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 provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select one that does not apply.)

A. Top yogurt with fruits.
B. Add cream to soups.
C. Use milk instead of water in recipes.
D. Increase fluids during meals.

Correct answer: D

Rationale: The correct recommendation to increase calorie and protein intake for a client taking chemotherapy and losing weight is to add cream to soups (choice B), as it provides additional calories and proteins. Using milk instead of water in recipes (choice C) can also increase the calorie and protein content. Topping yogurt with fruits (choice A) can be a healthy choice but may not significantly increase calorie and protein intake. Increasing fluids during meals (choice D) may fill up the stomach, potentially reducing the intake of solid foods, which is not ideal when trying to increase calorie and protein consumption.

3. Onset frequently occurs after the age of 40.

A. Type 1 Diabetes
B. Type 2 Diabetes
C.
D.

Correct answer: B

Rationale: The correct answer is B, Type 2 Diabetes. Type 2 Diabetes commonly presents with an onset after the age of 40, although it is now also seen in younger individuals due to lifestyle factors such as poor diet and lack of exercise. Type 1 Diabetes, on the other hand, typically develops in childhood or adolescence and is not associated with age over 40. Choices C and D are left blank as they are not relevant to the question.

4. The most energy-rich nutrient is:

A. carb
B. fat
C. protein
D. water

Correct answer: B

Rationale: Fat provides 9 kcal per gram, making it the most energy-rich nutrient compared to carbohydrates and proteins, which provide 4 kcal per gram.

5. 24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?

A. Pink, moist, and slightly protruding from the abdomen
B. Gray, moist, and slightly protruding from the abdomen
C. Pink, dry, and slightly protruding from the abdomen
D. Red, moist, and slightly protruding from the abdomen

Correct answer: A

Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.