the nurse is assessing a client with a new diagnosis of listeria food poisoning what action should the nurse take first

ATI RN

ATI Nutrition Practice Test B 2019

1. The nurse is assessing a client with a new diagnosis of Listeria food poisoning. What action should the nurse take first?

A. Educate the client on safe food practices.
B. Start a traceback to identify the source of the outbreak.
C. Report the case to the county board of health.
D. Ask the client if they have consumed any unpasteurized products.

Correct answer: D

Rationale: The correct first action for the nurse to take when assessing a client with a new diagnosis of Listeria food poisoning is to inquire if the client has consumed any unpasteurized products. This is crucial because Listeria contamination is often associated with unpasteurized dairy products and undercooked meats. Educating the client on safe food practices (Choice A) is important but not the priority at this initial assessment stage. Starting a traceback to identify the source of the outbreak (Choice B) and reporting the case to the county board of health (Choice C) are necessary actions but should come after gathering information directly from the client regarding potential exposure to high-risk foods.

2. A Hazard Analysis and Critical Control Points (HACCP) program would address which element of food service?

A. cleaning and disinfecting of utensils
B. developing healthy menus
C. controlling patient calorie intake
D. prescribing diets for patients with swallowing problems

Correct answer: A

Rationale: The correct answer is A. Hazard Analysis and Critical Control Points (HACCP) programs are designed to ensure food safety by identifying and controlling potential hazards. This includes addressing the cleaning and disinfecting of utensils to prevent contamination and maintain safe food handling practices. Choices B, C, and D are incorrect because HACCP primarily focuses on preventing food safety hazards rather than developing menus, controlling calorie intake, or prescribing diets for specific medical conditions.

3. For individuals with lactose intolerance, which of the following foods should be avoided?

A. Eggs
B. Milk
C. Almonds
D. Beef

Correct answer: B

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose. Milk contains lactose, a sugar found in dairy products, and should be avoided by individuals with lactose intolerance. Choices A, C, and D are not sources of lactose and are generally well-tolerated by individuals with lactose intolerance.

4. The counting of sponges is done by the Surgeon together with the:

A. Circulating nurse
B. Scrub nurse
C. Assistant surgeon
D. Nurse supervisor

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.

5. Which practice is a type of traditional Chinese medicine?

A. magnet therapy
B. acupuncture
C. faith healing
D. biofeedback

Correct answer: B

Rationale: Acupuncture is a key practice in traditional Chinese medicine. It involves the insertion of thin needles into specific points on the body to balance energy flow and promote healing. Magnet therapy, faith healing, and biofeedback are not specifically associated with traditional Chinese medicine practices.