A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?

Scrambled eggs

Cottage cheese

Piece of wheat toast

Sliced banana

Answer and Explanation

The Correct Answer is C

A.   Scrambled eggs are soft, moist, and easy to chew and swallow, making them suitable for a mechanically altered diet.
B.   Cottage cheese is soft and moist, which makes it easy to swallow and suitable for clients on a mechanically altered diet.
C.   A piece of wheat toast is hard and dry, and it requires significant chewing. It is not suitable for a mechanically altered diet because it can pose a choking hazard and is difficult to swallow for individuals with chewing or swallowing difficulties.
D.   Sliced banana is soft and moist, which makes it easy to chew and swallow. It is appropriate for a mechanically altered diet.

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Correct Answer is D

Explanation

A. Tempeh is a fermented soybean product, but it's not a reliable source of vitamin B12. While it can contain some vitamin B12, the amount can vary depending on the production process.
B. Sunflower margarine is a plant-based product and does not contain vitamin B12.
C. Sea vegetables can contain some vitamin B12, but the amount is often unreliable and can vary depending on the type of sea vegetable and where it was grown.
D. Algae is the most reliable plant-based source of vitamin B12. It's a common ingredient in many vegan vitamin B12 supplements and fortified foods.

A. Lactated Ringer's solution B. Dextrose 10% in water C. Dextrose 5% in water D. 0.9% sodium chloride

Correct Answer is C

Explanation

A. While Lactated Ringer's is often used for fluid resuscitation, it doesn't contain the necessary nutrients to replace TPN. It can lead to electrolyte imbalances and other complications if used for extended periods.
B. While Dextrose 10% provides calories, it lacks essential amino acids, electrolytes, and other nutrients found in TPN. Prolonged use can lead to imbalances and nutritional deficiencies.
C. Dextrose 5% in water is a commonly used IV fluid that can be administered temporarily while waiting for the next TPN container. It provides hydration and some calories, but it's important to monitor the client's glucose levels closely.
D. While 0.9% sodium chloride (normal saline) is used for fluid replacement, it can lead to hypernatremia (excess sodium) if used for extended periods, especially in clients receiving TPN.

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A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is pregnant and is vegan. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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