The home health nurse is visiting an older adult client who was discharged from the hospital 3 days ago following hip pinning surgery. The client lives with an adult child who prepares the family meals. In discussing nutrition for postoperative healing, which food(s) should the nurse suggest for this client's diet? Select all that apply.

Flavored gelatin.

Baked chicken.

Scrambled eggs.

Soda crackers.

Grilled salmon.

Answer and Explanation

Correct Answer : B,C,E

A.   Flavored gelatin. Flavored gelatin can provide hydration and some calories, but it lacks sufficient protein and other nutrients necessary for postoperative healing.
B.   Baked chicken. Baked chicken is a good source of lean protein, which is essential for wound healing and tissue repair following surgery.
C.   Scrambled eggs. Scrambled eggs are easy to digest and provide high-quality protein, vitamins, and minerals, making them suitable for postoperative nutrition.
D.   Soda crackers. While soda crackers may be easy to tolerate, they are low in nutritional value and may not provide adequate nutrients for postoperative healing.

E.   Grilled salmon. Grilled salmon is rich in protein and omega-3 fatty acids, which have anti- inflammatory properties and can support healing after surgery.

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Correct Answer is C

Explanation

A. Broccoli. Broccoli is a low-sodium vegetable and is a good choice for a low-sodium diet.

B. Ground sirloin. While not completely free of sodium, fresh meat like ground sirloin has relatively low sodium content compared to processed or cured meats.
C. Cottage cheese. Cottage cheese is high in sodium, especially processed varieties, and should be limited on a low-sodium diet.
D. Bananas. Bananas are very low in sodium and are safe for a low-sodium diet.

A. Urinary ketones. B. Serum protein. C. Serum osmolarity. D. Capillary glucose.

Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

Correct Answer is C

Explanation

While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

Correct Answer is D

Explanation

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal from the menu. Which food choice should the nurse advise the client to omit?

The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?