a nurse is conducting nutritional counseling with a client who is in her second trimester of pregnancy the nurse should recommend the client increase

ATI RN

ATI Nutrition

1. A client who is in her second trimester of pregnancy should increase her caloric intake by how many calories during this trimester?

A. 110 cal/day
B. 225 cal/day
C. 340 cal/day
D. 450 cal/day

Correct answer: C

Rationale: During the second trimester of pregnancy, it is recommended that a client increases their caloric intake by around 340 calories per day to support the growing needs of both the mother and the developing fetus. This additional intake helps ensure the proper nutrition and energy levels required during this crucial stage of pregnancy. Option A (110 cal/day) is too low to meet the increased demands. Option B (225 cal/day) is also below the recommended amount. Option D (450 cal/day) is higher than necessary and could lead to excessive weight gain, which is not ideal during pregnancy.

2. When rickets occurs, how is the alveolar bone affected compared to other bones in the body?

A. Both statements are true.
B. Both statements are false.
C. The first statement is true; the second is false.
D. The first statement is false; the second is true.

Correct answer: A

Rationale: Both statements are true. When rickets occurs, the alveolar bone is affected similar to other bones in the body, with the trabeculae of the alveolar bone also weakening. In addition to damaged alveolar bone caused by vitamin D deficiency, dental changes include delayed dentition and small molars. The other choices are incorrect because both statements provided are accurate based on the effects of rickets on the alveolar bone.

3. What symptoms would most likely be associated with a transient ischemic attack?

A. confusion and difficulty speaking
B. headache and blurred vision
C. chest pain and pressure
D. claudication and peripheral edema

Correct answer: A

Rationale: The correct answer is A: confusion and difficulty speaking. These symptoms are commonly associated with a transient ischemic attack (TIA), which is a temporary blockage of blood flow to the brain. Choice B, headache and blurred vision, are more indicative of other conditions such as migraines or eye problems. Choice C, chest pain and pressure, are more characteristic of cardiac issues like a heart attack. Choice D, claudication and peripheral edema, are typical of peripheral arterial disease and not typically seen in TIAs.

4. The nurse understands that one of these factors contributes to constipation:

A. excessive exercise
B. high fiber diet
C. no regular time for defecation daily
D. prolonged use of laxatives

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.