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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Breathing in and out normally does not protect the airway during nasogastric tube removal. The risk of aspiration is present as the tube is withdrawn, and normal breathing does not actively close off the trachea.

Choice B rationale

Taking a deep breath and coughing can help to clear the airway after the tube is removed but does not directly aid in preventing aspiration during the removal process itself. Coughing expels material from the lungs and throat.

Choice C rationale

Holding her breath during nasogastric tube removal helps to close the epiglottis, which covers the trachea. This action minimizes the risk of aspiration of any residual secretions or reflux that might occur as the tube is being withdrawn.

Choice D rationale

Bearing down, or performing the Valsalva maneuver, increases intra-abdominal pressure and is typically used to stimulate a bowel movement. It is not relevant to protecting the airway during nasogastric tube removal and could potentially increase the risk of reflux.

A. Add thickener to fluids. B. Place food on the right side of the client's mouth. C. Serve food at a very hot temperature. D. Instruct the client to tilt her head forward when she swallows.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Adding thickener to fluids helps to increase their viscosity, making them easier to swallow and reducing the risk of aspiration in clients with dysphagia. Dysphagia often results from impaired muscle control in the mouth and throat, and thicker fluids move more slowly, allowing more time for coordination of the swallowing reflex.

Choice B rationale

Placing food on the right side of the client's mouth addresses the left-sided weakness following a stroke. This allows the client to use the stronger, unaffected side of their mouth and throat for better control during chewing and swallowing, minimizing the risk of food pooling on the weaker side and potential aspiration.

Choice C rationale

Serving food at a very hot temperature can impair the client's ability to sense the food in their mouth and can increase the risk of burns, especially with sensory deficits that can occur after a stroke. Warm or room temperature foods are generally recommended for clients with dysphagia to enhance safety and comfort.

Choice D rationale

Instructing the client to tilt her head forward when swallowing helps to close the airway and open the esophagus, facilitating the passage of food and liquids down the throat and reducing the risk of aspiration into the trachea and lungs. This chin-tuck maneuver is a common compensatory strategy for dysphagia. .

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A patient is on a lacto-ovo vegetarian diet.What type of foods can the patient eat?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a nasogastric tube has an order for the tube to be removed.As the nurse removes the tube, the client should be asked to:

Correct Answer is C

Explanation

A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke.Which of the following actions should the nurse take?

Correct Answer is ["A","B","D"]

Explanation

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A patient is on a lacto-ovo vegetarian diet.
What type of foods can the patient eat?