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ATI Nutrition
1. A client with stomatitis is receiving teaching from a nurse. Which of the following client statements indicates a need for further teaching?
- A. "I will drink liquids through a straw."?
- B. "I will season foods with dried spices before cooking."?
- C. "I will rinse my mouth with baking soda and water frequently."?
- D. "I will eat frozen bananas as a snack."?
Correct answer: C
Rationale: The correct answer is, "I will rinse my mouth with baking soda and water frequently."? Stomatitis is an inflammation of the mucous lining in the mouth, and rinsing with baking soda and water can be too abrasive and further irritate the condition. Choices A, B, and D are appropriate self-care measures for a client with stomatitis and do not indicate a need for further teaching.
2. To raise HDL levels, what is Mrs. Smith advised to do?
- A. quit smoking
- B. increase dietary sodium
- C. take iron supplements
- D. avoid dairy products
Correct answer: A
Rationale: The correct answer is A: quit smoking. Smoking lowers HDL levels, so quitting smoking is crucial to raising HDL levels. Increasing dietary sodium (choice B) is not linked to raising HDL levels and can have negative effects on cardiovascular health. Taking iron supplements (choice C) is not directly related to increasing HDL levels. Avoiding dairy products (choice D) is not necessary to raise HDL levels; in fact, some dairy products like low-fat options can be part of a heart-healthy diet.
3. What are the contraindications for using MI Paste?
- A. Children under six
- B. Individuals with a milk casein allergy
- C. Pregnant women
- D. Both A and B
Correct answer: D
Rationale: MI Paste is contraindicated in children under six and in individuals with a milk casein allergy. The reason is that MI Paste contains casein phosphopeptide, which is derived from milk. Therefore, it may cause allergic reactions in those who are sensitive to milk proteins. Pregnant women (Choice C) are not contraindicated for using MI Paste unless they have a known allergy to milk casein. Hence, the correct answer is 'D: Both A and B'.
4. For a patient with celiac disease, which dietary modification is necessary?
- A. Increase protein intake
- B. Avoid gluten
- C. Increase dairy intake
- D. Avoid lactose
Correct answer: B
Rationale: The correct answer is B: Avoid gluten. Patients with celiac disease have an immune reaction to gluten, a protein found in wheat, barley, and rye. Therefore, it is crucial for individuals with celiac disease to avoid gluten-containing products. Increasing protein intake (Choice A) is not specifically necessary for celiac disease management. Increasing dairy intake (Choice C) is unrelated to the dietary requirements of individuals with celiac disease. Avoiding lactose (Choice D) is relevant for individuals with lactose intolerance, not celiac disease. Therefore, the only necessary modification for a patient with celiac disease is to avoid gluten.
5. A nurse is providing teaching to the parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?
- A. Sliced bananas
- B. Raw celery
- C. Peanut butter
- D. Grapes
Correct answer: A
Rationale: The correct answer is sliced bananas. Bananas are a good choice for toddlers as they are easy to chew, rich in potassium, and generally well-tolerated. Raw celery (Choice B) may pose a choking hazard due to its fibrous nature. Peanut butter (Choice C) should be avoided as it can also be a choking hazard and may cause an allergic reaction in some children. Grapes (Choice D) are a choking hazard for toddlers due to their size and shape, so they should be cut into smaller pieces or avoided altogether.
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