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 gauges should you prepare for spinal anesthesia if the anesthesiologist requires a pink spinal set and a blue spinal set as backup?

A. Gauges 16 and 22
B. Gauges 18 and 16
C. Gauges 16 and 20
D. Gauges 25 and 22

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

3. A nurse is teaching a nutrition class for clients who have type 2 diabetes mellitus. Which of the following statements should the nurse include about management of acute illness?

A. Consume carbs every 3-4 hrs
B. Decrease fluid intake to 1000 mL per day
C. Monitor blood glucose twice per day
D. Check urine for ketones every 24 hrs

Correct answer: A

Rationale: The correct statement is to 'Consume carbs every 3-4 hours.' During acute illness, it is important to maintain a consistent carbohydrate intake to help manage blood glucose levels for clients with type 2 diabetes. This frequent consumption can prevent hypoglycemia and provide energy needed during illness. Decreasing fluid intake (choice B) is not recommended during acute illness, as hydration is crucial to prevent complications. Monitoring blood glucose (choice C) more frequently than twice a day is necessary during acute illness. Checking urine for ketones (choice D) should be done more frequently than once every 24 hours during illness to monitor for diabetic ketoacidosis.

4. Which of the following is a form of primary prevention?

A. Regular Check-ups
B. Regular Screening
C. Self-Medication
D. Immunization

Correct answer: D

Rationale: The correct answer is D, 'Immunization.' Primary prevention aims to prevent disease before it occurs by preventing exposure to risk factors. Immunization is a classic example of primary prevention as it helps prevent the development of infectious diseases. Choice A, 'Regular Check-ups,' is more related to secondary prevention by detecting diseases early. Choice B, 'Regular Screening,' is also more aligned with secondary prevention as it involves early detection of diseases. Choice C, 'Self-Medication,' is not a form of primary prevention but rather a risky practice that can lead to adverse outcomes.