A nurse is caring for a patient with poor fitting dentures, what modification to their diet will the nurse suggest?
Mechanically altered
Clear liquid
Honey like liquids
Full liquid
The Correct Answer is A
a) Mechanically altered: A mechanically altered diet includes foods that are chopped, mashed, or ground, which makes them easier to chew and swallow, especially for patients with poorly fitting dentures who may have difficulty chewing solid foods.
b) Clear liquid: While a clear liquid diet may be appropriate for certain conditions, it does not provide enough nutrition or texture modifications for a patient with denture issues who needs something more substantial.
c) Honey-like liquids: Honey-like liquids are thicker than normal liquids and are used for patients with swallowing difficulties, not for those with poorly fitting dentures.
d) Full liquid: A full liquid diet consists of liquids that are in a liquid form at room temperature, but it may not address the chewing issues a patient with dentures might face with certain foods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Lay the client flat in the bed: The client should not be flat to reduce the risk of aspiration. The head of the bed should be elevated at least 30 to 45 degrees.
b) Administer oral pain medication: This action is not related to verifying NG tube placement prior to feeding.
c) Allow the feeding to flow by gravity: The nurse should verify tube placement before administering the feeding, regardless of whether it’s given by gravity or pump.
d) Verify the placement: Verifying the NG tube placement is essential to ensure the feeding goes into the stomach and not the lungs, which can lead to aspiration pneumonia
Correct Answer is B
Explanation
a) Auscultate breath sounds: While auscultating breath sounds may reveal signs of aspiration (e.g., crackles), stopping the feedings is the immediate priority to prevent further aspiration and reduce the risk of complications like aspiration pneumonia.
b) Stop the feedings: The highest priority is to stop the enteral feedings immediately to prevent further aspiration and potential damage to the lungs, followed by further assessments.
c) Obtain a chest x-ray: A chest x-ray can confirm the presence of aspiration or pneumonia but is not the immediate priority. Stopping the feedings is more urgent.
d) Initiate antibiotic therapy: Antibiotics may be needed if aspiration pneumonia is suspected, but they should not be the first intervention. Stopping the feedings and assessing the patient should be done first.
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