One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Request the dietary unit bring a new tray and provide it prior to the food getting cold.

Ask the client about her nutritional preferences and beliefs.

Teach the client the importance of a well-balanced diet.

Place the client’s tray in the microwave and heat it to a hotter temperature.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Asking the client about her nutritional preferences and beliefs is the first intervention the nurse should implement. Understanding the client’s cultural and personal preferences is crucial for providing culturally competent care. This approach shows respect for the client’s beliefs and helps the nurse tailor dietary recommendations that the client is more likely to accept and follow.

Choice A reason:

Requesting the dietary unit to bring a new tray and provide it prior to the food getting cold addresses the immediate issue of the food being perceived as “cold,” but it does not address the underlying cultural beliefs and preferences. It is important to first understand the client’s needs before making changes to the meal.

Choice C reason:

Teaching the client the importance of a well-balanced diet is important, but it should come after understanding the client’s cultural preferences and beliefs. Providing education without considering the client’s perspective may not be effective and could be perceived as dismissive.

Choice D reason:

Placing the client’s tray in the microwave and heating it to a hotter temperature may address the immediate concern but does not consider the client’s cultural beliefs about “cold foods.” It is essential to first understand the client’s preferences before making adjustments.

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Correct Answer is B

Explanation

Choice B reason:

Reviewing the chest x-ray report for central line placement is crucial to ensure that the central venous catheter is correctly positioned before starting TPN. Proper placement of the CVC is essential to prevent complications such as pneumothorax, incorrect infusion, or damage to surrounding structures. Confirming the placement through a chest x-ray ensures the safety and effectiveness of the TPN administration.

Choice A reason:

Starting 10% dextrose IV at the TPN prescribed rate is not appropriate until the correct placement of the CVC is confirmed. Administering dextrose without verifying the catheter placement can lead to serious complications if the catheter is not correctly positioned.

Choice C reason:

Instructing UAP to obtain hourly blood glucose levels is important once TPN is initiated, as TPN can significantly affect blood glucose levels. However, this step should come after confirming the correct placement of the CVC.

Choice D reason:

Redressing the central line site using sterile technique is important for preventing infection, but it is not the immediate priority. Ensuring the correct placement of the CVC through a chest x-ray is the first step before any other actions are taken.

A. Fruit salad with bananas. B. Lettuce and tomato salad. C. Ham and cheese sandwich. D. Baked sweet potato.

Correct Answer is C

Explanation

Choice C reason:

A ham and cheese sandwich is the best recommendation for a client with moderate hyponatremia because it contains higher levels of sodium, which can help address the sodium deficiency. Hyponatremia is a condition characterized by low sodium levels in the blood, and consuming foods with higher sodium content can help restore balance.

Choice A reason:

A fruit salad with bananas is healthy but does not provide sufficient sodium to address hyponatremia. While bananas are rich in potassium, they do not help with the sodium deficiency that needs to be corrected.

Choice B reason:

A lettuce and tomato salad is low in sodium and does not address the client’s need for increased sodium intake. While it is a healthy choice, it is not suitable for managing hyponatremia.

Choice D reason:

A baked sweet potato is nutritious but does not provide the necessary sodium to correct hyponatremia. The focus should be on foods that can help increase sodium levels in the blood.

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One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?

Correct Answer is B

Explanation

The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

Correct Answer is C

Explanation

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