in cleaning the stoma the nurse would use which of the following cleaning mediums
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Nursing Elites

ATI RN

ATI Proctored Nutrition Exam 2019

1. In cleaning the stoma, the nurse would use which of the following cleaning mediums?

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

2. What is the term for a state of disequilibrium wherein a person cannot readily solve a problem or situation using their usual coping mechanisms?

Correct answer: A

Rationale: In psychological terms, a 'Crisis' refers to a state of disequilibrium wherein a person cannot readily solve a problem or situation even by using his usual coping mechanisms. This is different from 'Mental Illness' (Choice C) which is a more general term for a wide range of mental health conditions that affect mood, thinking and behavior. 'Mental Health' (Choice B) is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community. Finally, 'Stress' (Choice D) is a state of mental or emotional strain or tension resulting from adverse or demanding circumstances, but it does not necessarily disrupt equilibrium to the extent that usual coping mechanisms are ineffective, unlike 'Crisis'.

3. In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?

Correct answer: D

Rationale: The nursing priority care in a case where an epidural catheter for Fentanyl epidural analgesia is given during hip surgeries is to assess the respiratory rate carefully. Respiratory depression is a potential side effect of Fentanyl, especially when administered epidurally. Monitoring the respiratory rate is crucial to detect any signs of respiratory distress promptly. Instructing the client to observe strict bed rest (Choice A) may be necessary but is not the priority over ensuring respiratory function. Checking for epidural catheter drainage (Choice B) and administering analgesia through the epidural catheter as prescribed (Choice C) are important aspects of care, but ensuring adequate ventilation takes precedence to prevent complications.

4. The nutrient facts panel was established by the USDA and the FDA to improve health and well-being by enhancing nutritional knowledge. Nutrient content claims describe a relationship between a food or food component and reduced risk of a disease or health-related condition.

Correct answer: C

Rationale: The correct answer is C. The first statement is true as the nutrient facts panel was indeed established by the USDA and the FDA to improve health and well-being by enhancing nutritional knowledge. However, the second statement is false. Nutrient content claims actually refer to the amount of a nutrient in a food, not to the relationship between a food and disease risk. Therefore, the second statement is incorrect, making choice C the correct option. Choice A is incorrect because the second statement is false. Choice B is incorrect as the first statement is true. Choice D is incorrect because the second statement is false.

5. Select all that apply. Which of the following are true about protein digestion?

Correct answer: C

Rationale: Protein digestion begins in the stomach with the enzyme pepsin, which breaks down proteins into smaller polypeptides. The end products of protein digestion are amino acids.

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