a nurse is assessing a client who has malnutrition which of the following findings should the nurse expect

ATI RN

ATI Nutrition

1. A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

A. Increased vital capacity
B. Dry skin
C. Heat intolerance
D. Decreased mental status

Correct answer: D

Rationale: Malnutrition can lead to a variety of physical and mental symptoms. One common manifestation of malnutrition is a decreased mental status, which includes confusion, lethargy, and cognitive impairment. Dry skin is a typical finding in malnutrition due to the lack of essential nutrients needed for skin health. Heat intolerance is not a direct consequence of malnutrition. While malnutrition can affect respiratory function, it typically leads to decreased vital capacity rather than increased. Therefore, the correct answer is decreased mental status.

2. You are on duty in the medical ward. The mother of your patient who is also a nurse, came running to the nurses station and informed you that Fiolo went into cardiopulmonary arrest.

A. Start basic life support measures
B. Call for the Code
C. Bring the crash cart to the room
D. Go to see Fiolo and assess for airway patency and breathing problems

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. Where is Vitamin E commonly found?

A. produced by bacteria in the GI tract
B. synthesized by the body through sunlight exposure
C. associated with beriberi deficiency
D. present in vegetable oils

Correct answer: D

Rationale: Vitamin E is an antioxidant commonly found in sources like vegetable oils, nuts, seeds, and green leafy vegetables. It plays a crucial role in protecting cells from damage. Choices A and B are incorrect as Vitamin E is not produced by bacteria in the GI tract nor synthesized by sunlight exposure. Choice C is incorrect as beriberi is a deficiency of Vitamin B1 (thiamine), not Vitamin E.

4. A nurse is caring for a client who has a body mass index (BMI) of 30. Four weeks after nutritional counseling, which of the following evaluation findings indicates the plan of care was followed?

A. BMI of 25
B. Weight gain of 1.8 kg
C. BMI of 33
D. Weight loss of 2.7 kg

Correct answer: D

Rationale: A weight loss of 2.7 kg in four weeks indicates effective adherence to a nutritional plan aimed at reducing body mass index (BMI), moving towards a healthier weight. Choices A, B, and C are incorrect because a decrease in weight, as shown in choice D, is the desired outcome when managing a client with a BMI of 30 to reach a healthier range.

5. Can soluble fibers be fermented by gut bacteria?

A. TRUE
B. FALSE
C.
D.

Correct answer: A

Rationale: Soluble fibers can indeed be fermented by gut bacteria in the large intestine, leading to the production of beneficial short-chain fatty acids. This fermentation process is important for gut health and provides various health benefits. Therefore, the statement is true. Choice B is incorrect as it contradicts the known scientific fact that soluble fibers can be broken down by gut bacteria through fermentation.