each is true of rickets except one which is the exception

ATI RN

ATI Nutrition Proctored Exam

1. Each statement is true of rickets, except one. Which is the exception?

A. Rickets is being diagnosed more frequently in the United States.
B. Rickets is caused by vitamin C deficiency.
C. Tachetic deformities such as bow legs or knock-knees develop.
D. A narrow and distorted chest occurs.

Correct answer: B

Rationale: Rickets is caused by vitamin D deficiency, not vitamin C deficiency. It usually occurs in children who are 1 to 3 years old. The name rickets came from the word 'wrikken,' meaning 'to bend or twist.' Common manifestations of rickets include tachetic deformities like bow legs or knock-knees, a narrow and distorted chest, and failure of the epiphyses of bones to develop normally, resulting in twisted and warped bones. While the diagnosis of rickets may be increasing in the United States, it is not caused by a lack of vitamin C.

2. A client who has chronic lymphocytic leukemia is starting chemotherapy treatments and asks if she needs to make any dietary changes. Which of the following statements should the nurse make?

A. "You should avoid drinking liquids an hour before the treatments."?
B. "Eating low-calorie foods helps prevent nausea."?
C. "Foods that are higher in fat are usually more appealing."?
D. "Raw fruits and vegetables will be easier for your body to digest."?

Correct answer: D

Rationale: During chemotherapy treatments for chronic lymphocytic leukemia, raw fruits and vegetables are recommended as they are easier for the body to digest. This choice provides essential nutrients and is gentle on the digestive system. Option A is incorrect because staying hydrated is crucial during chemotherapy. Option B is incorrect as low-calorie foods may not provide sufficient energy during treatment. Option C is incorrect because high-fat foods are not typically recommended due to potential digestive issues.

3. All of the following are instructions for proper foot care to be given to a client with peripheral vascular disease caused by diabetes. Which one is not?

A. Trim nails using a nail clipper
B. Apply cornstarch to the foot
C. Always check the temperature of the water before bathing
D. Use canvas shoes

Correct answer: A

Rationale: The correct answer is 'A', which says trim nails using a nail clipper. This is incorrect because patients with peripheral vascular disease, particularly those caused by diabetes, should not trim their nails themselves due to the risk of injury, infection, and poor wound healing. The other options, 'B', 'C', and 'D', are correct advice for diabetic foot care. Applying cornstarch can help keep the feet dry and prevent fungal infections. Checking the water temperature before bathing can prevent burns, as patients with peripheral vascular disease often have decreased sensation in their feet. Wearing canvas shoes can improve foot ventilation and reduce the risk of foot ulcers and infections.

4. If a person could not make bile, what would happen?

A. experience fatigue, as the body would not be able to make lipid carriers to deliver fat to body cells for energy
B. have less cholesterol being made by the liver
C. need to consume higher levels of fat
D. be unable to absorb most lipids, and fat would be excreted in the feces

Correct answer: D

Rationale: The correct answer is D. Bile is essential for emulsifying fats in the small intestine, allowing them to be absorbed. Without bile, most fats would not be absorbed and would be excreted in the feces. Choices A, B, and C are incorrect because the primary role of bile is in the digestion and absorption of fats, rather than affecting lipid carriers, cholesterol production, or dietary fat consumption.

5. Which of the following provides greater flexibility, better balance, more endurance, and overall better health and greater longevity for older adults?

A. Eating balanced meals
B. Not smoking or drinking alcohol
C. Daily physical activity
D. Increased intake of calcium and iron

Correct answer: C

Rationale: The correct answer is C: Daily physical activity. Daily physical activity contributes to better flexibility, balance, endurance, and overall health, helping older adults maintain independence and reduce the risk of chronic diseases. Choices A, B, and D, although important for overall health, do not specifically address the benefits of greater flexibility, better balance, more endurance, and greater longevity associated with daily physical activity.