an incontinent elderly client frequently wets his bed and eventually develop redness and skin excoriation at the perianal area the best nursing goal f
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Nursing Elites

ATI RN

ATI Proctored Nutrition Exam 2019

1. For an incontinent elderly client who frequently wets his bed and develops redness and skin excoriation at the perianal area, what is the best nursing goal?

Correct answer: A

Rationale: The best nursing goal for an incontinent elderly client with skin excoriation is to ensure that the bed linen is always dry. This helps in preventing further skin breakdown and promoting skin integrity. Choice B, to frequently check the bed for wetness and keep it dry, may not address the issue of prevention if the linen is not consistently dry. Choice C, placing a rubber sheet under the client's buttocks, focuses more on protecting the mattress rather than addressing the client's skin condition directly. Choice D, keeping the patient clean and dry, is important but does not specifically address the preventive aspect of maintaining dry bed linen.

2. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a newborn?

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. When assessing older adult clients for malnutrition at an adult day care center, which risk factors should the nurse consider?

Correct answer: C: Both A and B

Rationale: The correct answer is C: Both A and B. Dental problems and depression are both significant risk factors for malnutrition in older adults. Dental problems can lead to difficulty in chewing and swallowing, resulting in reduced food intake. On the other hand, depression can cause changes in appetite and decreased interest in eating, which can also contribute to malnutrition. Although the ability to prepare meals is important, it is not specifically identified as a risk factor for malnutrition within the context of this question. Therefore, choices A and B are the most appropriate answers.

4. To successfully complete the tasks of older adulthood, an 85 year old who has been a widow for 25 years should be encouraged to:

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

5. Which is the best description of a full-liquid diet?

Correct answer: D

Rationale: The correct answer is D because a full-liquid diet is designed to provide adequate nutrients while being easily digested. Choices A and B are incorrect because a full-liquid diet is not specifically tailored for individuals with an ileostomy or lactose intolerance. Choice C is also incorrect as it describes characteristics that are not defining features of a full-liquid diet.

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