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 D

Explanation

A. Nausea. While nausea can affect appetite and food intake, it is not specifically linked to periodontitis. It is more commonly associated with gastrointestinal issues or other systemic conditions.
B. Altered taste sensation. Altered taste can impact food intake, but it is not a primary issue in periodontitis. Periodontitis primarily affects the gums and supporting structures of the teeth.
C. Fatigue. Fatigue can reduce overall energy levels and appetite, but it is not directly related to the localized effects of periodontitis.
D. Pain when eating. Periodontitis causes inflammation and pain in the gums, which can make eating difficult and uncomfortable. This pain is the most direct and relevant reason for
inadequate nutritional intake in a client with periodontitis.

A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. B. Tell the PN that this assessment technique should be performed by the nurse. C. Review the measurement obtained by the PN and compare with ideal measurements for this client. D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes.

Correct Answer is C

Explanation

A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. This statement is incorrect. Waist circumference is a valuable measure for assessing abdominal obesity and related health risks.

B. Tell the PN that this assessment technique should be performed by the nurse. Measuring waist circumference is within the scope of practice for a practical nurse and does not need to be performed by a registered nurse.
C. Review the measurement obtained by the PN and compare with ideal measurements for this client. This action ensures that the measurement is accurate and provides an opportunity to educate the client about the significance of waist circumference in relation to obesity and associated health risks.
D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes. Waist circumference does not change significantly over such a short period and does not need to be measured this frequently.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

Correct Answer is D

Explanation

The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?

Correct Answer is C

Explanation

A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?

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