a nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation which of the following statements made b
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. A nurse is providing teaching to an obese client who has gestational diabetes and is at 25 weeks of gestation. Which of the following statements made by the client indicates a need for further teaching?

Correct answer: B

Rationale: The belief that gestational diabetes results in lifelong diabetes is incorrect; it often resolves after pregnancy, though it does indicate a higher risk for developing type 2 diabetes in the future.

2. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommend to minimize heartburn?

Correct answer: D

Rationale: The correct answer is D: Potatoes. Potatoes are bland and less likely to relax the lower esophageal sphincter, making them a good choice for minimizing heartburn in clients with GERD. Choices A, B, and C are incorrect. Orange juice and peppermint can exacerbate GERD symptoms due to their acidic or relaxing effects on the esophageal sphincter. Decaffeinated coffee, although lower in caffeine, is still acidic and can trigger heartburn in individuals with GERD.

3. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?

Correct answer: D

Rationale: Total parenteral nutrition (TPN) is essential for clients undergoing significant surgical procedures like a hemicolectomy to ensure they receive adequate nutrition when oral intake is not possible.

4. A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess be?

Correct answer: C

Rationale: Cramping is a common clinical manifestation of lactose intolerance due to the inability to digest lactose properly.

5. 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.

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