the nurse is caring for a client taking warfarin which meal brought in by the clients family is a priority to remove before the client eats it

ATI RN

Nutrition ATI Test

1. The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?

A. Oriental cabbage salad with chicken
B. Beef enchilada, rice, and beans
C. Ham and cheese sandwich
D. Macaroni salad and grapefruit slices

Correct answer: C

Rationale: The correct answer is C. Ham is high in vitamin K, which can interfere with warfarin. Vitamin K can decrease the effectiveness of warfarin, an anticoagulant medication. Choices A, B, and D do not contain high levels of vitamin K and are less likely to interfere with the client's warfarin therapy.

2. How many diet-related major risk factors for coronary heart disease does Mrs. Winslow have?

A. 1
B. 4
C. 2
D. 3

Correct answer: B

Rationale: Mrs. Winslow has four major diet-related risk factors for coronary heart disease: high total cholesterol, high LDL cholesterol, high triglycerides, and low HDL cholesterol. Choice A is incorrect because there are more than one risk factor present. Choices C and D are incorrect as they do not account for the total number of diet-related major risk factors identified.

3. When is Prevident indicated?

A. High caries risk
B. Crown and bridge work
C. Orthodontic decalcification
D. All of the above

Correct answer: D

Rationale: Prevident is indicated for all the situations listed in the choices. It is recommended for patients with a high risk of caries to reduce the risk of tooth decay. It is also used in dental procedures like crown and bridge work to strengthen enamel and prevent cavities. Furthermore, it is utilized for orthodontic decalcification to aid in remineralizing the tooth structure and prevent further damage. Therefore, the correct answer is 'All of the above.' While choices A, B, and C are individually correct, selecting 'All of the above' is the most appropriate as it encompasses all the possible indications for Prevident.

4. Each of the following is a fat-soluble vitamin except for one. Which is the exception?

A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K

Correct answer: B

Rationale: The correct answer is B, Vitamin C. Vitamin C is a water-soluble vitamin, not fat-soluble. Fat-soluble vitamins are Vitamins A, D, E, and K. These vitamins are stored in the body's fat tissues and liver, unlike water-soluble vitamins which are not stored and are eliminated in urine, making them less likely to reach toxic levels.

5. What is the first step in decontamination?

A. Immediately applying a chemical decontamination foam to the area of contamination
B. Thoroughly washing and rinsing the patient with soap and water
C. Immediately applying personal protective equipment
D. Removing the patient's clothing and jewelry, then rinsing the patient with water

Correct answer: D

Rationale: The correct first step in decontamination is to remove the patient's clothing and jewelry to prevent further exposure and then rinse the patient with water. This helps to eliminate any contaminants on the patient's body. Choice A is incorrect because applying a chemical decontamination foam should come after removing clothing. Choice B is incorrect as washing and rinsing the patient should follow the removal of clothing. Choice C is incorrect as personal protective equipment should be worn by the individual performing the decontamination, not applied to the patient.