a nurse is planning care for a toddler who has burns over 50 total body surface area which of the following actions should the nurse include in the pl
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is planning care for a toddler who has burns over 50% total body surface area. Which of the following actions should the nurse include in the plan of care?

Correct answer: A

Rationale: Administering enteral feedings ensures adequate nutrition and supports healing in toddlers with extensive burns.

2. 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.

3. 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.

4. A nurse is caring for an older adult client who reports difficulty chewing due to ill-fitting dentures. Which of the following foods should the nurse recommend for the client?

Correct answer: C

Rationale: Tuna fish is soft and easy to chew, making it suitable for clients with ill-fitting dentures.

5. A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?

Correct answer: A

Rationale: Encouraging the client to participate in developing a system of rewards can help motivate and engage them in their treatment plan.

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