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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Check for body weight changes. While changes in body weight can provide valuable
information about nutritional status, they may not be immediately relevant to addressing the high gastric residual volume.
B. Calculate 24-hour caloric intake. While important for overall nutritional assessment,
calculating 24-hour caloric intake may not address the immediate concern of the high gastric residual volume.
C. Observe for abdominal distention. High gastric residual volumes can indicate delayed gastric emptying or intolerance to the feeding formula, which may manifest as abdominal distention.
Assessing for this symptom helps determine the client's comfort and potential complications related to tube feeding.
D. Measure the urinary output. Monitoring urinary output is important for assessing hydration status and renal function, but it may not directly address the issue of high gastric residual volume associated with tube feeding.
Correct Answer is B
Explanation
A. Macaroni and cheese. Macaroni and cheese can be high in sodium, especially if it's prepared from a boxed mix or includes processed cheese. It is not typically recommended for a low- sodium diet.
B. Turkey salad sandwich. Turkey is a lean protein, and a salad sandwich can be made with low- sodium ingredients such as whole-grain bread, fresh vegetables, and low-sodium mayonnaise or mustard.
C. Bacon, lettuce, and tomato sandwich. Bacon is high in sodium and not suitable for a low- sodium diet. Other ingredients in the sandwich may also contribute to sodium intake, depending on their preparation.
D. Clam chowder. Clam chowder is often high in sodium due to the use of clam juice and added salt in the broth. It is not recommended for a low-sodium diet.
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