a nurse is planning care for a client who has ascites secondary to liver disease which of the following interventions should the nurse include in the
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is planning care for a client who has ascites secondary to liver disease. Which of the following interventions should the nurse include in the plan of care?

Correct answer: D

Rationale: Limiting sodium to 2000 mg or less per day helps manage fluid retention associated with ascites in liver disease.

2. A nurse is teaching a client who has hypertension about a heart healthy diet. Which of the following statements indicates that the client understands the teaching?

Correct answer: C

Rationale: Limiting daily sodium intake to 3 grams helps manage blood pressure and is a key part of a heart-healthy diet.

3. A nurse is planning care for a client who reports following Seventh-Day Adventist dietary laws. Which of the following dietary guidelines should the nurse include in the plan of care?

Correct answer: B

Rationale: Seventh-Day Adventists typically avoid stimulants like caffeine, so requesting that coffee is removed from meal trays is appropriate.

4. A client 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?

Correct answer: D

Rationale: The correct answer is D. 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 is expected for a client with a BMI of 30 undergoing nutritional counseling for weight management, rather than an increase in weight or BMI.

5. A nurse is caring for a client who is receiving a continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?

Correct answer: A

Rationale: Checking for gastric residual can help identify the cause of cramping and abdominal distention during enteral feedings.

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