formula reduces the risk of aspiration. 3. What type of nipple should the nurse use for a bottle fed infant with a cleft lip? The nurse should place a high-flow rate nipple on the bottle because the infant can have difficulty achieving a good seal, which decreases suction and increases the risk of aspiration. 4. Why should the nurse squeeze an infant's cheeks together while bottle feeding an infant with a cleft lip? The nurse should identify that an infant who has a cleft lip will have difficulty in obtaining an adequate seal during feeding. The nurse should gently squeeze the infant's cheeks together to decrease the width of the cleft, allowing the infant to achieve a better seal, which reduces the risk of aspiration. 5. When preparing a health promotion seminar for a group of clients about cancer prevention, why should the nurse include that high-calorie foods and beverages should be avoided? The nurse should include in the teaching that clients should avoid consuming high-calorie foods and beverages to decrease the risk for cancer. Being overweight or obese can increase hormones that promote cancer cell development and growth. 6. When preparing a health promotion seminar for a group of clients about cancer prevention, how much moderate-intensity exercise should the clients engage in each week? The nurse should include in the teaching that clients should engage in at least 150 min of moderate-intensity exercise each week to decrease the risk of obesity. Being overweight or obese can increase hormones that can promote cancer cell development and growth. 7. A nurse is teaching a client about stress management. Explain why the following statement indicates a need for further teaching: "I will avoid eating 1 hour before bedtime." The client should avoid eating 2 to 3 hr before bedtime to promote sleep and reduce stress. 8. A nurse is providing dietary instructions for a client who has a prescription for warfarin. Which food should the nurse recommend the client eat in moderation while taking this medication? The nurse should recommend the client eat in moderation and maintain consistent intake of leafy green vegetables, which contain a natural form of vitamin K that can negate the anticoagulation effects of warfarin. 9. A nurse in a long-term care facility is monitoring a client during mealtime who has Parkinson's disease. Why is it imperative she address that the client drools while eating? Drooling while eating can indicate that this client is at greatest risk for aspiration of food from dysphagia, which can lead to pulmonary complications; therefore, the nurse should identify this as the priority finding. 10. How does dehydration affect Hct levels? elevates Hct 11. How does dehydration affect potassium levels? Hypokalemia can occur with gastrointestinal losses, leading to dehydration. 12. How does dehydration affect BUN? A client who is experiencing dehydration will have an increased BUN due to decreased urine output. 13. What is the normal BUN range? 10 – 20 14. What is a potential complication of radiation enteritis (an effect of radiation to the abdomen and pelvis) related to nutrition? malabsorption of nutrients 15. What is a potential complication of a head and neck resection and radiation therapy related to nutrition? changes in saliva production 16. Patients who are postop following a gastric bypass procedure should be instructed to eat meals and snacks of a limited portion size each day. **NOT 6 SMALL MEALS PER DAY 3 meals, 2 snacks 17. A nurse is providing dietary teaching to a client who is postop following a gastric bypass procedure. What instruction should the nurse include regarding what to eat at the beginning of a meal? 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. 18. A nurse is providing dietary teaching to a client who is postop following a gastric bypass procedure. What instruction should the nurse include regarding how long it should take to eat a meal? 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. 19. A nurse is providing dietary teaching for a client who has osteoporosis. Why would she recommend almonds? high in calcium 20. The provider should be notified if a patient on parenteral nutrition (PN) has what type of allergy? Eggs -- Lipid emulsions are isotonic and are composed of soybean or safflower plus soybean oil, with egg phospholipid used as an emulsifier. Clients who are allergic to eggs can have a reaction to the emulsifier. Therefore, the nurse should report this finding to the provider. 21. Patients with fluid volume excess have pulses. Bounding 22. Patients with dehydration have pulses. weak, thready 23. How does fluid volume excess affect Hct levels? decrease Hct levels 24. What common food has an extremely high glycemic index? baked potato 25. Why shouldn't patients lose weight during pregnancy? Losing too much weight during pregnancy could potentially have negative effects on the fetus, such as low birth weight and vitamin deficiencies. 26. Pinto beans are a great source of . Zinc 27. Why should patients with dumping syndrome consume liquids between meals? to slow movement of food from the stomach 28. What types of carbs should patients with dumping syndrome eat? complex carbohydrates are better tolerated than simple carbohydrates 29. A client is experiencing anorexia related to cancer treatment. Why shouldn't the nurse recommend cooking aromatic foods? Cancer treatments can cause an increased sensitivity to odors, precipitating nausea and increasing anorexia. Cooking aromatic foods will not stimulate their appetite. 30. A client is experiencing anorexia related to cancer treatment. How often should they eat? small, frequent meals q2h