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. Why is a pulse oximeter attached to Mr. Dizon's finger?

A. To determine if the patient's hemoglobin level is low and if he requires a blood transfusion
B. To check the level of the patient's tissue perfusion
C. To measure the effectiveness of the patient's anti-hypertensive medications
D. To detect oxygen saturation of arterial blood before symptoms of hypoxemia develop

Correct answer: D

Rationale: A pulse oximeter is used to detect the oxygen saturation levels in arterial blood before the onset of hypoxemia symptoms. This device provides essential information about the effectiveness of oxygen transportation to the body's tissues. Choice A is incorrect because a pulse oximeter does not directly measure hemoglobin levels nor determine the need for a blood transfusion. Choice B is incorrect because a pulse oximeter is designed specifically to assess oxygen saturation, not tissue perfusion. Choice C is incorrect because a pulse oximeter is not used to measure the efficacy of anti-hypertensive medications, but rather to monitor oxygen levels in the blood.

3. Which of the following are absorbed into the bloodstream without needing additional digestion?

A. amino acids
B. monosaccharides
C. glycerol
D. all of the above

Correct answer: D

Rationale: Amino acids, monosaccharides, and glycerol are absorbed directly into the bloodstream without requiring further digestion.

4. A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

A. Albumin
B. Calcium
C. Sodium
D. Potassium

Correct answer: A

Rationale: The correct answer is Albumin. Albumin is a protein made by the liver and is a key indicator of the body's protein status. Low levels of albumin can indicate inadequate protein intake or synthesis. Choices B, C, and D (Calcium, Sodium, and Potassium) are not direct indicators of protein uptake and synthesis. Calcium is related to bone health, Sodium to fluid balance, and Potassium to nerve and muscle function.

5. Which of the following conditions is not caused by energy drinks?

A. Nervousness
B. Bradycardia
C. Seizures
D. Dental caries

Correct answer: B

Rationale: Energy drinks are known for causing a variety of health issues, including nervousness, seizures, and an increased risk of dental caries due to their high sugar content. However, they do not cause bradycardia, which is a slow heart rate. Instead, energy drinks are associated with causing an increased or rapid heart rate, known as tachycardia. Therefore, out of the listed options, bradycardia is the condition not caused by energy drinks.