ATI RN
ATI Nutrition
1. A client is being prepared for placement of a catheter for total parenteral nutrition. Which of the following access sites should be planned for catheter insertion?
- A. Left antecubital vein
- B. Right subclavian vein
- C. Right femoral artery
- D. Left arm radial artery
Correct answer: B
Rationale: The correct answer is the Right subclavian vein. When preparing a client for placement of a catheter for total parenteral nutrition, the preferred access site for catheter insertion is the subclavian vein due to its large size, central location, and lower risk of infection compared to peripheral veins. The other options provided (Left antecubital vein, Right femoral artery, and Left arm radial artery) are not suitable access sites for central venous catheter insertion for total parenteral nutrition.
2. A nurse is teaching a client who needs to increase their daily fluid intake. Which of the following foods has the highest percentage of water by weight?
- A. Yogurt
- B. Milk
- C. Lettuce
- D. Honey
Correct answer: C
Rationale: The correct answer is Lettuce. Lettuce has the highest percentage of water by weight among the options provided, making it an excellent choice to increase fluid intake. Yogurt and milk have some water content but are not as high in water percentage as lettuce. Honey, on the other hand, contains very little water and is not a good choice for increasing fluid intake.
3. A client with gastroesophageal reflux disease is being taught by a nurse about managing the illness. Which of the following recommendations should the nurse include in the teaching?
- A. Limit fluid intake not related to meals.
- B. Chew on mint leaves to relieve indigestion.
- C. Avoid eating within 3 hours of bedtime.
- D. Season foods with black pepper.
Correct answer: C
Rationale: The correct recommendation for managing gastroesophageal reflux disease is to avoid eating within 3 hours of bedtime. This helps prevent acid reflux by allowing food to digest before lying down. Choices A, B, and D are incorrect. Limiting fluid intake not related to meals is not a standard recommendation for managing GERD. Chewing on mint leaves may worsen symptoms as mint can relax the lower esophageal sphincter, allowing stomach acid to flow back up. Seasoning foods with black pepper does not specifically help manage GERD.
4. A nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select one that does not apply.)
- A. Top yogurt with fruits.
- B. Add cream to soups.
- C. Use milk instead of water in recipes.
- D. Increase fluids during meals.
Correct answer: D
Rationale: The correct recommendation to increase calorie and protein intake for a client taking chemotherapy and losing weight is to add cream to soups (choice B), as it provides additional calories and proteins. Using milk instead of water in recipes (choice C) can also increase the calorie and protein content. Topping yogurt with fruits (choice A) can be a healthy choice but may not significantly increase calorie and protein intake. Increasing fluids during meals (choice D) may fill up the stomach, potentially reducing the intake of solid foods, which is not ideal when trying to increase calorie and protein consumption.
5. A healthcare provider is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the provider include in the teaching?
- A. Protein
- B. Calcium
- C. Vitamin B1
- D. Vitamin D
Correct answer: A
Rationale: Protein is crucial for wound healing as it plays a vital role in tissue repair and synthesis. Calcium is important for bone health but not directly related to wound healing. Vitamin B1 is essential for energy production but not specifically significant for wound healing. Vitamin D is essential for bone health and immune function but is not a primary nutrient emphasized for wound healing.
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