A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Clear liquid.

Pureed.

Mechanical soft.

Full liquid.

Answer and Explanation

The Correct Answer is A,D,B,C

A.   Clear liquid. Clear liquids are the first step in advancing the diet after a period of nothing by mouth (NPO). They are easy to digest and help prevent dehydration.
D. Full liquid. Full liquids are the next step after clear liquids and include liquids and foods that are smooth and easily poured or formed into a liquid at room or body temperature. Examples
include milk, yogurt, and cream-based soups.

B.   Pureed. Pureed foods are soft and smooth, requiring minimal chewing. They are often recommended for individuals who have difficulty swallowing or have undergone oral or facial surgery.
C.   Mechanical soft. Mechanical soft foods are semi-solid and easily mashed or broken down with a fork. They are suitable for individuals with difficulty chewing or swallowing but can tolerate more texture than pureed foods.

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Correct Answer is C

Explanation

A. Eggs and red meats. While eggs and red meats are nutritious foods, they do not specifically address photosensitivity caused by medication. Therefore, they are not the best choice for
increasing intake in this situation.

B. Shellfish and beans. Similarly, shellfish and beans are healthy food options, but they do not have a specific impact on photosensitivity. Therefore, they are not the most appropriate choice for increasing intake in this scenario.
C. Fortified dairy products. Fortified dairy products, such as milk, yogurt, and cheese, contain vitamin D, which can help improve the skin's ability to tolerate sunlight and may reduce the severity of photosensitivity reactions caused by medication. Therefore, increasing intake of fortified dairy products can be beneficial for this client.

D. Nuts and whole grains. While nuts and whole grains are nutritious foods, they do not have a direct effect on photosensitivity caused by medication. Therefore, they are not the most suitable choice for increasing intake in this situation.

A. The urine meter attached to the urinary drainage bag is completely full. B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. C. There is a large dependent loop in the client's urinary drainage tubing. D. Purulent drainage is present around the insertion site of the feeding tube.

Correct Answer is C

Explanation

A. The urine meter attached to the urinary drainage bag is completely full. While this observation requires attention, it does not pose an immediate risk to the client's safety. The nurse should
empty the urine meter promptly to prevent overflow.

B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. This rate of infusion is within the typical range for enteral feedings and does not indicate an immediate safety concern. However, the nurse should assess the client's tolerance to the feeding.
C. There is a large dependent loop in the client's urinary drainage tubing. A large dependent loop in the urinary drainage tubing can lead to urinary stasis and increase the risk of urinary tract
infections or catheter-associated complications. It requires immediate intervention to prevent complications.
D. Purulent drainage is present around the insertion site of the feeding tube. While purulent drainage indicates a potential infection at the insertion site, it may not require immediate
intervention unless the client exhibits signs of systemic infection such as fever or increased white blood cell count.

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A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A medication that causes extreme photosensitivity was recently prescribed for a client. In providing discharge instructions, the nurse should teach this client to increase intake of which foods?

Correct Answer is C

Explanation

When entering a client's room, the nurse observes that the unlicensed assistive personnel (UAP) has lowered the head of the bed to change the linens for a client who is bedfast. Which observation requires the most immediate intervention by the nurse?

Correct Answer is C

Explanation

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