A client has been prescribed a clear liquid diet. What food or ﬂuids will be served?

Jell-O, carbonated beverages, apple juice

High-calorie, high-protein supplements

Milk, frozen dessert, egg substitutes

Hot cereals, ice cream, chocolate milk

Answer and Explanation

The Correct Answer is A

A clear liquid diet consists of foods and ﬂuids that are clear and liquid at room temperature. This includes items such as Jell-O, carbonated beverages, and apple juice. These foods and ﬂuids are easily digested and leave no residue in the intestinal tract, making them appropriate for certain medical conditions or procedures.

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Correct Answer is D

Explanation

The nurse should immediately report a respiratory rate of 8 to the physician. A normal respiratory rate for an adult is between 12 and 20 breaths per minute. A respiratory rate of 8 is considered abnormally low and can indicate respiratory depression, which can be a side eﬀect of pain medication delivered through an epidural catheter. It is important for the nurse to report this finding immediately so that appropriate interventions can be taken to ensure the safety of the client.

A. This was an older client. B. The unit has a new wheelchair. C. The UAP had just returned from an extended leave of absence. D. It was the client's first time out of bed after surgery.

Correct Answer is D

Explanation

It would be inappropriate to delegate the unsupervised task of transferring a client from bed to chair to an unlicensed assistant (UAP) if it was the client's first time out of bed after surgery. In this situation, the client may have specific needs or limitations that require the expertise and assessment of a licensed healthcare provider. The nurse should supervise the transfer to ensure that it is performed safely and appropriately for the client's condition.

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A client has been prescribed a clear liquid diet. What food or ﬂuids will be served?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?

Correct Answer is D

Explanation

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

Correct Answer is D

Explanation

During a home visit, the nurse explains the procedures for preventing infection in a central venous access device to the spouse who watches while the nurse hooks the client to the medication infusion. Which role is the nurse performing at this time?

Which of the following statements is true regarding types of health care agencies?

A nurse is taking care of a client who just lost her husband to a terminal illness. The client is refusing to believe that the loss is happening. Which of Kubler-Ross's stages of grieving is the client experiencing?

A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. However, one of the actions listed below is not correct.

A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?

The nurse manager has determined that a new staﬀ nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform? Select all that apply.

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