A nurse is caring for a client who is receiving a mechanically altered diet.
Which of the following food choices necessitates intervention by the nurse?
Scrambled eggs.
Piece of wheat toast.
Cottage cheese.
Sliced banana.
The Correct Answer is B
Choice A rationale:
Scrambled eggs are soft and easy to chew and swallow, making them appropriate for a mechanically altered diet.
Choice B rationale:
Wheat toast is hard and requires more chewing, which may be difficult for a client on a mechanically altered diet.
Choice C rationale:
Cottage cheese is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.
Choice D rationale:
A sliced banana is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While calling 911 is important, it is not the first action the nurse should take. The nurse should first assess the victim’s condition.
Choice B rationale:
The first action when someone is choking is to ask if they can speak. If they can speak, it means air is still passing through the windpipe.
Choice C rationale:
The jaw-thrust maneuver is used to open the airway in an unconscious victim, not in a choking victim.
Choice D rationale:
Abdominal thrusts (Heimlich maneuver) are used when the victim cannot speak, indicating a complete airway obstruction.
Correct Answer is B
Explanation
Choice A rationale:
Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.
Choice B rationale:
The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.
Choice C rationale:
Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.
Choice D rationale:
Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.
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