A nurse is assisting with teaching a client who is on a soft diet.
Which of the following foods should the nurse include in the teaching?

High-fiber cereals.

Fruit with the skin.

Raw vegetables.

Ground beef.

Answer and Explanation

The Correct Answer is D

Choice A rationale

High-fiber cereals are generally avoided on a soft diet because their roughage content can be difficult to digest and may cause gastrointestinal discomfort. A soft diet aims to minimize digestive work.

Choice B rationale

Fruit with the skin contains a significant amount of fiber, which is not appropriate for a soft diet. The skin is often the toughest part of the fruit and requires more digestion.

Choice C rationale

Raw vegetables are typically high in fiber and have a firm texture, making them difficult to chew and digest for individuals on a soft diet. Cooking vegetables softens their fibers.

Choice D rationale

Ground beef, when cooked thoroughly and is tender, is a suitable protein source for a soft diet. The grinding process breaks down the muscle fibers, making it easier to chew and digest compared to whole cuts of meat.

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Correct Answer is A,B,C,D

Explanation

Choice A rationale

Verifying tube placement is the initial critical step to ensure the feeding is delivered into the gastrointestinal tract and not the respiratory system, thereby preventing aspiration. Methods for verification include pH testing of aspirate (target pH ≤ 5.5), and radiographic confirmation is the gold standard, especially after initial placement.

Choice B rationale

Checking the residual feeding contents before administering a new feeding is essential to assess the client's tolerance to the previous feeding and prevent overfeeding, which can lead to complications like abdominal distension, nausea, vomiting, and aspiration. A high residual volume may indicate delayed gastric emptying.

Choice C rationale

Administering the feeding follows confirmation of tube placement and assessment of residual volume. The feeding should be administered at the prescribed rate and volume, ensuring the client receives adequate nutrition and hydration. The client should be positioned with the head of the bed elevated at least 30-45 degrees during and for at least 30-60 minutes after feeding to minimize aspiration risk.

Choice D rationale

Evaluating the client's tolerance to the feeding is an ongoing process that involves monitoring for signs and symptoms such as abdominal distension, pain, nausea, vomiting, diarrhea, or aspiration. This evaluation helps determine if the feeding regimen needs adjustment in terms of rate, volume, or formula.

A. The best time to perform BSE is in the middle of the menstrual cycle. B. If she suspects she is pregnant, then the woman should not perform a BSE until after her baby is born. C. A woman should perform BSEs bimonthly unless she has fibrocystic breast tissue. D. The best time to perform a BSE is 4-7 days after the first day of the menstrual period.

Correct Answer is D

Explanation

Choice A rationale

The middle of the menstrual cycle is when hormonal fluctuations are highest, which can cause breast tenderness and lumpiness, potentially making it more difficult to distinguish normal breast tissue from abnormalities during a BSE.

Choice B rationale

Pregnancy causes significant hormonal changes that lead to breast enlargement and increased nodularity, making BSE more challenging and potentially causing unnecessary anxiety. However, it is still important for pregnant women to be aware of their breasts and report any unusual changes to their healthcare provider.

Choice C rationale

BSE should be performed monthly, not bimonthly, to ensure regular self-examination. While women with fibrocystic breast tissue may have more lumps and bumps, regular monthly BSE is still important for them to become familiar with their normal breast tissue and identify any new or changing lumps.

Choice D rationale

The optimal time to perform a BSE is 4-7 days after the start of the menstrual period. At this point in the cycle, hormone levels are typically at their lowest, and the breasts are less likely to be swollen or tender, making it easier to detect any abnormalities. .

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A nurse is assisting with teaching a client who is on a soft diet.Which of the following foods should the nurse include in the teaching?

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A nurse is assisting with teaching a client who is on a soft diet.
Which of the following foods should the nurse include in the teaching?