for a patient with gerd gastroesophageal reflux disease which dietary advice is most appropriate

ATI RN

ATI Nutrition Practice A

1. For a patient with GERD (gastroesophageal reflux disease), which dietary advice is most appropriate?

A. Increase spicy foods
B. Avoid fatty foods
C. Increase citrus fruits
D. Reduce water intake

Correct answer: B

Rationale: Avoiding fatty foods can help reduce the symptoms of GERD.

2. A nurse at a health fair is assessing the weight status of four clients. Which of the following clients is classified as overweight?

A. A female client who has a body mass index of 24
B. A male client who has a body mass index of 29
C. A female client who has a waist circumference of 101.6 cm (40 in)
D. A male client who has a waist circumference of 96.52 cm (38 in)

Correct answer: B

Rationale: A body mass index (BMI) of 25 or higher is classified as overweight. Choice B, a male client with a BMI of 29, falls into the overweight category. Choice A, a female client with a BMI of 24, is within the normal range. Choices C and D provide information on waist circumference, which is not sufficient to determine if a client is overweight or not, as waist circumference alone does not provide the overall picture of weight status compared to BMI.

3. Which meal should be removed for a client taking warfarin?

A. Oriental cabbage salad with chicken
B. Beef enchilada, rice, and beans
C. Ham and cheese sandwich
D. Macaroni salad and grapefruit slices

Correct answer: C

Rationale: The correct meal to remove for a client taking warfarin is the 'Ham and cheese sandwich.' Ham is high in vitamin K, which can interfere with the effectiveness of warfarin, a medication that works by decreasing the clotting ability of the blood. Vitamin K can counteract the effects of warfarin by promoting blood clotting. Choices A, B, and D do not contain high amounts of vitamin K and are therefore safer options for individuals taking warfarin.

4. Without enough calcium, both males and females are at risk of osteoporosis.

A. TRUE
B. FALSE
C.
D.

Correct answer: A

Rationale: The statement is true. Both males and females are at risk of developing osteoporosis if they do not consume enough calcium. Calcium is essential for maintaining strong bones, and inadequate intake can lead to bone density loss and increase the risk of osteoporosis. Therefore, it is crucial for individuals of all genders to ensure they have an adequate calcium intake to support bone health. Choice B is incorrect because osteoporosis is a condition that can affect both males and females.

5. What is the major diet-derived antioxidant found in cell membranes?

A. B12
B. beta-carotene
C. vitamin E
D. vitamin A

Correct answer: C

Rationale: The correct answer is vitamin E. Vitamin E is the major antioxidant found in cell membranes, where it plays a crucial role in protecting them from oxidative damage. Although B12, beta-carotene, and vitamin A are important nutrients with specific functions in the body, they are not the primary antioxidants found in cell membranes. Vitamin E specifically localizes in cell membranes to neutralize free radicals and prevent lipid peroxidation, making it an essential antioxidant for cellular health.