A nurse is completing a dietary assessment for a client who is Jewish and observes kosher dietary practices. Which of the following behaviors should the nurse expect to find?
Meat and dairy products are eaten at separate times.
Shellfish is commonly consumed in the diet.
Leavened bread may be eaten during Passover
Fasting from meat occurs during Hanukkah
The Correct Answer is A
A. Meat and dairy products are eaten at separate times: Observant Jews following kosher dietary laws do not consume meat and dairy together. There are specific waiting periods between eating meat and dairy, and separate utensils and preparation areas are often used to maintain this separation. This practice is a central feature of kosher dietary observance.
B. Shellfish is commonly consumed in the diet: Shellfish, including shrimp, crab, and lobster, are considered non-kosher and are prohibited in a kosher diet. Observant Jewish clients would avoid these foods entirely.
C. Leavened bread may be eaten during Passover: During Passover, leavened bread and products containing yeast (chametz) are prohibited. Only unleavened bread, such as matzah, is permitted during the holiday, making leavened bread inappropriate.
D. Fasting from meat occurs during Hanukkah: Hanukkah is a festival of lights celebrated with specific traditions, including lighting the menorah and eating oil-based foods. It does not involve fasting from meat or other specific food restrictions, unlike other religious observances such as Yom Kippur or Tisha B’Av.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dry raised facial rash: A classic manifestation of systemic lupus erythematosus is the malar or “butterfly” rash, which appears across the cheeks and bridge of the nose. It is typically dry, raised, and erythematous, often triggered or worsened by sunlight.
B. Subcutaneous nodules: Subcutaneous nodules are more commonly associated with rheumatoid arthritis rather than SLE. They are firm, non-tender lumps over bony prominences or extensor surfaces.
C. Hyperuricemia: Elevated uric acid levels are characteristic of gout, not SLE. Clients with SLE may experience kidney involvement, but hyperuricemia is not a defining feature.
D. Polycythemia: SLE is more commonly associated with anemia (especially hemolytic or anemia of chronic disease) rather than polycythemia. Increased red blood cell counts are not expected in this autoimmune condition.
Correct Answer is D
Explanation
A. Blood pressure 94/68 mm Hg: While slightly on the lower end for a 7-year-old, mild hypotension may not yet be present in severe dehydration because children often maintain blood pressure until significant fluid loss occurs. Blood pressure alone is not the earliest or most sensitive indicator of severe dehydration.
B. Urinary output 30 mL/hr: Normal urinary output for a child is approximately 1 mL/kg/hr. A child with severe dehydration typically has markedly reduced urine output (oliguria), so 30 mL/hr is still be within a low-normal range depending on the child’s weight
C. Respiratory rate 24/mn: This respiratory rate is within normal limits for a 7-year-old (approximately 18–25 breaths/min). It does not reflect compensation for dehydration or hypovolemia and is not a reliable indicator of severe fluid loss.
D. Heart rate 152/min: Tachycardia is an early and sensitive sign of hypovolemia in children. A heart rate of 152/min is significantly elevated for a 7-year-old, indicating compensatory mechanisms to maintain perfusion in response to severe dehydration.
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