A patient is on a lacto-ovo vegetarian diet.
What type of foods can the patient eat?
Chicken, cheese, and grilled eggplant.
Boiled eggs and chocolate milk.
Oysters, yogurt, and turkey.
Fish, milk, and poached eggs.
The Correct Answer is B
Choice A rationale
Chicken is poultry, and a lacto-ovo vegetarian diet excludes all meat, poultry, and fish. Grilled eggplant and cheese are acceptable as they are vegetables and dairy products, respectively. However, the presence of chicken makes this choice incorrect for a lacto-ovo vegetarian.
Choice B rationale
Boiled eggs are permitted in a lacto-ovo vegetarian diet as it includes eggs and dairy. Chocolate milk is also allowed as it is a dairy product. This choice aligns with the definition of a lacto-ovo vegetarian diet, which includes dairy and eggs but excludes meat, poultry, and fish.
Choice C rationale
Oysters are shellfish, and turkey is poultry, both of which are excluded from a lacto-ovo vegetarian diet. Yogurt is a dairy product and is acceptable. The inclusion of oysters and turkey makes this choice incorrect.
Choice D rationale
Fish is not allowed in a lacto-ovo vegetarian diet. Milk is a dairy product and is acceptable. Poached eggs are also permitted. The presence of fish makes this choice incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Dried beans, such as lentils, kidney beans, and chickpeas, are excellent sources of plant-based protein. They contain a significant amount of amino acids, which are the building blocks of protein, making them a valuable addition to a vegetarian toddler's diet to support growth and development.
Choice B rationale
Cooked carrots are primarily a source of vitamins, particularly beta-carotene (a precursor to vitamin A), and fiber. They contain minimal amounts of protein and are not the best choice for increasing dietary protein intake in a vegetarian toddler.
Choice C rationale
Sliced bananas are a good source of carbohydrates, potassium, and some vitamins. However, they are low in protein and would not significantly contribute to increasing the dietary protein intake of a vegetarian toddler.
Choice D rationale
Whole wheat bread contains some protein, but it is not as concentrated a source as dried beans. While whole grains are important for fiber and overall nutrition, dried beans offer a higher protein content per serving, making them a better choice for increasing protein intake.
Correct Answer is D
Explanation
Choice A rationale
Securing the tube and retesting the pH in one hour is insufficient to confirm correct placement. While a pH of 3 suggests gastric placement (normal gastric pH is typically 1.5 to 3.5), it doesn't definitively rule out placement in the respiratory tract or intestines, as these can occasionally have acidic pH levels. Delaying definitive confirmation could lead to serious complications if the tube is misplaced.
Choice B rationale
Inserting the tube an additional 1-2 inches and retesting the pH is not a reliable method for confirming placement. Advancing the tube further without radiographic confirmation could increase the risk of trauma to the gastrointestinal tract or even pulmonary aspiration if the initial placement was incorrect. pH testing alone is not conclusive.
Choice C rationale
Auscultating for the "swoosh" of air while injecting air into the NG tube is an outdated and unreliable method for confirming placement. The sound can be misleading and may be heard even if the tube is incorrectly positioned in the esophagus or lungs. This method does not provide definitive proof of gastric placement and poses a risk of aspiration.
Choice D rationale
Obtaining an x-ray is the gold standard for confirming nasogastric tube placement. Radiographic imaging allows for direct visualization of the tube's trajectory and ensures that the distal tip is correctly positioned in the stomach or duodenum. This method provides the most accurate and reliable confirmation, minimizing the risk of complications such as aspiration or misadministration of feedings and medications.
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