An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

Cashews.

Yogurt.

Asparagus.

Chicken.

Answer and Explanation

The Correct Answer is C

A. Cashews. While cashews are nutritious and contain various vitamins and minerals, they are not particularly high in folate, which is crucial for preventing neural tube defects.
B. Yogurt. Yogurt is a good source of calcium and protein but is not a significant source of folate.

C. Asparagus. Asparagus is rich in folate, a B-vitamin that is essential for the prevention of neural tube defects during pregnancy. It is one of the best food sources of folate.
D. Chicken. Chicken provides protein and other nutrients but is not a significant source of folate, making it less effective in preventing neural tube defects compared to folate-rich vegetables like asparagus.

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Correct Answer is C

Explanation

A. The urine meter attached to the urinary drainage bag is completely full. While this observation requires attention, it does not pose an immediate risk to the client's safety. The nurse should
empty the urine meter promptly to prevent overflow.

B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. This rate of infusion is within the typical range for enteral feedings and does not indicate an immediate safety concern. However, the nurse should assess the client's tolerance to the feeding.
C. There is a large dependent loop in the client's urinary drainage tubing. A large dependent loop in the urinary drainage tubing can lead to urinary stasis and increase the risk of urinary tract
infections or catheter-associated complications. It requires immediate intervention to prevent complications.
D. Purulent drainage is present around the insertion site of the feeding tube. While purulent drainage indicates a potential infection at the insertion site, it may not require immediate
intervention unless the client exhibits signs of systemic infection such as fever or increased white blood cell count.

A. Advise the client to include aerobic exercise along with dietary changes. B. Emphasize the need to reduce caloric intake, rather than increasing it. C. Instruct the client to also increase the daily intake of dietary fiber. D. Encourage the client to continue these changes in a dietary plan. E. None F. None

Correct Answer is D

Explanation

Rationale for A: Advising the client to include aerobic exercise could be beneficial as it may help in weight management and overall health. However, it does not directly address the dietary concerns associated with hyperthyroidism.
Rationale for B: Reducing caloric intake is generally not recommended for hyperthyroidism as the condition often leads to weight loss and increased metabolism; therefore, patients may require more calories to maintain a healthy weight.
Rationale for C: Increasing dietary fiber is beneficial for general health and can aid digestion, but it is not the primary dietary change needed for managing hyperthyroidism.
Rationale for D: Encouraging the client to continue increasing protein and caloric intake is appropriate, as hyperthyroidism can cause weight loss and muscle wasting. Adequate protein and caloric intake can help mitigate these effects.

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An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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