A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?
Apple juice
Cream of rice cereal
Vanilla yogurt
Scrambled eggs
The Correct Answer is D
A. Apple juice: Apple juice is appropriate for a full liquid diet.
B. Cream of rice cereal: Cream of rice cereal is suitable for a full liquid diet as it can be made to a thin consistency.
C. Vanilla yogurt: Vanilla yogurt is allowed on a full liquid diet.
D. Scrambled eggs: Scrambled eggs are not considered part of a full liquid diet as they are a solid food.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tetany: A calcium level of 8 mg/dL is below the normal range (8.5-10.5 mg/dL) and can cause tetany, which includes muscle cramps, spasms, and positive signs like Chvostek and Trousseau signs.
B. Constipation: Constipation is more commonly associated with hypercalcemia, not hypocalcemia.
C. Negative Chvostek sign: A positive Chvostek sign is expected in hypocalcemia, indicating neuromuscular irritability.
D. Elevated blood pressure: Elevated blood pressure is not specifically associated with hypocalcemia.
Correct Answer is D
Explanation
A. Wear sterile gloves when withdrawing the medication from the ampule: Sterile gloves are not necessary; clean gloves are sufficient.
B. Shake the ampule to move the solution below the neck: Shaking the ampule can cause the solution to spill. Tapping the ampule gently is recommended.
C. Snap the top of the ampule towards hands: Snapping the top towards hands can result in injury. The ampule should be snapped away from the hands.
D. Use a filter needle to draw up the medication: A filter needle prevents glass particles from being drawn up into the syringe.
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