a nurse is providing dietary teaching to the parents of a newborn who is being breastfed the nurse should instruct that the transition to whole milk c

ATI RN

ATI Nutrition

1. When should a newborn transition to whole milk according to dietary teaching for breastfeeding parents?

A. 6 months
B. 8 months
C. 10 months
D. 12 months

Correct answer: D

Rationale: Breast milk or formula should be the primary source of nutrition for infants up to around 1 year of age. The transition to whole cow's milk is recommended at 12 months of age, not earlier. Introducing whole milk before 12 months can lead to digestive issues and nutrient deficiencies. Therefore, choices A, B, and C are incorrect as they suggest transitioning to whole milk before the recommended age of 12 months.

2. A client with stomatitis is receiving teaching from a nurse. Which of the following client statements indicates a need for further teaching?

A. "I will drink liquids through a straw."?
B. "I will season foods with dried spices before cooking."?
C. "I will rinse my mouth with baking soda and water frequently."?
D. "I will eat frozen bananas as a snack."?

Correct answer: C

Rationale: The correct answer is, "I will rinse my mouth with baking soda and water frequently."? Stomatitis is an inflammation of the mucous lining in the mouth, and rinsing with baking soda and water can be too abrasive and further irritate the condition. Choices A, B, and D are appropriate self-care measures for a client with stomatitis and do not indicate a need for further teaching.

3. A condition that often progresses to become type 2 diabetes mellitus is:

A. type 1 diabetes mellitus
B. high blood pressure
C. chronic pancreatitis
D. impaired glucose tolerance

Correct answer: D

Rationale: Impaired glucose tolerance is a pre-diabetic state characterized by higher than normal blood sugar levels. It is often associated with insulin resistance and can progress to type 2 diabetes mellitus. Type 1 diabetes mellitus (Choice A) is an autoimmune condition where the body attacks insulin-producing cells, leading to a lack of insulin production. High blood pressure (Choice B) and chronic pancreatitis (Choice C) are not directly linked to the progression to type 2 diabetes mellitus.

4. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?

A. "I notice when I take a vitamin E supplement, I bruise more easily."
B. "I work nights and rarely go outside during the day."
C. "I take warfarin, so I need to limit the amount of green leafy vegetables I eat."
D. "My vitamin supplement has the recommended daily allowance of vitamin A."

Correct answer: A

Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.