the nurse is working with a patient who recently had a stroke the patient frequently chokes and coughs when eating and is having difficulty feeding he
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Nursing Elites

ATI RN

ATI Nutrition Proctored Exam 2023

1. The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. What is the best way to ensure adequate nutrition?

Correct answer: C

Rationale: The best way to ensure adequate nutrition for a stroke patient who frequently chokes and coughs when eating and has difficulty feeding herself is to provide tube feedings. Tube feedings are a safe and effective method to deliver nutrition directly to the stomach or intestines, bypassing the swallowing mechanism, reducing the risk of aspiration. Having an aide feed her each meal (choice A) may not address the underlying issue of swallowing difficulty and aspiration risk. Asking a family member to be present at each meal (choice B) does not provide a definitive solution to the patient's nutritional needs. Placing the patient on total parenteral nutrition (TPN) (choice D) is a more invasive and typically reserved for patients who cannot tolerate enteral feedings or have non-functional gastrointestinal tracts.

2. A patient with an ileostomy is suffering from frequent diarrhea. The clinician should advise the patient to increase his intake of what food to thicken stool output?

Correct answer: C

Rationale: Potatoes are starchy and can help thicken stool output, making them beneficial for patients with an ileostomy experiencing diarrhea.

3. You notice that Miss Kate, a bread vendor, receives and changes money, then holds the bread without washing her hands. As a nurse, what should you say to Miss Kate?

Correct answer: B

Rationale: The correct answer is B, as it emphasizes the importance of hygiene in food handling, which is crucial to prevent the spread of germs and diseases. The other options do not address the root of the issue, which is the unhygienic handling of food. Option A avoids direct confrontation but does not educate the vendor on proper hygiene. Option C, although it suggests a hygienic method, may not be practical or available in all situations. Option D is an avoidance strategy rather than a way to address the problem.

4. Each statement is true, except one. Which is the exception?

Correct answer: D

Rationale: The correct answer is D. Vitamin D-fortified whole milk should be provided starting at age 1 after discontinuing breast feeding or infant formulas, not at 2 years. Providing whole milk at age 2 is appropriate. Choices A, B, and C are correct statements: infant formulas are typically discontinued around 1 year of age, low-fat milk is not recommended for children under 2 years, and special toddler formulas are unnecessary.

5. Which animal-derived food contains the most significant level of carbohydrates?

Correct answer: C

Rationale: Milk contains the most significant level of carbohydrates among animal-derived foods. Milk and milk products supply significant quantities of carbohydrate in the form of lactose. Eggs, beef, and poultry are not significant sources of carbohydrates compared to milk. In cheese making, lactose is removed as a by-product, reducing the carbohydrate content further.

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