a nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer which of the f

ATI RN

ATI Nutrition

1. A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

A. Bottled water is an appropriate choice to increase fluid intake.
B. The salad bar is a healthy choice when dining out.
C. Soft-boiled eggs are an appropriate source of protein.
D. Eating at a buffet is a good choice to increase caloric intake.

Correct answer: A

Rationale: In neutropenia, which is a low count of neutrophils, the client is at a high risk of infection. It is crucial to emphasize the importance of proper hydration to maintain overall health. Bottled water is a safe choice as it reduces the risk of exposure to contaminants that could further compromise the client's immune system. The other options, like the salad bar, soft-boiled eggs, and eating at a buffet, may not be suitable for a client with neutropenia due to the risk of bacterial contamination or exposure to pathogens that could lead to infections, which should be avoided.

2. Which is NOT a characteristic or function of lipids?

A. Involved in energy metabolism and storage
B. Provide insulation and protection
C. Act as hormones that regulate the body
D. Are hydrophilic

Correct answer: D

Rationale: Lipids are known for several functions including involvement in energy metabolism and storage (Choice A), providing insulation and protection (Choice B), and acting as hormones that regulate the body (Choice C). However, lipids are not hydrophilic (water-attracting), contrary to choice D. They are actually hydrophobic, meaning they repel water and do not mix well with it. This is a key property that differentiates them from many other biological molecules.

3. Each statement is true of proteins, except one. Which is the exception?

A. Proteins are composed of building blocks called amino acids
B. The classification of the 20 common amino acids is based on the properties of their side chains
C. The general structure of an amino acid varies considerably
D. Amino acids polymerize to form long chains called polypeptides

Correct answer: B

Rationale: The correct answer is B. The classification of the 20 common amino acids is not based on the properties of their side chains, but rather on the structure of their amino and carboxyl groups. These groups are consistent among all amino acids, while the side chains, also known as R groups, are what vary and give each amino acid its unique properties. Choice A is correct because proteins are indeed composed of amino acids. Choice C is incorrect because while the side chains of amino acids can vary, the general structure of an amino acid - a central carbon atom bonded to an amino group, a carboxyl group, a hydrogen atom, and a side chain - is consistent. Choice D is correct because amino acids do polymerize to form long chains called polypeptides, which can then fold into complex shapes to form proteins.

4. Each of the following accurately describes features of MyPlate except one. Which one is the exception?

A. MyPlate replaces the well-known food guide, MyPyramid.
B. The interactive website is intended to help consumers apply personalized dietary guidance.
C. Whereas MyPyramid was more specific in many areas, MyPlate provides more general information.
D. Foods providing similar types of nutrients are grouped together and emphasize proportionality of food selections.

Correct answer: C

Rationale: The correct answer is C because MyPlate actually provides more specific guidance compared to MyPyramid. MyPlate was designed to simplify the dietary recommendations for consumers by focusing on a visual representation of a plate divided into food groups, making it easier to understand and apply. Choices A, B, and D accurately describe features of MyPlate: replacing MyPyramid, providing personalized dietary guidance through an interactive website, and grouping foods with similar nutrients while emphasizing proportionality of food selections.

5. A patient with renal insufficiency should limit the intake of which of the following nutrients?

A. Phosphorus
B. Potassium
C. Sodium
D. Calcium

Correct answer: A

Rationale: In patients with renal insufficiency, impaired kidney function can lead to difficulty in excreting phosphorus. High phosphorus levels can result in further complications such as bone and heart problems. Therefore, limiting the intake of phosphorus is crucial. Potassium and sodium restrictions may also be necessary in renal insufficiency, but the primary concern related to nutrients is phosphorus in this scenario. Calcium, while important for bone health, does not typically need to be restricted in renal insufficiency unless there is a specific medical reason to do so.