a nurse is planning care for a toddler who has burns over 50 total body surface area which of the following actions should the nurse include in the pl
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is planning care for a toddler who has burns over 50% total body surface area. Which of the following actions should the nurse include in the plan of care?

Correct answer: A

Rationale: Administering enteral feedings ensures adequate nutrition and supports healing in toddlers with extensive burns.

2. A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?

Correct answer: C

Rationale: Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence.

3. A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess be?

Correct answer: C

Rationale: Cramping is a common clinical manifestation of lactose intolerance due to the inability to digest lactose properly.

4. A nurse is providing teaching about formula feeding to the parents of an infant. Which of the following instructions should the nurse include?

Correct answer: D

Rationale: If the infant turns away after taking most of the feeding, it indicates they are full, and continuing to feed may lead to overfeeding.

5. A nurse is planning care for a client who reports following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?

Correct answer: B

Rationale: Seventh-Day Adventists typically avoid stimulants like caffeine, so requesting that coffee is removed from meal trays is appropriate.

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