while the client has pulse oximeter on his fingertip you notice that the sunlight is shining on the area where the oximeter is your action will be to

ATI RN

Nutrition ATI Test

1. While the client has a pulse oximeter on his fingertip, you notice that sunlight is shining on the area where the oximeter is. Your action will be to:

A. Set and turn on the alarm of the oximeter
B. Do nothing since there is no identified problem
C. Cover the fingertip sensor with a towel or bedsheet
D. Change the location of the sensor every four hours

Correct answer: B

Rationale: In this scenario, the correct action is to do nothing since there is no identified problem with the sunlight shining on the area where the oximeter is placed. The functionality of the oximeter is not affected by sunlight, so covering it or changing its location unnecessarily could disrupt the monitoring process. Setting the alarm or changing the sensor location every four hours is not indicated in this situation and may lead to unnecessary interventions. It's essential to assess the situation carefully and intervene only when necessary, ensuring that care provided is appropriate and effective.

2. A client who follows the dietary laws of Orthodox Judaism is being cared for by a nurse. Which of the following meal choices should the nurse request for the client?

A. Turkey and cheese sandwich
B. Spaghetti with tomato sauce
C. Pork chop and applesauce
D. Scrambled eggs and bacon

Correct answer: B

Rationale: The correct meal choice for a client following the dietary laws of Orthodox Judaism is 'Spaghetti with tomato sauce.' Orthodox Judaism prohibits mixing meat and dairy and consuming pork. The other choices - 'Turkey and cheese sandwich' (mixing meat and dairy), 'Pork chop and applesauce' (contains pork), and 'Scrambled eggs and bacon' (mixing meat and dairy) - do not adhere to the kosher dietary laws.

3. Which enzyme is most essential for hydrolyzing large protein molecules?

A. Gastric lipase
B. Pepsin
C. Mucus
D. Intrinsic factor

Correct answer: B

Rationale: Pepsin, choice B, is the correct answer as it is a proteolytic enzyme that is essential for the breakdown of large protein molecules in the stomach. Gastric lipase, choice A, is incorrect because it primarily targets fats, not proteins, hence it is not involved in protein hydrolysis. Mucus, choice C, is incorrect as it serves to protect the stomach lining from acidic gastric juices and does not play a direct role in protein digestion. Intrinsic factor, choice D, is incorrect as it is vital for the absorption of Vitamin B12 in the small intestine and doesn't participate in the process of hydrolyzing proteins.

4. Salome was fitted a hearing aid. She understood the proper use and wear of this device when she says that the battery should be functional, the device is turned on and adjusted to a:

A. therapeutic level
B. comfortable level
C. prescribed level
D. audible level

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.

5. How much extra protein (above RDA) is safe to consume?

A. 2x your RDA
B. any amount
C. 3x your RDA
D. 20 grams

Correct answer: A

Rationale: Consuming up to twice the Recommended Dietary Allowance (RDA) of protein is generally considered safe for most people, although it may vary depending on individual health conditions.