RN ATI NUTRITION 2019 PROCTORED EXAM WITH NGN

RN ATI NUTRITION 2019 PROCTORED EXAM WITH NGN

a nurse is planning care for a client who has ESKD. what should the nurse include in her plan of care - ANSWER--monitor weight daily
encourage client to comply with fluid restrictions
eval I+ O
monitor for constipation

a nurse is teaching a client on dialysis about protein needs. what should be included: - ANSWER-consume 35 kcal/kg of body weight
increased biologic sources of protein (eggs, milk, soy)
take phosphate binders with protein rich food

a nurse is talking with a client who has a new diagnosis of diabetes mellitus type 2. which of the following should the nurse include as a zero-cal sweetner? - ANSWER-aspartame
sucralose

dietary teaching for patient with type 2 diabetes - ANSWER--carbs should compromise 55 %of daily calorie intake
-you can add table sugar to cereals
-eat something if you choose to drink 
use same portion sizes to exchange carbs

nutritional guidelines for cancer prevention - ANSWER-eat foods high in vitamin A
add cruciferous veggies

a nurse is collecting data from a client who has suspected HIV- associated wasting. What supports this diagnosis? - ANSWER-report of fever for 30 days

how do you calculate percentage weight change ? - ANSWER-previous weight-current weight / previous weight x 100

what is significant weight loss percentage ? - ANSWER-> 2 % in week OR > 7.5 % in 3 months

How do you calculate BMI? - ANSWER-weight (kg) / height (m^2)

What are the BMI ranges? - ANSWER-underweight: <18.5
normal: 18.5-24.9
overweight: 25-29.9
obese: >30

how many calories are in one pound ? - ANSWER-3,500 calories

what should you do to lose one pound a week ? - ANSWER-decrease your daily calories by 500 calories

patient teaching for weight loss - ANSWER-monitor hunger on a 0-10 scale before eating
certain foods should not be "forbidden"
do not weigh yourself daily ( weight loss will not be consistent. weight will fluctuate)
eat meals free of distraction
make lifelong/ temporary changes

dietary guideline for Americans:

servings of fruits and veggies: - ANSWER-eat 5 or more fruits and veggies a day

dietary guideline for Americans: 

best type of fat to consume: - ANSWER-monounsaturated and polyunsaturated
goal is to eat <7 % from saturated fats

dietary guidelines for Americans:

recommended salt intake: - ANSWER-consume less than 2,300 mg/day of salt

Dietary Guidelines for Americans:

# of alcoholic drinks per day: - ANSWER-up to 1/ drink a day for women
up too 2 /drinks a day for men

exercise recommendations for adults - ANSWER-weight bearing exercise- prevents osteoporosis

2.5 hours/ week of moderate aerobic activity
1.25 hours/week of vigorous aerobic activity

exercise for children/adolescents - ANSWER-60 minutes/day of physical activity

Food labels must contain - ANSWER-calories
calories from fat
saturated fat
trans fat
cholesterol
sodium
total carbohydrates
dietary fiber
sugars
protein
vitamin A
vitamin C
calcium
iron

common foods that cause food borne illness - ANSWER-raw/undercooked meat
raw sprouts
unpasteurized fruit juice
raw fruits/veggies (veggies contaminated with animal feces)
raw milk products

common food borne illnesses - ANSWER-salmonella, E. coli 0157:H7, Listeria, Norovirus

dietary concerns during pregnancy (patient teaching)