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. After cleaning the abrasions and applying antiseptic, the nurse applies a cold compress to the swollen ankle as ordered by the physician. This statement shows that the nurse has a correct understanding of the use of a cold compress:

A. Cold compress reduces blood viscosity in the affected area
B. It is safer to apply than a hot compress
C. Cold compress prevents edema and reduces pain
D. It eliminates toxic waste products due to vasodilation

Correct answer: C

Rationale: The correct understanding of using a cold compress includes knowing that it helps prevent edema and reduces pain. Cold application constricts blood vessels, reducing blood flow to the area, which helps decrease swelling and pain. Choices A, B, and D are incorrect because cold compresses do not directly affect blood viscosity, safety compared to hot compresses, or eliminate toxic waste products due to vasodilation. It is essential for nurses to have a clear understanding of the rationale behind interventions to provide effective patient care.

3. For patients with hypertension, which dietary change is most recommended?

A. Increase salt intake
B. Reduce fiber intake
C. Increase potassium intake
D. Reduce sugar intake

Correct answer: C

Rationale: Increasing potassium intake can help reduce blood pressure in hypertensive patients.

4. Bones continuously lose and gain minerals. This ongoing process is called?

A. reorganization
B. reorienting
C. demineralizing
D. remodeling

Correct answer: D

Rationale: The correct answer is D, 'remodeling.' Remodeling is the process by which bones continuously lose and gain minerals, maintaining bone strength and integrity over time. 'Reorganization' (choice A), 'reorienting' (choice B), and 'demineralizing' (choice C) do not accurately describe the process of bones continuously losing and gaining minerals.

5. The OR team performs distinct roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. While the surgeon performs the surgical procedure, who monitors the status of the client like urine output, blood loss?

A. Scrub Nurse
B. Surgeon
C. Anaesthesiologist
D. Circulating Nurse

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.