among people who are ill significant weight loss may be masked by

ATI RN

Proctored Nutrition ATI

1. Among people who are ill, significant weight loss may be masked by?

A. dehydration
B. a large tumor
C. drug therapy
D. fluid retention

Correct answer: D

Rationale: Fluid retention can mask weight loss in ill individuals as the retained fluid adds to body weight, making it difficult to detect true fat or muscle loss. Dehydration (Choice A) would actually lead to weight loss rather than masking it. While a large tumor (Choice B) could contribute to weight loss, it would not mask the weight loss itself. Drug therapy (Choice C) may cause side effects, including weight changes, but it is unlikely to mask significant weight loss in the same way that fluid retention does.

2. What is the approximate energy value of alcohol?

A. 3 kcal/g
B. 7 kcal/g
C. 10 kcal/g
D. 25 kcal/g

Correct answer: B

Rationale: The correct answer is B: 7 kcal/g. Alcohol provides approximately 7 kilocalories per gram, making it a significant source of energy or 'empty calories' in the diet that do not contain any nutrients. 'Empty calories' refer to the calorie content without the presence of essential nutrients. Choices A, C, and D are incorrect. The energy values of 3 kcal/g, 10 kcal/g, and 25 kcal/g are not accurate for alcohol; instead, they may pertain to other nutrients such as carbohydrates (approximately 4 kcal/g), fats (approximately 9 kcal/g), and oils (approximately 9 kcal/g).

3. A client with diabetes is being taught by a nurse about the dietary source that should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?

A. "Most of my calories each day should be from fats."?
B. "I should eat more calories from complex carbohydrates than anything else."?
C. "Simple sugars are needed more than other calorie sources."?
D. "Protein should be my main source of calories."?

Correct answer: B

Rationale: The correct answer is '"I should eat more calories from complex carbohydrates than anything else."?' Clients with diabetes should focus on complex carbohydrates as their primary calorie source because they have a lower impact on blood sugar levels compared to simple sugars or fats. Choice A is incorrect because a high intake of fats can lead to various health issues. Choice C is incorrect because simple sugars can cause rapid spikes in blood sugar levels. Choice D is incorrect as while protein is important, it should not be the main source of calories for someone with diabetes.

4. A factor contributing to the risk for dehydration in the older adult is that _____.

A. drinking fluids causes loss of bladder control
B. older adults do not seem to notice mouth dryness as readily as younger people
C. increased fluid intake will decrease the intake of nutrient-dense foods
D. changes in intestinal motility contribute to excess fluid loss

Correct answer: C

Rationale: Older adults may not notice mouth dryness as readily as younger individuals, increasing their risk for dehydration, especially if they do not consciously increase fluid intake.

5. The PEM in which children ages 18-24 months display edema of the extremities, torso, and face, fatty liver, sparse yellow hair, and receive adequate kilocalories but not enough high-quality proteins is called?

A. Marasmus
B. Kwashiorkor
C. Anemia
D. Noma

Correct answer: B

Rationale: Kwashiorkor is a form of severe malnutrition characterized by edema, fatty liver, and other symptoms, typically resulting from inadequate protein intake despite adequate calorie intake.