for a patient with celiac disease which dietary modification is necessary

ATI RN

Nutrition ATI Proctored Exam

1. For a patient with celiac disease, which dietary modification is necessary?

A. Increase protein intake
B. Avoid gluten
C. Increase dairy intake
D. Avoid lactose

Correct answer: B

Rationale: The correct answer is B: Avoid gluten. Patients with celiac disease have an immune reaction to gluten, a protein found in wheat, barley, and rye. Therefore, it is crucial for individuals with celiac disease to avoid gluten-containing products. Increasing protein intake (Choice A) is not specifically necessary for celiac disease management. Increasing dairy intake (Choice C) is unrelated to the dietary requirements of individuals with celiac disease. Avoiding lactose (Choice D) is relevant for individuals with lactose intolerance, not celiac disease. Therefore, the only necessary modification for a patient with celiac disease is to avoid gluten.

2. What level of sodium restriction would be included as part of nutrition therapy for heart failure?

A. Less than 500 mg per day
B. 1000 mg to 1500 mg per day
C. 1500 mg to 3000 mg per day
D. 3000 to 3500 mg per day

Correct answer: C

Rationale: The correct answer is 1500 mg to 3000 mg per day. This is the level of sodium restriction typically recommended for heart failure patients. It helps manage fluid retention and reduce blood pressure, which are both crucial in treating heart failure. A sodium intake of less than 500 mg per day (Choice A) might be too restrictive and is not typically recommended. Similarly, an intake of 1000 mg to 1500 mg per day (Choice B) falls short of the recommended range. Lastly, an intake of 3000 to 3500 mg per day (Choice D) exceeds the recommended upper limit, potentially exacerbating fluid retention and high blood pressure.

3. Which of the following statements about Z-Track technique is false?

A. Z-Track injections prevent irritation of the subcutaneous tissues
B. The technique involves creating a Zig-Zag like pattern of medication
C. It forces the medication to be contained in the subcutaneous tissues
D. It is used when administering Parenteral Iron

Correct answer: B

Rationale: The Z-Track technique is aimed at preventing medication leakage into the surrounding tissues by sealing the medication in the muscle, not by creating a Zig-Zag pattern. Choice A is correct as Z-Track injections help prevent irritation. Choice C is correct as it accurately describes how the technique works. Choice D is also correct as the Z-Track technique is commonly used when administering Parenteral Iron to prevent staining and irritation of the surrounding tissues.

4. The ideal time to begin taking folate to prevent neural tube defects is:

A. Before conception
B. Once pregnancy begins
C. At 6 weeks
D. Upon completion of the first trimester

Correct answer: A

Rationale: Folate is crucial before conception to prevent neural tube defects. Neural tube development occurs early in pregnancy, often before a woman knows she is pregnant.

5. 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.