A nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?
Chicken noodle soup
Apple juice
Pudding
Milk
The Correct Answer is C
A level 1 dysphagia diet, also known as a pureed diet, is recommended for individuals with severe swallowing difficulties. It involves pureeing or blending all foods to a smooth consistency to facilitate swallowing and prevent choking.
● Chicken noodle soup: This option typically contains solid ingredients such as chicken, noodles, and vegetables, which are not suitable for a level 1 dysphagia diet. The client may have difficulty swallowing these solid components.
● Apple juice: Liquids, including apple juice, are generally not included in a level 1 dysphagia diet as they require minimal swallowing effort. However, it is essential to consult a speech-language pathologist or dysphagia specialist regarding the client's specific liquid consistency recommendations.
● Pudding: Pudding is an ideal choice for a level 1 dysphagia diet as it can be easily pureed to a smooth consistency that is safe for swallowing. It provides a creamy and soft texture that is easier for individuals with dysphagia to manage.
● Milk: Milk is not typically recommended for a level 1 dysphagia diet as it is a liquid and requires minimal swallowing effort. Similar to apple juice, specific liquid consistency recommendations should be sought from a dysphagia specialist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
BMI (body mass index) of 18.5: BMI is a measure of body fat based on an individual's weight and height. A BMI of 18.5 is within the normal range and indicates that the client's nutritional status has improved. An increase in BMI suggests successful repletion of body stores and improved overall health.
Hgb (hemoglobin) of 10 g/dL: Hemoglobin level is an indicator of the oxygen-carrying capacity of the blood. While a hemoglobin level of 10 g/dL is within the normal range for an adult, it does not specifically indicate a therapeutic response to TPN. However, it can be associated with improved nutritional status.
Temperature of 38.4° C (101.1 F): An elevated temperature indicates the presence of a fever, which is not a direct therapeutic response to TPN but may be associated with an underlying infection or inflammation.
BUN (blood urea nitrogen) of 25 mg/dL: BUN is a measure of kidney function and protein metabolism. An elevated BUN may indicate dehydration, impaired kidney function, or increased protein breakdown. It is not a specific therapeutic response to TPN.
While other factors, such as hemoglobin level, temperature, and BUN, can provide additional information about the client's overall health, the most specific indicator of a therapeutic response to TPN in a malnourished client is an improvement in BMI.
Correct Answer is D
Explanation
The dietary choice with the highest calcium content among the options provided would be 1 cup of broccoli. Broccoli is a good source of calcium and can contribute to meeting the body's calcium needs.
While tomatoes, bananas, and grapes are healthy fruits, they are not significant sources of calcium. They are lower in calcium content compared to broccoli. However, these fruits do offer other nutritional benefits such as vitamins and antioxidants.
To promote bone health and prevent osteoporosis, it is important to include calcium-rich foods in the diet, such as dairy products (milk, yogurt, cheese), fortified plant-based milk, leafy green vegetables (like broccoli), tofu, and certain fish (like salmon and sardines). Additionally, adequate vitamin D intake and regular weight-bearing exercise are also important for maintaining strong bones.
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