ATI Nutrition, Feeding, and Eating

To assess a stroke patient for complications secondary to inadequate swallowing, the nurse should do which of the following?
-With a penlight, inspect the patients uvula and soft palate
-Place the tip of the tongue depressor on the posterior tongue
-Place fingers on the patients throat at the level of the larynx and ask them to swallow
-Auscultate the patients lungs

Auscultate the patients lungs

Which of the following strategies for enhancing the intake of healthful foods is appropriate for an adolescent?
-Allowing the adolescent complete autonomy is making food choices
-Making healthful choices more convenient and available
-Permitting the adolescent to skip breakfast to enhance appetite at later meals
-Encouraging the adolescent to eat snack foods from the grains group

Making healthful food choices more convenient and available

Which of the following interventions should the nurse use at mealtimes for a patient who has visual deficits?
-Direct the order in which food items are consumed
-Have the patient tilt her head forward while eating
-Identify the food location as if the plate were a clock
-Avoid talking to the patient during mealtime

Identify the food location as if the plate were a clock

A nurse is caring for a patient who has sustained a head injury and whose level of consciousness fluctuates. The provider prescribes a full liquid diet progressing to pureed diet as tolerated. Before initiating feedings, it is essential that this patient undergo which of the following?
-Chest x-ray
-Nasogastric tube insertion
-Swallowing examination
-Olfactory nerve evaluation

Swallowing examination

A nurse is performing a nutritional assessment. When obtaining and interpreting intropometric values, the nurse should recognize which of the following?
-A weight increase of 4 lbs in a patient with renal failure indicates rentention of 1,000 mL of fluid
-Isolated measurements of height and weight are of greater significance than changes over time
-The ratio of height-to-wrist circumference is the most accurate way to identify obesity
-The patient should be weighed at the same time each day on the same scale

The patient should be weighed at the same time each day on the same scale

Which of the following dietary modifications should an adolescent in sports implement?
-Drink water before and after sports activities
-Decrease carbohydrates to 30%-40% of daily calories
-Keep protein intake at the same level
-Increase fats to 30%-40% of caloric intake

Drink water before and after sports activities

A nurse is caring for a patient who has impaired swallowing due to a cerebrovascular accident. Which of the following interventions should the nurse use to assist the patient with feeding?
-Elevate the head of the bed from 45 to 90 degrees
-Provide the patient with a straw
-Place food in the weaker side of the mouth
-Offer the patient thin fluids

Elevate the head of the bed from 45 to 90 degrees

When teaching the parents of a toddler about feeding and eating, the nurse should include which of the following safety measures?
-Give the child 8 to 12 oz of fruit juice daily
-Do not offer the child raw vegetables
-Do not give the child peanut butter
-Have the child drink 28 to 32 oz of milk daily

Do not offer the child raw vegetables

Which of the following is the primary purpose to ask a patient to keep a 3 to 7 day food diary?
-To allow the patient to rely on health professionals to identify problem areas
-To determine any changes in the patients appetite
-To evaluate any significant changes in body weight
-To assess the pattern of intake and compare with daily reference intakes

To assess the pattern of intake and compare with daily reference intakes

A nurse should recognize that which of the following is correct regarding albumin level as a diagnostic marker for nutritional status?
-Albumin level is calculated by keeping a 24 hour record of protein intake
-Albumin level is poor short-term indicatory of protein status
-An albumin level of 3.2 mg/dL is withing normal reference range
-Hydration status does not effect a patients albumin level

Albumins level is a poor short-term indicator of protein status

Which of the following are appropriate choices for a patient prescribed a full liquid diet (select all that apply)
-Mashed potatoes
-Ice cream
-Plain yogurt
-Custard
-Pureed meat
-Gelatin

Yogurt, custard, ice cream, gelatin