A child has experienced several episodes of vomiting.
After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child.
Which information should the nurse obtain about the popsicles?
Whether they contain pulp or fruit.
The color and flavor of gelatin used.
If the popsicles are completely frozen.
How many popsicles are available.
None
None
The Correct Answer is A
Choice A rationale
When a child is on a clear liquid diet due to vomiting, it's essential to ensure that all consumed liquids are transparent and free from solid particles. Popsicles made from flavored gelatin are typically considered acceptable because they are clear and do not contain solid pieces. However, if the popsicles contain pulp or fruit, they would no longer be classified as clear liquids and could potentially irritate the stomach, leading to further vomiting. Therefore, the nurse should inquire whether the popsicles contain pulp or fruit to ensure they adhere to the clear liquid diet guidelines.
Choice B rationale
While the color and flavor of the gelatin may affect the child's acceptance of the popsicles, they do not impact whether the popsicles are considered clear liquids.
Choice C rationale
If the popsicles are completely frozen is not relevant to the dietary restrictions. The focus should be on the ingredients and their suitability for a clear liquid diet.
Choice D rationale
The number of popsicles available does not impact their suitability for the child’s diet. The nurse should focus on the content and appropriateness of the popsicles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Step 1 is… 30 mg ÷ (30 mg ÷ 15 mL) = 15 mL
Step 2 is… 15 mL ÷ 15 mL/tbsp = 1 tbsp
The final calculated answer is 1 tablespoon.
Correct Answer is B
Explanation
Choice A rationale
Initiating a fall risk protocol is not necessary when the client demonstrates an upright posture and a smooth, steady gait. Fall risk protocols are typically initiated when there are signs of instability or a history of falls.
Choice B rationale
Recording the client’s ability to perform ADLs safely is the appropriate action. This documentation provides a baseline for the client’s functional status and helps in planning further care. It also ensures that the client’s current abilities are noted for future reference.
Choice C rationale
Determining the client’s activity tolerance is important but not the immediate next step after observing a smooth and steady gait. This assessment can be done later to evaluate the client’s endurance and capacity for physical activities.
Choice D rationale
Teaching the client to shorten the stride to prevent falls is unnecessary when the client’s gait is already smooth and steady. This advice is more relevant for clients who show signs of instability or a tendency to fall.
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