the nurse is assessing a client with a new diagnosis of listeria food poisoning what action should the nurse take first

ATI RN

ATI Nutrition Practice Test B 2019

1. The nurse is assessing a client with a new diagnosis of Listeria food poisoning. What action should the nurse take first?

A. Educate the client on safe food practices.
B. Start a traceback to identify the source of the outbreak.
C. Report the case to the county board of health.
D. Ask the client if they have consumed any unpasteurized products.

Correct answer: D

Rationale: The correct first action for the nurse to take when assessing a client with a new diagnosis of Listeria food poisoning is to inquire if the client has consumed any unpasteurized products. This is crucial because Listeria contamination is often associated with unpasteurized dairy products and undercooked meats. Educating the client on safe food practices (Choice A) is important but not the priority at this initial assessment stage. Starting a traceback to identify the source of the outbreak (Choice B) and reporting the case to the county board of health (Choice C) are necessary actions but should come after gathering information directly from the client regarding potential exposure to high-risk foods.

2. Which of the following statements is false?

A. People with a vitamin K deficiency experience increased clotting time
B. The major function of vitamin E is promoting vision
C. Vitamin D functions as a hormone
D. Rich sources of beta-carotene include carrots, sweet potatoes, and butternut squash

Correct answer: B

Rationale: The statement that the major function of vitamin E is promoting vision is incorrect. Vitamin E primarily acts as an antioxidant, protecting cells from oxidative damage. Its role is not primarily related to vision, which is a major function of vitamin A. On the other hand, the other options are true. Vitamin K deficiency does indeed lead to increased clotting time, vitamin D functions as a hormone, and carrots, sweet potatoes, and butternut squash are rich sources of beta-carotene.

3. What is a major goal for home care nurses?

A. Restoring maximum health function.
B. Promoting the health of populations.
C. Minimizing the progress of disease.
D. Maintaining the health of populations.

Correct answer: A

Rationale: A major goal for home care nurses is restoring maximum health function. This involves helping patients achieve their highest level of health and independence, focusing on individualized care plans tailored to each patient's needs. Choice B, promoting the health of populations, is more aligned with public health nursing rather than home care nursing. Choice C, minimizing the progress of disease, is important but not as comprehensive as restoring maximum health function. Choice D, maintaining the health of populations, is more about preventive care at a population level rather than the individualized care provided by home care nurses.

4. All of the following are contraindications when giving Immunization except:

A. BCG Vaccine can be given to a child with AIDS
B. BCG Vaccine can be given to a child with Hepatitis B
C. DPT can be given to a child that had convulsion 3 days after being given the first DPT dose
D. DPT can be given to a child with active convulsion or other neurological disease

Correct answer: B

Rationale: The correct answer is B. BCG vaccine can be given to a child with Hepatitis B, as there is no contraindication for this. Choice A, C, and D all present contraindications for administering immunizations. Choice A is incorrect because giving BCG vaccines to a child with AIDS is a contraindication. Choice C is incorrect as convulsions after the first DPT dose indicate a contraindication to subsequent doses. Choice D is incorrect because active convulsions or other neurological diseases are contraindications to receiving the DPT vaccine.

5. Which vitamin is also known as Niacin?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B12

Correct answer: C

Rationale: The correct answer is Vitamin B3, also known as Niacin. Niacin is essential for energy metabolism and can help improve cholesterol levels. Vitamin B1 is Thiamine, Vitamin B2 is Riboflavin, and Vitamin B12 is Cobalamin. These vitamins have different functions in the body and are not synonymous with Niacin.