Nutrition ATI Test

Nutrition ATI Test Related

Review Nutrition ATI Test related questions and content

In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is your nursing priority care in such a case?

  • A. Instruct the client to observe strict bed rest
  • B. Check for epidural catheter drainage
  • C. Administer analgesia through the epidural catheter as prescribed
  • D. Assess respiratory rate carefully
Correct Answer: D

Rationale: The nursing priority care in a case where an epidural catheter for Fentanyl epidural analgesia is given during hip surgeries is to assess the respiratory rate carefully. Respiratory depression is a potential side effect of Fentanyl, especially when administered epidurally. Monitoring the respiratory rate is crucial to detect any signs of respiratory distress promptly. Instructing the client to observe strict bed rest (Choice A) may be necessary but is not the priority over ensuring respiratory function. Checking for epidural catheter drainage (Choice B) and administering analgesia through the epidural catheter as prescribed (Choice C) are important aspects of care, but ensuring adequate ventilation takes precedence to prevent complications.

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The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?

  • A. Oriental cabbage salad with chicken
  • B. Beef enchilada, rice, and beans
  • C. Ham and cheese sandwich
  • D. Macaroni salad and grapefruit slices
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

During which step of the nursing process does the nurse analyze data related to the patient's health status?

  • A. Assessment
  • B. Implementation
  • C. Diagnosis
  • D. Evaluation
Correct Answer: A

Rationale: The correct answer is 'Assessment.' During the assessment phase of the nursing process, the nurse collects and analyzes data related to the patient's health status. This involves gathering information through various means such as patient interviews, physical examinations, and reviewing medical records. Choice B, 'Implementation,' refers to the phase where the nurse carries out the planned interventions. Choices C and D, 'Diagnosis' and 'Evaluation,' come after the assessment phase in the nursing process.

What is the purpose of the cuff in a Tracheostomy tube?

  • A. Separate the upper and lower airway
  • B. Separate trachea from the esophagus
  • C. Separate the larynx from the nasopharynx
  • D. Secure the placement of the tube
Correct Answer: B

Rationale: The purpose of the cuff in a Tracheostomy tube is to separate the trachea from the esophagus. The cuff helps prevent aspiration by creating a seal that separates the trachea from the esophagus, reducing the risk of food or fluids entering the lungs. Choices A, C, and D are incorrect because the cuff's primary function in a Tracheostomy tube is to prevent aspiration rather than separating the upper and lower airway, larynx from the nasopharynx, or securing the placement of the tube.

When assessing Richard for chest percussion or chest vibration and postural drainage, Mario would focus on the following EXCEPT:

  • A. Amount of food and fluid taken during the last meal before treatment
  • B. Respiratory rate, breath sounds, and location of congestion
  • C. Teaching the client's relatives to perform the procedure
  • D. Doctor's order regarding position restrictions and client's tolerance for lying flat
Correct Answer: B

Rationale: The correct answer is B because when assessing Richard for chest percussion or chest vibration and postural drainage, Mario would focus on various aspects such as the amount of food and fluid taken before treatment to prevent complications during the procedure, teaching the client's relatives to perform the procedure correctly, and following the doctor's orders regarding position restrictions and the client's tolerance for lying flat. Respiratory rate, breath sounds, and location of congestion would be assessed during the procedure itself, not as part of the pre-assessment.

A client with celiac disease should avoid which of the following?

  • A. Quinoa
  • B. Barley
  • C. Rice
  • D. Oats
Correct Answer: B

Rationale: The correct answer is B: Barley. Barley contains gluten, which is harmful to individuals with celiac disease. Gluten triggers an immune response in people with celiac disease, damaging the lining of the small intestine. Choices A, C, and D (Quinoa, Rice, and Oats) are gluten-free and safe for individuals with celiac disease to consume.

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