the nurse is completing a nutritional assessment on a client which statement made by the client is most concerning to the nurse
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Nursing Elites

ATI RN

ATI Nutrition Practice Test B 2019

1. The nurse is completing a nutritional assessment on a client. Which statement made by the client is most concerning to the nurse?

Correct answer: A

Rationale: The correct answer is A. Excessive intake of vitamin E can increase the risk of bleeding as it acts as a blood thinner. Bruising easily may indicate too much vitamin E. Choice B is not as concerning as it describes a lifestyle that may lead to vitamin D deficiency due to lack of sunlight exposure. Choice C shows awareness of the interaction between warfarin and vitamin K, which is expected. Choice D indicates knowledge of the vitamin A content in the supplement, which is not a cause for concern.

2. After a few hours in the Emergency Room, Mr. Dizon is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be:

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. A patient following a vegetarian diet might be at risk for deficiency in which nutrient?

Correct answer: B

Rationale: Vitamin B12 is primarily found in animal products, so vegetarians may need supplementation.

4. During the Emergent phase of a burn, the most fatal electrolyte imbalance in a burned client is:

Correct answer: A

Rationale: During the Emergent phase of burns, the most fatal electrolyte imbalance is Hypokalemia. This is due to the shift of potassium from the intracellular space to the extracellular space, leading to low potassium levels in the blood. Choices B, C, and D are incorrect because Hyperkalemia, Hypernatremia, and Hyponatremia are not typically associated with the Emergent phase of burns and do not pose the same level of risk as Hypokalemia in this context.

5. The two members of the health care team who work closely to monitor drug-nutrient interactions are the:

Correct answer: D

Rationale: The correct answer is D: clinical dietitian and pharmacist. Clinical dietitians and pharmacists work closely together to monitor and manage drug-nutrient interactions. While physicians and nurses play essential roles in patient care, they are not typically the primary professionals involved in monitoring drug-nutrient interactions. Therefore, choices A, B, and C are incorrect.

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