A nurse is assisting an older adult client who is being treated for pancreatitis to create a menu. Which food selection by the client would lead the nurse to develop a teaching plan for the client?

fried chicken with collard greens

grilled salmon with summer squash

tomato sandwich on white bread

2% milk with high-fiber cereal

Answer and Explanation

The Correct Answer is A

A. Fried chicken with collard greens: Fried foods are high in fat, which can exacerbate symptoms of pancreatitis. Collard greens, although a vegetable, are often prepared with added fats. This choice would warrant a teaching plan on avoiding high-fat foods to prevent aggravating pancreatitis.

B. Grilled salmon with summer squash: Grilled salmon is a lean protein source and summer squash is a low-fat vegetable. This choice aligns well with dietary recommendations for pancreatitis management, so no additional teaching plan may be necessary.

C. Tomato sandwich on white bread: Tomatoes are acidic and may cause discomfort for some individuals with pancreatitis. White bread is refined and lacks fiber, which may not be ideal for digestive health. This choice could prompt a teaching plan on selecting foods that are gentle on the digestive system and higher in fiber.

D. 2% milk with high-fiber cereal: While 2% milk is not excessively high in fat, it still contains some fat which may be problematic for pancreatitis. High-fiber cereal is generally a good choice, but it depends on the specific ingredients and whether they are well-tolerated by the individual. This choice could lead to a teaching plan on selecting low-fat dairy alternatives and choosing high-fiber foods that are easier on the digestive system.

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Correct Answer is D

Explanation

A. The client requires transfusions of packed red blood cells during care.

In Judaism, blood transfusions are generally accepted as a medical intervention to save a life or improve health. However, opinions may vary among individuals and communities. It's essential to respect the client's wishes regarding medical interventions, including blood transfusions, and to involve the family in decision-making if necessary. While this intervention may not inherently conflict with Jewish beliefs, individual preferences and religious interpretations should be respected.

B. Assessment by a male health care provider was required.

In Orthodox Judaism, there are rules regarding modesty and gender separation, particularly concerning physical contact with members of the opposite sex. Some Orthodox Jewish women may prefer female healthcare providers, especially for intimate examinations or procedures. It's crucial to respect the client's religious beliefs and preferences regarding modesty and gender-related care.

C. A do-not-resuscitate (DNR) order was recommended by the care team.

End-of-life decisions, including DNR orders, can be complex and sensitive topics in Judaism. While some Jewish individuals may choose to have a DNR order based on their beliefs about the sanctity of life and quality of life, others may prefer all possible measures to be taken to prolong life. It's essential to involve the client, their family, and potentially a spiritual advisor or rabbi in discussions about end-of-life care preferences and decisions.

D. An autopsy was ordered due to the client's unique disease etiology.

Autopsies are generally discouraged in Judaism because they are viewed as desecrating the body and delaying burial, which is an important aspect of Jewish tradition. However, there may be exceptions in certain circumstances, such as when required by law or when necessary for medical research or legal reasons. Nevertheless, sensitivity to the religious beliefs and practices of the client and their family is crucial when considering autopsy requests.

A. A central focus of adult day care is providing respite for caregivers. B. Older adults can go to a single location for their medical care. C. Clients, primarily with severe illnesses, typically qualify for this care D. The main goal of adult day care is to provide protection for older adults at risk.

Correct Answer is A

Explanation

A. A central focus of adult day care is providing respite for caregivers:

Adult day care centers are designed to offer daytime care and supervision for older adults who may need assistance or supervision due to cognitive or physical impairments. One of the primary goals of adult day care is to provide respite for family caregivers, giving them the opportunity to work, attend to personal matters, or simply take a break from caregiving responsibilities while knowing that their loved one is in a safe and stimulating environment.

B. Older adults can go to a single location for their medical care:

While some adult day care centers may offer limited health-related services such as medication management or basic health monitoring, their primary focus is not to serve as a location for comprehensive medical care. Adult day care centers typically focus on socialization, activities of daily living assistance, and supervision rather than providing medical treatments.

C. Clients, primarily with severe illnesses, typically qualify for this care:

Adult day care services are not exclusively for individuals with severe illnesses. They cater to a range of older adults with varying levels of functional and cognitive abilities. While some clients may have conditions like Alzheimer's disease or other forms of dementia, others may attend for socialization, safety monitoring, or assistance with activities of daily living.

D. The main goal of adult day care is to provide protection for older adults at risk:

While ensuring the safety and well-being of older adults is an important aspect of adult day care, the primary goal is to support both the older adult and their family caregivers. This support includes providing socialization, cognitive stimulation, assistance with activities of daily living, and respite for caregivers.

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A nurse is assisting an older adult client who is being treated for pancreatitis to create a menu. Which food selection by the client would lead the nurse to develop a teaching plan for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

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