ATI RN
ATI Nutrition
1. A client with nephropathy secondary to diabetes mellitus is receiving dietary teaching from a nurse and plans to make dietary adjustments. Which of the following instructions should the nurse include?
- A. Consume less than 45% of total calories from carbohydrates per day.
- B. Eat no more than 300 mg of cholesterol per day.
- C. Consume less than 0.8 g/kg of body weight of protein per day.
- D. Eat at least 45 g of fiber per day.
Correct answer: D
Rationale: For a client with nephropathy secondary to diabetes mellitus, increasing fiber intake is essential as it can help manage blood sugar levels and improve overall bowel health. Choice A is incorrect because carbohydrates should be controlled but not limited to less than 45% of total calories. Choice B is incorrect as the recommended daily cholesterol intake for individuals with diabetes is less than 200 mg. Choice C is incorrect as protein intake should be individualized based on the client's condition and should not be limited to less than 0.8 g/kg of body weight per day.
2. Which of the following nutrients deficiency may lead to a diabetes-like condition?
- A. chromium
- B. iron
- C. molybdenum
- D. selenium
Correct answer: A
Rationale: Chromium is essential for proper glucose metabolism. A deficiency in chromium can result in insulin resistance, which shares similarities with diabetes. Iron, molybdenum, and selenium deficiencies do not directly lead to a diabetes-like condition. Iron deficiency causes anemia, molybdenum deficiency is rare and can lead to specific metabolic issues, and selenium deficiency may result in thyroid problems but not a diabetes-like condition.
3. The community/Public Health Bag is:
- A. a requirement for home visits
- B. an essential and indispensable equipment of the community health nurse
- C. contains basic medications and articles used by the community health nurse
- D. a tool used by the Community health nurse is rendering effective nursing procedures during a home visit
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. Nurse Minette needs to schedule a first home visit to OB client Leah. When is a first home-care visit typically made?
- A. Within 4 days after discharge
- B. Within 24 hours after discharge
- C. Within 1 hour after discharge
- D. Within 1 week of discharge
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
5. A nurse is teaching a client about iron-rich foods. Which food is the best source of heme iron?
- A. Spinach
- B. Lentils
- C. Beef liver
- D. Tofu
Correct answer: C
Rationale: Heme iron, found in animal products like beef liver, is more easily absorbed than non-heme iron from plant sources.
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