A nurse is caring for a client who is 2 hours post-op, receiving a clear liquid diet. Which of the following food choices by the nurse is appropriate?
Banana shake.
Grape juice.
Scrambled eggs with avocado.
Milk.
The Correct Answer is B
Choice A rationale:
A banana shake is not appropriate because it is not a clear liquid. Clear liquids are foods that are clear and liquid at room temperature.
Choice B rationale:
Grape juice is a clear liquid, which is appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice C rationale:
Scrambled eggs with avocado is not a clear liquid. It is a solid food, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice D rationale:
Milk is not a clear liquid. It is a dairy product, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.
Choice B rationale:
Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.
Choice C rationale:
Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.
Choice D rationale:
Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.
Correct Answer is B
Explanation
Choice A rationale:
A banana shake is not appropriate because it is not a clear liquid. Clear liquids are foods that are clear and liquid at room temperature.
Choice B rationale:
Grape juice is a clear liquid, which is appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice C rationale:
Scrambled eggs with avocado is not a clear liquid. It is a solid food, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice D rationale:
Milk is not a clear liquid. It is a dairy product, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
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