A nurse is contributing to the plan of care of a client who has had a stroke and is experiencing severe dysphagia with choking and coughing while eating.
Which of the following nutritional therapies should the nurse expect to include in the plan of care?

NPO until dysphagia subsides.

Initiation of total parenteral nutrition.

Mechanical soft diet.

Supplements via NG tube.

Answer and Explanation

The Correct Answer is C

Choice A rationale

NPO (nothing by mouth) might be a temporary measure immediately following a stroke if aspiration risk is very high. However, prolonged NPO can lead to malnutrition and dehydration, hindering recovery. Nutritional support is crucial for stroke patients, so alternative feeding methods should be explored.

Choice B rationale

Total parenteral nutrition (TPN) is a method of providing nutrients intravenously, bypassing the gastrointestinal tract. It is usually reserved for patients with severe gastrointestinal dysfunction or when enteral feeding is not feasible or tolerated. While it provides nutrition, it carries risks of infection and metabolic complications and is not the first-line treatment for dysphagia.

Choice C rationale

A mechanical soft diet consists of foods that are easy to chew and swallow, reducing the risk of choking and aspiration in patients with mild to moderate dysphagia. This diet provides necessary nutrients while minimizing the effort required for safe oral intake, promoting better nutrition and hydration compared to NPO.

Choice D rationale

Supplements via NG tube provide enteral nutrition directly into the stomach or small intestine, bypassing the oral cavity and pharynx. This is an appropriate nutritional therapy for patients with severe dysphagia who cannot safely swallow even modified textures, ensuring adequate caloric and nutrient intake to support recovery and prevent malnutrition.

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Correct Answer is ["0.17"]

Explanation

Step 1: The ordered dose is 17 units.

Step 2: The concentration of the insulin is 100 units/mL.

Step 3: To find the volume to administer, divide the ordered dose by the concentration: 17 units ÷ 100 units/mL = 0.17 mL.

Final answer: The nurse will administer 0.17 mL.

A. Dried beans. B. Apple slices. C. Green peas. D. Mashed potatoes.

Correct Answer is ["A","C"]

Explanation

Choice A rationale

Dried beans, including varieties like black beans, pinto beans, and navy beans, are a rich source of plant-based protein. They provide essential amino acids necessary for growth and development in toddlers following a vegetarian diet. Incorporating beans into meals helps meet their protein requirements.

Choice B rationale

Apple slices are primarily a source of carbohydrates, fiber, and some vitamins. They contain very little protein and would not be a significant contributor to increasing the protein intake of a vegetarian toddler.

Choice C rationale

Green peas are a good source of plant-based protein in addition to fiber and vitamins. They offer a higher protein content compared to many other vegetables and can be easily incorporated into a toddler's diet to help meet their protein needs on a vegetarian regimen.

Choice D rationale

Mashed potatoes are mainly a source of carbohydrates in the form of starch. While they provide energy and some nutrients, they are low in protein and not an ideal food choice for increasing dietary protein intake in a vegetarian toddler. .

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A nurse is contributing to the plan of care of a client who has had a stroke and is experiencing severe dysphagia with choking and coughing while eating.Which of the following nutritional therapies should the nurse expect to include in the plan of care?

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Naxlex Comprehensive Predictor Exams

The MD orders insulin lispro 17 units subcutaneous. The medication is supplied in 100 units/mL. How many mL will the nurse administer?

Correct Answer is ["0.17"]

Explanation

A nurse is reinforcing teaching with the parents of a toddler who follows a vegetarian diet about food choices that increase dietary protein intake.Which of the following foods should the nurse recommend as the best choice for including protein in the toddler's diet?

Correct Answer is ["A","C"]

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A nurse is contributing to the plan of care of a client who has had a stroke and is experiencing severe dysphagia with choking and coughing while eating.
Which of the following nutritional therapies should the nurse expect to include in the plan of care?