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
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Nursing Elites

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?

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?

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?

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.

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.

5. Fatty acids may differ from one another:

Correct answer: D

Rationale: Fatty acids vary in chain length and degree of saturation, affecting their physical properties and health effects.

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