the nurse is working with a patient who recently had a stroke the patient frequently chokes and coughs when eating and is having difficulty feeding he

ATI RN

ATI Nutrition Proctored Exam 2023

1. The nurse is working with a patient who recently had a stroke. The patient frequently chokes and coughs when eating and is having difficulty feeding herself. What is the best way to ensure adequate nutrition?

A. to have an aide feed her at each meal
B. to ask a family member to assist during meals
C. to provide tube feedings for the patient
D. to initiate TPN for the patient

Correct answer: C

Rationale: The best way to ensure adequate nutrition for a stroke patient who frequently chokes and coughs when eating and has difficulty feeding herself is to provide tube feedings. Tube feedings are a safe and effective method to deliver nutrition directly to the stomach or intestines, bypassing the swallowing mechanism, reducing the risk of aspiration. Having an aide feed her each meal (choice A) may not address the underlying issue of swallowing difficulty and aspiration risk. Asking a family member to be present at each meal (choice B) does not provide a definitive solution to the patient's nutritional needs. Placing the patient on total parenteral nutrition (TPN) (choice D) is a more invasive and typically reserved for patients who cannot tolerate enteral feedings or have non-functional gastrointestinal tracts.

2. What dietary strategy would most likely be used as part of lifestyle management to reduce the risk of coronary heart disease?

A. Avoid foods that contain polyunsaturated fat
B. Limit saturated fat to less than 10 percent of total calories
C. Limit alcohol intake to one drink daily for women and two drinks daily for men
D. Avoid consumption of fish and shellfish

Correct answer: C

Rationale: Limiting alcohol intake is part of a strategy to reduce the risk of coronary heart disease by avoiding the negative cardiovascular effects associated with excessive alcohol consumption.

3. A vegan patient might be at risk for deficiency in which of the following nutrients?

A. Vitamin B12
B. Vitamin C
C. Carbohydrates
D. Fiber

Correct answer: A

Rationale: The correct answer is Vitamin B12. Vitamin B12 is primarily found in animal products, so individuals following a vegan diet are at risk of deficiency as they do not consume these sources. Vitamin C, Carbohydrates, and Fiber are not specifically at risk for deficiency in vegan diets as they can be obtained from plant-based sources.

4. A client who 1) ___ diet requires 2) _ amounts of vitamin C.

A. A) Follows a vegan diet, B) More
B. B) Smokes cigarettes, B) More
C. A) Follows a vegan diet, C) The same
D. B) Smokes cigarettes, C) The same

Correct answer: B

Rationale: The correct answer is B) Smokes cigarettes, More. Smoking increases the need for vitamin C as it can deplete the body's vitamin C levels. Vegan diets, on the other hand, require more vitamin C for optimal absorption due to the absence of heme iron, which enhances non-heme iron absorption. Choices A and C are incorrect because vegan diets require more vitamin C, while smoking increases the need for vitamin C.