a nurse is providing teaching to a client who has stomatitis which of the following statements by the client indicates a need for further teaching

ATI RN

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. Scurvy is caused by a deficiency of which vitamin?

A. Vitamin A
B. Vitamin D
C. Vitamin E
D. Vitamin K

Correct answer: C

Rationale: Scurvy is caused by a deficiency of vitamin C, not vitamin E. The symptoms of scurvy include spontaneous gingival hemorrhaging, perifollicular petechiae, follicular hyperkeratosis, diarrhea, fatigue, depression, and cessation of bone growth. Vitamin A (Choice A) is important for vision and immune function, Vitamin D (Choice B) is essential for bone health, and Vitamin K (Choice D) is necessary for blood clotting. However, none of these vitamins are associated with scurvy.

3. What is a major feature of the therapeutic lifestyle changes (TLC) recommended for the treatment of high blood cholesterol?

A. Avoiding all foods that contain cholesterol
B. Reducing sodium intake to less than 2 g/day
C. Limiting total fat intake to less than 30% of energy intake
D. Limiting saturated fat intake to less than 7% of energy intake

Correct answer: D

Rationale: The correct answer is D, 'Limiting saturated fat intake to less than 7% of energy intake.' This is a central feature of the therapeutic lifestyle changes (TLC) recommended for treating high blood cholesterol. Saturated fats can increase low-density lipoprotein (LDL) cholesterol, a significant risk factor for heart disease. Choice A is incorrect because while it is recommended to limit cholesterol intake, it's not suggested to avoid all foods containing cholesterol entirely in the TLC. Choice B is also incorrect as although reducing sodium intake is beneficial for controlling blood pressure, it's not specifically targeted in the TLC for managing high cholesterol. Lastly, while limiting total fat intake is a healthy guideline, it's not as specific or effective as limiting saturated fat intake, making choice C also incorrect.

4. 24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?

A. Pink, moist, and slightly protruding from the abdomen
B. Gray, moist, and slightly protruding from the abdomen
C. Pink, dry, and slightly protruding from the abdomen
D. Red, moist, and slightly protruding from the abdomen

Correct answer: A

Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.

5. Which of the following is a good food source of iodine?

A. Seafood
B. Lettuce
C. Broccoli
D. Pork

Correct answer: A

Rationale: Seafood is a rich source of iodine, essential for maintaining healthy thyroid function and overall metabolic health. While lettuce, broccoli, and pork may contain some iodine, they do not provide as substantial an amount as seafood. Therefore, they are not considered 'good' sources of iodine in comparison.