ATI RN
ATI Nutrition
1. A client is being taught how to follow a low-purine diet for gout management. Which statement indicates the client understands the teaching?
- A. "I will need to limit the number of fruit servings each day."?
- B. "I should avoid eating liver and other organ meats."?
- C. "I can drink only white wine."?
- D. "I should choose red meat instead of poultry."?
Correct answer: B
Rationale: The correct answer is B. Organ meats like liver are high in purines, which can exacerbate gout symptoms. Choosing to avoid such foods is essential in following a low-purine diet. Option A is incorrect because fruits are generally low in purines and are not usually restricted in a low-purine diet. Option C is incorrect as white wine, just like other types of alcohol, should be consumed in moderation or avoided due to its purine content. Option D is incorrect because red meat, including beef and lamb, is high in purines and should be limited in a low-purine diet.
2. A nurse is providing teaching to a group of older adults about oil-rich foods. Which of the following foods should be included as the equivalent of 6 tsp of oil?
- A. 1 tbsp soft margarine
- B. 1?2 oz of nuts
- C. 2 tbsp peanut butter
- D. 1 oz sunflower seeds
Correct answer: C
Rationale: The correct answer is 2 tbsp peanut butter. 6 teaspoons of oil are equivalent to 2 tablespoons of oil. Peanut butter is a good source of oil and healthy fats. Choice A, 1 tbsp soft margarine, is incorrect because 1 tablespoon is not equivalent to 6 teaspoons. Choice B, 1?2 oz of nuts, is incorrect as nuts are not equivalent to oil-rich foods in this context. Choice D, 1 oz sunflower seeds, is incorrect because 1 ounce of sunflower seeds is not equivalent to 6 teaspoons of oil.
3. A client is being educated by a nurse on snacks suitable for a low-fat, low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the need for further teaching?
- A. A slice of cheese
- B. A jam sandwich
- C. A cup of plain popcorn
- D. A small container of applesauce
Correct answer: A
Rationale: The correct answer is A: A slice of cheese. Cheese is high in fat, sodium, and cholesterol, making it unsuitable for a low-fat, low-sodium, and low-cholesterol diet. Choices B, C, and D are more appropriate for such a diet. B: A jam sandwich can be low in fat, sodium, and cholesterol if made with whole grain bread and a low-sugar jam. C: A cup of plain popcorn is a good choice as it is low in fat and can be made without added salt. D: A small container of applesauce is also a suitable option for a low-fat, low-sodium, and low-cholesterol diet.
4. A healthcare professional is preparing an education program for a group of parents of adolescents. Which of the following should be included as indicators of nutritional risk among adolescents? (Select one that does not apply.)
- A. Skipping more than three meals per week
- B. Eating fast food once weekly
- C. Eating without family supervision frequently
- D. Frequently skipping breakfast
Correct answer: B
Rationale: Among the indicators of nutritional risk among adolescents, skipping meals, eating without family supervision, and frequently skipping breakfast are commonly associated with poor nutrition. However, eating fast food once weekly may not necessarily indicate a significant nutritional risk, as occasional consumption of fast food in moderation is not uncommon among adolescents. This choice is the correct answer because it does not strongly correlate with nutritional risk compared to the other options provided.
5. A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?
- A. Albumin
- B. Calcium
- C. Sodium
- D. Potassium
Correct answer: A
Rationale: The correct answer is Albumin. Albumin is a protein made by the liver and is a key indicator of the body's protein status. Low levels of albumin can indicate inadequate protein intake or synthesis. Choices B, C, and D (Calcium, Sodium, and Potassium) are not direct indicators of protein uptake and synthesis. Calcium is related to bone health, Sodium to fluid balance, and Potassium to nerve and muscle function.
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