a nurse is caring for a pregnant client whose weight was normal prior to pregnancy the client asks how much weight they should gain during pregnancy

ATI RN

Nutrition ATI Test

1. A client who was normal weight before pregnancy asks about the recommended weight gain during pregnancy. What should the nurse advise?

A. 18-40 pounds
B. 25-35 pounds
C. 11-20 pounds
D. 15-25 pounds

Correct answer: B

Rationale: The correct answer is B: 25-35 pounds. According to standard prenatal guidelines, a client with a normal pre-pregnancy weight is recommended to gain between 25-35 pounds during pregnancy. This weight gain is important for the overall health of the mother and the developing baby. Choices A, C, and D are incorrect because they do not fall within the recommended weight gain range for a client with a normal pre-pregnancy weight.

2. Which foods should be avoided on a low-potassium diet? (SATA)

A. Bananas
B. A, C
C. Sweet potatoes
D. Frozen corn

Correct answer: B

Rationale: Bananas, sweet potatoes, and orange juice are high in potassium.

3. What would a diet manual most likely contain?

A. Procedures for disinfecting cooking surfaces
B. Staff sanitation guidelines
C. Information on specific patients' resting metabolic rates
D. Specific food preparation methods

Correct answer: D

Rationale: A diet manual typically contains guidance on specific food preparation methods to ensure proper nutrition and health for individuals following the diet. Therefore, choice D is correct. Choices A and B refer to sanitation procedures and staff hygiene issues, which are important but not typically the focus of a diet manual. Choice C, regarding specific patients' resting metabolic rates, is too individualized and detailed for a general diet manual, as it would be part of a personalized dietary plan developed with a healthcare professional.

4. During blood administration, what is essential for the nurse to do in order to carefully monitor for adverse reactions?

A. Stay with the client for the first 15 minutes of blood administration
B. Stay with the client for the entire period of blood administration
C. Run the infusion at a faster rate during the first 15 minutes
D. Inform the client to notify the staff immediately for any adverse reaction

Correct answer: A

Rationale: In the context of blood administration, it's crucial for the nurse to stay with the client for the first 15 minutes. This is because most adverse reactions are likely to occur within this initial period. Monitoring the client closely during this time allows for immediate detection and response to any potential reactions. Choice B, staying with the client for the entire period of blood administration, is not typically feasible or necessary, although regular checks should be conducted. Running the infusion at a faster rate during the first 15 minutes (Choice C) is incorrect as this can actually increase the risk of adverse reactions. Informing the client to notify the staff immediately for any adverse reaction (Choice D) is an important practice, but it is not the most direct way for the nurse to monitor for adverse reactions.