which meal should be removed for a client taking warfarin

ATI RN

ATI Proctored Nutrition Exam 2019

1. Which meal should be removed for a client taking warfarin?

A. Oriental cabbage salad with chicken
B. Beef enchilada, rice, and beans
C. Ham and cheese sandwich
D. Macaroni salad and grapefruit slices

Correct answer: C

Rationale: The correct meal to remove for a client taking warfarin is the 'Ham and cheese sandwich.' Ham is high in vitamin K, which can interfere with the effectiveness of warfarin, a medication that works by decreasing the clotting ability of the blood. Vitamin K can counteract the effects of warfarin by promoting blood clotting. Choices A, B, and D do not contain high amounts of vitamin K and are therefore safer options for individuals taking warfarin.

2. Which of the following statements are true about iron?

A. The iron needs of vegans are 20% higher, and the needs of endurance athletes are 10% lower.
B. It is one of the most common nutrient deficiencies in the world.
C. Its absorption is increased by Vitamin C and during pregnancy.
D. Its absorption is increased by tannic acid and calcium in milk.

Correct answer: C

Rationale: Choice C is correct because iron absorption is indeed increased by Vitamin C and during pregnancy. The other choices are incorrect. Choice A is wrong as there are no universally accepted percentages for the iron needs of vegans and endurance athletes. Choice B is inaccurate as iron deficiency is actually one of the most common nutritional deficiencies worldwide. Choice D is incorrect because tannic acid and calcium in milk actually inhibit iron absorption rather than increasing it.

3. What should be recommended to help prevent early childhood caries (ECC) in infants?

A. Avoid giving the infant nighttime bottles
B. Have the infant drink pasteurized skim milk
C. Feed the infant iron-rich foods
D. Give the infant fruit juice to drink

Correct answer: A

Rationale: The correct answer is 'A: Avoid giving the infant nighttime bottles' because prolonged exposure to sugars in milk during the night can lead to caries. Options 'B: Have the infant drink pasteurized skim milk' and 'D: Give the infant fruit juice to drink' are not recommended as they contain sugars that can cause cavities, especially in infants. Option 'C: Feed the infant iron-rich foods' is incorrect because while a balanced diet is important, iron-rich foods do not directly prevent caries development.

4. Which statement about essential nutrients should the nurse include?

A. Fat-containing foods can help to decrease triglyceride levels.
B. Animal sources of protein contain 20 essential amino acids.
C. Carbohydrates are the primary source of fuel for muscles and the brain.
D. High-fiber foods are a good source of energy.

Correct answer: C

Rationale: The correct answer is C because carbohydrates are indeed the primary source of fuel for muscles and the brain. Choice A is incorrect because while certain fats are essential, they do not help decrease triglyceride levels. Choice B is incorrect because animal sources of protein do not contain all 20 essential amino acids. Choice D is incorrect because although high-fiber foods are important for digestion and overall health, they are not a direct source of energy.

5. Which of the following best represents the goal of reflective listening?

A. Repeating what the patient says
B. Informing using direct advice
C. Keeping the patient talking
D. Warning the patient

Correct answer: C

Rationale: The correct answer is C. The goal of reflective listening is to keep the patient talking, allowing them to express their thoughts and concerns fully. Choice A, 'Repeating what the patient says,' is incorrect as reflective listening involves paraphrasing or summarizing rather than verbatim repetition. Choice B, 'Informing using direct advice,' is incorrect because reflective listening focuses on understanding the patient's perspective rather than providing direct advice. Choice D, 'Warning the patient,' is also incorrect as reflective listening aims to create a safe and open environment for the patient to share without feeling judged or warned.