A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

Call the healthcare provider to clarify if the client may have ice cream as requested.

Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice.

Provide the chocolate ice cream after determining the presence of bowel sounds.

Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.

Answer and Explanation

The Correct Answer is A

A.   Call the healthcare provider to clarify if the client may have ice cream as requested. Ice cream is not a clear liquid and may not be appropriate for a client scheduled for surgery. The nurse should clarify the client's dietary restrictions with the healthcare provider before providing ice cream.
B.   Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. While this option may provide some chocolate flavor, it may not satisfy the client's request for ice cream.
Additionally, the nurse should confirm with the healthcare provider before offering any alternative to the prescribed clear liquid diet.
C.   Provide the chocolate ice cream after determining the presence of bowel sounds. This action does not address the appropriateness of ice cream for a clear liquid diet before surgery. The nurse should clarify with the healthcare provider before providing ice cream.
D.   Explain that a popsicle or a cup of gelatin can be provided rather than ice cream. While popsicles and gelatin are clear liquids and may be appropriate for the client's clear liquid diet, this option does not address the client's specific request for chocolate ice cream. The nurse should clarify with the healthcare provider before providing any alternatives.

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Correct Answer is B

Explanation

A. Determine pH value of specimen. While pH testing can help confirm gastric placement of the NGT, the appearance of cloudy green fluid suggests a different issue that should be addressed first.
B. Send fluid specimen to the laboratory. Cloudy green fluid aspirated from the NGT suggests possible infection or contamination and should be sent to the laboratory for analysis to determine the presence of pathogens or other abnormalities.
C. Withdraw the NGT and reinsert. This may be necessary if placement is incorrect, but the cloudy green fluid suggests a potential issue beyond placement.
D. Connect the NGT to wall suction. Suctioning should not be initiated until the nature of the aspirated fluid is determined. If the fluid is infected, suctioning it could spread pathogens or cause further complications.

A. Broccoli. B. Ground sirloin. C. Cottage cheese. D. Bananas.

Correct Answer is C

Explanation

A. Broccoli. Broccoli is a low-sodium vegetable and is a good choice for a low-sodium diet.

B. Ground sirloin. While not completely free of sodium, fresh meat like ground sirloin has relatively low sodium content compared to processed or cured meats.
C. Cottage cheese. Cottage cheese is high in sodium, especially processed varieties, and should be limited on a low-sodium diet.
D. Bananas. Bananas are very low in sodium and are safe for a low-sodium diet.

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A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

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A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?