a patient with diabetes should be advised to avoid which type of carbohydrate
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Nursing Elites

ATI RN

ATI RN Custom Exams Set 3

1. A patient with diabetes should be advised to avoid which type of carbohydrate?

Correct answer: A

Rationale: A patient with diabetes should be advised to avoid simple carbohydrates. Simple carbohydrates can cause rapid spikes in blood glucose levels due to their quick absorption, which can be challenging to manage for individuals with diabetes. Complex carbohydrates and fiber-rich carbohydrates are generally better choices for individuals with diabetes as they are absorbed more slowly, leading to more stable blood glucose levels. Avoiding all carbohydrates is not necessary or recommended, as carbohydrates are an essential source of energy and nutrients in a balanced diet.

2. The client is complaining of painful swallowing secondary to mouth ulcers. Which statement by the client indicates appropriate management?

Correct answer: D

Rationale: The correct answer is D. Avoiding irritants like spicy foods, tobacco, and alcohol is crucial in managing mouth ulcers as they can further irritate and worsen the condition. Choice A is incorrect as using a soft-bristle toothbrush may still cause discomfort. Choice B is incorrect as alcohol-containing mouthwashes can be irritating. Choice C is incorrect as swallowing antifungal solution meant for topical use is not appropriate and can be harmful.

3. The nurse instructs a client 5 days after a lumbar laminectomy with spinal fusion about how to move from a supine position to standing at the left side of the bed with a walker. Which of the following directions by the nurse is BEST?

Correct answer: C

Rationale: The correct method described in option C helps maintain spinal alignment while moving from a lying to a standing position, which is crucial after a lumbar laminectomy with spinal fusion. This technique minimizes strain on the back and promotes safe movement. Choices A, B, and D involve movements that could potentially strain the back, increase the risk of injury, or compromise the spinal alignment, making them less optimal for the client recovering from such surgery.

4. The nurse is caring for a client whose religious background is Seventh Day Adventist (Church of GOD). Which nursing action(s) are most appropriate in terms of providing for the dietary needs of this client? Select all that apply.

Correct answer: B

Rationale: The correct answer is B. Seventh Day Adventists typically avoid caffeine and pork due to religious dietary restrictions. Providing snacks between meals (choice A) is not specifically related to the dietary needs of this client. While removing coffee from the breakfast tray (choice C) aligns with the client's dietary restrictions, ensuring no pork on the dinner tray (choice D) is redundant as it is already covered in the correct answer. Therefore, choices C and D are not necessary to include as separate options.

5. Which of the following is a nonmedical member of a unit who receives additional training in providing care beyond basic first aid procedures?

Correct answer: D

Rationale: The correct answer is D, 'Combat lifesaver.' A Combat Lifesaver is a nonmedical member of a unit who is trained in advanced first aid procedures, providing care beyond basic first aid. Choice A, 'Area support squad leader,' does not specifically refer to someone trained in providing advanced care. Choice B, 'ATLS specialist,' refers to someone trained in Advanced Trauma Life Support (ATLS), which is beyond the scope of the question. Choice C, 'Tactical lifesaver,' is not a recognized term for the role described in the question.

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