what action should the nurse take first for a client with listeria food poisoning
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Nursing Elites

ATI RN

ATI RN Nutrition Online Practice 2019

1. What action should the nurse take first for a client with Listeria food poisoning?

Correct answer: D

Rationale: Identifying the source of Listeria is crucial for preventing further cases.

2. Which of the following interventions should be considered the highest priority when caring for June, who has hemiparesis secondary to a stroke?

Correct answer: C

Rationale: The correct answer is C, 'Apply antiembolic stockings'. In the case of a patient who has experienced a stroke and is suffering from hemiparesis, the highest priority intervention is to prevent further complications such as deep vein thrombosis (DVT), which can be life-threatening. Antiembolic stockings are used to increase venous blood flow velocity and reduce the risk of DVT. Choice 'A', positioning June in an upright lateral position, while important for overall care, is not the highest priority. Choice 'B', performing range of motion exercises, is an important part of recovery but not the immediate priority. Choice 'D', using hand rolls or pillows for support, is also a valuable intervention but does not address the most pressing risk of further complications.

3. Each statement is true of fat-soluble vitamins, except one. Which is the exception?

Correct answer: C

Rationale: Fat-soluble vitamins are not stored in the pancreas; they are stored in the liver and fatty tissues. Choice A is correct as fat-soluble vitamins are fairly stable to heat. Choice B is also correct as fat-soluble vitamins contain carbon. Choice D is correct as fat-soluble vitamins are absorbed in the intestine along with fats and lipids in food.

4. The nurse is correct in performing suctioning when she applies the suction intermittently during:

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

5. Which vitamin is essential for proper blood clotting?

Correct answer: C

Rationale: Vitamin K is vital for the synthesis of clotting factors, which are necessary for proper blood clotting. Vitamin A (Choice A) is important for vision and skin health, not blood clotting. Vitamin E (Choice B) is an antioxidant that helps protect cells from damage but is not directly involved in blood clotting. Vitamin C (Choice D) is essential for collagen synthesis and a healthy immune system, but it does not play a direct role in blood clotting.

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