ATI Engage Fundamentals (Physiologic Concepts for Nursing Practice): Nutrition

A nurse is caring for a client who states, "I feel like I don't have to eat a varied diet when I take my multivitamin." Which of the following responses should the nurse make?

"A multivitamin should not be used in place of a nutritious diet."

A nurse is caring for a client who is prescribed a low glycemic index diet. The client states, "I don't understand what this means." Which of the following responses should the nurse make? (Select all that apply.)

"The glycemic index of a food relates to its ability to increase the blood glucose level" "You should eat foods such as whole grains, fruits, and vegetables" "Try to limit or avoid potatoes due to their high glycemic index" "Foods with a high glycemic index will cause your blood glucose to increase rapidly"

A nurse is caring for a client who is receiving tube feedings via PEG. Which of the following actions should the nurse implement in order to help prevent the client from aspirating?

Keep the client's head elevated to at least 30° for a minimum of 1 hr after a feeding.

A nurse is discussing macronutrients with a client. Which of the following statements should the nurse make?

Macronutrients include carbohydrates, proteins, and fats, which make up the majority of a person's diet."

A nurse is caring for a nondiabetic client who has a new prescription for a fasting blood glucose check. The nurse checks the client's blood glucose and it is 67 mg/dL. Which of the following actions should the nurse take next?

Provide the client with a 15g carbohydrate snack.

A nurse is caring for a client who states, "I only eat a diet high in protein and carbohydrates." Which of the following responses should the nurse make?

"A nutritious diet should include carbohydrates, protein, fiber, and healthy fats."

A nurse is caring for a client who states, "I have been getting a lot of cavities lately, but I don't know what is causing them." Which of the following responses should the nurse make?

"Drinking sugary beverages can make you prone to cavities."

A nurse is caring for a client who has a new prescription for parenteral nutrition. The client states, "I am scared that I will be on this therapy for the rest of my life." Which of the following responses should the nurse make?

"This type of nutrition can be lifelong, but it can also be temporary depending on how your nutritional needs change."

A nurse is assessing a client who is experiencing digestive issues. Which of the following findings should the nurse expect? (Select all that apply).

Nausea Abdominal pain Diarrhea Reports of bloating

A nurse is caring for a client who has a high phosphorus level. Which of the following instructions regarding food should the nurse provide?

"You should eat white bread."

A nurse is assessing a client's hair and notes that it is brittle. Which of the following should the nurse determine about the client's nutritional intake?

The client has insufficient protein in their diet.

A nurse is caring for a client whose provider prescribed a heart-healthy diet. Which of the following information should the nurse include for the client regarding heart-healthy diets? (Select all that apply.)

"You should limit saturated fats in your diet" "Eat foods with whole grains in your new diet" is correct. "It's important to eat larger portions of fruits and vegetables" "Limiting high-calorie food intake will promote adherence to your new diet"

A nurse is a caring for a client who has a new prescription for a clear liquid diet. The client asks the nurse, "How long will I have to be on this type of diet?" Which of the following responses should the nurse make?

"You should not be on this diet for more than a few days."

A nurse is caring for client who reports having daily constipation. Which of the following information should the nurse provide to the client regarding fiber intake?

Increasing daily fiber intake can help alleviate the issue of constipation Eating more whole grains can promote regular bowel movements

A nurse is preparing to measure a nasogastric tube for insertion. The nurse recalls that the client's xyphoid process should be used as the last place of measurement. Which of the following landmarks should the nurse measure before the xyphoid process?

Measure from the tip of the nose to the earlobe.

A nurse is helping a client calculate how many net carbohydrates they consumed in their last meal. The client's food had a total of 72 g of carbohydrates and 9 g of fiber. How many net carbohydrates did the client consume?

63

A nurse is caring for a client who routinely eats a regular diet and is scheduled to have surgery with sedation in the morning. The nurse receives a new NPO diet prescription for the client. Which of the following should the nurse identify as the rationale for the provider's prescription?

The client is at risk for aspiration due to the upcoming surgery.

A nurse is caring for a client who has renal disease and must limit potassium intake. Which of the following foods should the nurse instruct the client to avoid because they are high in potassium?

Bananas Dried beans Spinach Tomatoes

A nurse is reviewing a client's medical record and notes that their BMI is 25.5. How should the nurse interpret this finding?

The client is overweight.

A nurse is preparing to assist with feeding a client who is at risk for aspiration. Which of the following actions should the nurse take?

Cut the client's food into small bites.