A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers’ markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?

Unpasteurized milk.

Organically grown fruits.

Wheat germ.

Range-fed beef.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Unpasteurized milk poses significant health risks because it can contain harmful bacteria such as E. coli, Salmonella, and Listeria. These pathogens can cause serious illness, especially in vulnerable populations such as children, the elderly, and those with weakened immune systems. It is crucial for the nurse to inform the client about the risks associated with consuming unpasteurized milk and to recommend pasteurized alternatives to ensure food safety.

Choice B reason:

Organically grown fruits are generally safe and can be a healthy choice. While they may have lower pesticide residues compared to conventionally grown fruits, they do not pose the same immediate health risks as unpasteurized milk. The focus should be on ensuring the client washes all fruits thoroughly before consumption.

Choice C reason:

Wheat germ is a nutritious food that provides vitamins, minerals, and fiber. It does not pose significant health risks and can be safely included in a balanced diet. The primary concern should be on educating the client about the benefits of including such nutrient-dense foods in their diet.

Choice D reason:

Range-fed beef can be a healthy option as it is often lower in fat and higher in omega-3 fatty acids compared to conventionally raised beef. While it is important to ensure proper cooking to avoid foodborne illnesses, it does not pose the same level of risk as unpasteurized milk.

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Correct Answer is A

Explanation

A. High protein soft diet is recommended for clients undergoing chemotherapy, especially those with stomatitis. This diet includes soft foods that are easy to chew and swallow, and it provides the necessary protein to help maintain muscle mass and support healing. Foods such as scrambled eggs, yogurt, and smoothies are good options.

B. Low residue diet is designed to reduce the amount of fiber and residue in the digestive tract, which can be helpful for certain gastrointestinal conditions. However, it is not specifically tailored to address the needs of a client with stomatitis and significant weight loss due to chemotherapy.

C. Pureed regular diet involves blending foods to a smooth consistency, which can be helpful for clients with severe swallowing difficulties. However, it may not provide the necessary protein and nutrients required for a client undergoing chemotherapy and experiencing significant weight loss.

D. Mechanical soft diet includes foods that are easy to chew and swallow but may not be as high in protein as a high protein soft diet. While it can be beneficial for clients with chewing difficulties, it may not fully meet the nutritional needs of a client with significant weight loss and stomatitis.

A. Call the healthcare provider to clarify if the client may have ice cream as requested. B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. C. Provide the chocolate ice cream after determining the presence of bowel sounds. D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.

Correct Answer is D

Explanation

Choice D reason:

Explaining that a popsicle or a cup of gelatin can be provided rather than ice cream is appropriate because these options are clear liquids, which are allowed on a clear liquid diet. Clear liquids are easily digestible and leave no residue in the digestive tract, making them suitable for pre-surgical preparation. This ensures that the client adheres to the dietary restrictions necessary for surgery.

Choice A reason:

Calling the healthcare provider to clarify if the client may have ice cream is unnecessary because ice cream is not considered a clear liquid and does not meet the requirements of a clear liquid diet. The nurse should provide alternatives that fit within the prescribed diet.

Choice B reason:

Offering a chocolate-flavored liquid nutritional supplement poured over ice is not appropriate because it may not be considered a clear liquid. The focus should be on providing options that are clearly within the guidelines of a clear liquid diet.

Choice C reason:

Providing chocolate ice cream after determining the presence of bowel sounds is not suitable because ice cream is not a clear liquid. The nurse should adhere to the clear liquid diet prescribed for the client to ensure proper preparation for surgery.

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A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers’ markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

To help prevent urinary tract infections, which instruction should the nurse provide?

One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

When conducting diet teaching for a client who has iron-deficiency anemia, which foods should the nurse encourage the client to eat? (Select all that apply.)

A client who has a body mass index (BMI) of 30 kg/m² (normal 18.0 to 24.9 kg/m²) is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?