ATI RN
ATI Nutrition
1. A client is being taught how to follow a low-purine diet for gout management. Which statement indicates the client understands the teaching?
- A. “I will need to limit the number of fruit servings each day.”
- B. “I should avoid eating liver and other organ meats.”
- C. “I can drink only white wine.”
- D. “I should choose red meat instead of poultry.”
Correct answer: “I should avoid eating liver and other organ meats.”
Rationale: The correct answer is B. Organ meats like liver are high in purines, which can exacerbate gout symptoms. Choosing to avoid such foods is essential in following a low-purine diet. Option A is incorrect because fruits are generally low in purines and are not usually restricted in a low-purine diet. Option C is incorrect as white wine, just like other types of alcohol, should be consumed in moderation or avoided due to its purine content. Option D is incorrect because red meat, including beef and lamb, is high in purines and should be limited in a low-purine diet.
2. What term refers to the awareness that other people have their own intentions, desires, wants, and motives?
- A. Theory of mind
- B. Theory of personality
- C. Theory of being
- D. Theory of awareness
Correct answer: A
Rationale: The correct answer is 'Theory of mind.' Theory of mind is the understanding that others have their own thoughts, feelings, and intentions. This ability allows individuals to attribute mental states to others, enabling them to understand and predict behavior based on those mental states. Choices B, C, and D are incorrect because they do not specifically address the awareness of others' intentions, desires, wants, and motives.
3. Of the following neurotransmitters, which demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways?
- A. Serotonin
- B. Enkephalin
- C. Norepinephrine
- D. Acetylcholine
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.
4. The healthcare provider suspects the Somogyi effect in a 50-year-old patient whose 6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to take?
- A. Avoid snacking at bedtime.
- B. Increase the rapid-acting insulin dose.
- C. Check the blood glucose during the night.
- D. Administer a larger dose of long-acting insulin.
Correct answer: C
Rationale: The Somogyi effect, also known as rebound hyperglycemia, occurs due to an excessive insulin dose at night, leading to hypoglycemia in the early morning hours. To address this, the nurse should instruct the patient to check their blood glucose during the night to determine if hypoglycemia is present, which triggers the rebound hyperglycemia. By monitoring blood glucose levels during the night, the patient can identify if adjustments are needed to prevent this phenomenon and maintain stable glucose levels. Choices A, B, and D are incorrect. Avoiding snacking at bedtime, increasing rapid-acting insulin dose, or administering a larger dose of long-acting insulin are not appropriate actions to manage the Somogyi effect. Checking blood glucose during the night is crucial to identify and prevent the rebound hyperglycemia characteristic of this phenomenon.
5. A nurse is caring for an immobile client. What is the priority assessment in this client?
- A. Auscultation of lung sounds
- B. Assessment of skin turgor
- C. Auscultation of bowel sounds
- D. Assessment for the presence of peripheral edema
Correct answer: Auscultation of lung sounds
Rationale:
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