what instruction should the nurse include on weight gain during pregnancy

ATI RN

ATI RN Nutrition Online Practice 2019

1. What instruction should the nurse include on weight gain during pregnancy?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client needs to gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients will need to eat for two when they are pregnant.

Correct answer: A

Rationale: Appropriate weight gain is crucial for reducing the risk of preterm birth.

2. An appropriate nursing diagnosis for clients in the acute manic phase of bipolar disorder is:

A. Risk for injury directed to self
B. Risk for injury directed to others
C. Impaired nutrition less than body requirements
D. Ineffective individual coping

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. What are the best food sources of magnesium?

A. oils, bananas, and pork
B. pizza, potatoes, and tomatoes
C. milk, rice, and apples
D. legumes, whole grains, and chocolate

Correct answer: D

Rationale: The correct answer is D: legumes, whole grains, and chocolate. These foods are rich sources of magnesium, an essential mineral that plays a role in over 300 biochemical reactions in the body. Choices A, B, and C do not contain as high levels of magnesium compared to legumes, whole grains, and chocolate.

4. During an initial visit with an older adult client living alone and having difficulty preparing meals, what should the home health nurse do first?

A. Discuss nutritional requirements with the client.
B. Refer the client to a senior citizen center.
C. Arrange for a home-delivered meal program.
D. Perform a nutrition screening.

Correct answer: D

Rationale: Performing a nutrition screening is the most appropriate action for the nurse to take first. This allows the nurse to assess the client's current nutritional status and identify any specific needs. Discussing nutritional requirements with the client (Choice A) may be important but should come after the initial assessment. Referring the client to a senior citizen center (Choice B) or arranging for a home-delivered meal program (Choice C) are actions that may be considered later based on the findings of the nutrition screening.

5. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

A. Increase phosphorus intake
B. Limit calcium intake
C. Limit protein intake
D. Increase potassium intake

Correct answer: C

Rationale: The correct recommendation for a client with chronic kidney disease is to limit protein intake. Excessive protein consumption can strain the kidneys as they work to eliminate waste products from protein metabolism. This can worsen kidney function in individuals with chronic kidney disease. Therefore, limiting protein intake is crucial in managing this condition. Choices A, B, and D are incorrect. Increasing phosphorus intake can be harmful in kidney disease as it can lead to mineral imbalances. Limiting calcium intake is not typically necessary unless the client has specific complications. Increasing potassium intake may also be inappropriate as potassium levels can be affected in kidney disease.