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 A
Explanation
a) Compare the total intake and output of fluids for the 24 hours: To assess fluid balance and status, the nurse must compare the intake and output of fluids. This helps to determine whether the patient is retaining or losing fluids.
b) Compare the patient's intake with the normal range of adult fluid intake: While this is useful for understanding general fluid needs, it does not directly assess the patient's fluid status. The comparison should be between intake and output.
c) Ensure the information is included in the verbal end-of-shift report: While this is good practice, the focus should be on using the information to assess the patient's fluid balance.
d) Report the exact milliliter of intake to the physician's office nurse: The exact intake should be recorded in the patient's chart and used for clinical decision-making, but it does not need to be reported to a physician's office nurse unless specified.
Correct Answer is A
Explanation
a) Discontinue the feedings and notify the physician of your assessment findings: These are signs of feeding intolerance or possible complications such as delayed gastric emptying, infection, or dumping syndrome. Stopping the feeding prevents further distress, and the physician should be informed promptly.
b) Continue feedings as ordered: Continuing feedings may worsen the symptoms and put the patient at risk for aspiration or further gastrointestinal complications.
c) Administer prn pain medication: Pain medication will not address the underlying issue of nausea, vomiting, and GI symptoms. It may also mask symptoms or cause further GI upset.
d) This is a normal response, continue feedings as ordered: These symptoms are not normal. Nausea, vomiting, distention, and frequent diarrhea suggest a problem with the feeding regimen.
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