maternal malnutrition at a critical period of development may have lifelong effects on an individuals pattern of genetic expression and on the tendenc
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Nursing Elites

ATI RN

ATI RN Nutrition Online Practice 2019

1. Maternal malnutrition at a critical period of development may have lifelong effects on an individual's pattern of genetic expression and on the tendency to develop obesity, which is a concept known as _____.

Correct answer: D

Rationale: Fetal programming refers to the concept that maternal nutrition during critical periods of development can have long-term effects on an individual's health and risk of diseases like obesity.

2. A diet high in which nutrient can lead to increased risk of developing kidney stones?

Correct answer: B

Rationale: High protein intake can increase the risk of kidney stones due to elevated calcium excretion.

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

Correct answer: B

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

4. During nutritional counseling, what is the most important step to take?

Correct answer: D

Rationale: During nutritional counseling, the most important step is to include the patient in the formulation of the dietary plan. This ensures their active involvement, understanding, and commitment to the plan, leading to better compliance and success in achieving nutritional goals. Consulting the patient's family (Choice A) may be helpful but should not replace involving the patient directly. Formulating a sample diet plan before presenting it to the patient (Choice B) may not align with the patient's preferences or needs. Including members of the dental team in the dietary formulation (Choice C) may not be necessary unless specific dental concerns need to be addressed.

5. During the first 24 hours after the thermal injury, you should assess Sergio for:

Correct answer: D

Rationale: During the initial phase after a thermal injury, the major concern is the release of potassium due to cell damage, leading to hyperkalemia. Hypernatremia is not typically a primary concern in the immediate post-injury phase. Hyponatremia is less likely to occur initially after a burn injury. Therefore, the correct assessment for Sergio during the first 24 hours after the thermal injury would be hyperkalemia and hypernatremia.

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