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 C

Explanation

A. Caloric intake between 800 and 1,000 kcal per day. This caloric intake range is very low and may not provide sufficient nutrients for health and well-being. It is not appropriate for most
individuals and could lead to nutritional deficiencies and other health problems.

B. Fat intake between 20 to 30 percent of total daily intake. While monitoring fat intake can be part of a weight loss program, focusing solely on fat intake without considering overall caloric intake and other dietary factors may not be effective for weight loss.
C. A three to five lb (2.3 kg) weight loss per week. This goal is reasonable and achievable for

individuals who are approximately fifteen percent over their ideal weight. It represents a gradual and sustainable rate of weight loss that can lead to long-term success.
D. Maintain a cholesterol level between 225 mg/dL (5.8 mmol/L) and 240 mg/dL (6.2 mmol/L).

While managing cholesterol levels is important for cardiovascular health, it is not directly related to weight reduction goals. This option is not appropriate for a weight loss teaching program.

A. The consumption of fruit and/or vegetables should total between 4 to 6 servings. B. The consumption of dairy-based products should be eliminated from the diet. C. The consumption of protein products should come from lean meats, nuts, and dried beans. D. The consumption of bread products should be gluten-free.

Correct Answer is C

Explanation

A. The consumption of fruit and/or vegetables should total between 4 to 6 servings. The DASH diet actually recommends 4 to 5 servings each of fruits and vegetables per day, not combined. This statement indicates an incomplete understanding.
B. The consumption of dairy-based products should be eliminated from the diet. The DASH diet does not eliminate dairy products; instead, it recommends 2 to 3 servings of low-fat or fat-free dairy products daily.
C. The consumption of protein products should come from lean meats, nuts, and dried beans.

This is correct. The DASH diet emphasizes lean protein sources such as poultry, fish, nuts, and legumes, and limits red meat.
D. The consumption of bread products should be gluten-free. The DASH diet does not

specifically recommend gluten-free products unless the individual has a gluten intolerance or celiac disease. The focus is on whole grains rather than gluten-free.

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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

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