The nurse is caring for a client who has dysphagia as the result of a stroke. Which breakfast should the nurse provide this client?

Oatmeal with honey, applesauce, and pear nectar.

Pancakes with syrup, link sausage, and orange juice.

An oral nutritional supplement.

Scrambled eggs, bacon, toast, milk, and coffee.

Answer and Explanation

The Correct Answer is C

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B.   Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C.   An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D.   Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

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Correct Answer is D

Explanation

A. Low residue diet. This diet is designed to reduce the amount of indigestible material in the digestive tract, which is helpful for certain gastrointestinal conditions but not specifically for managing weight loss and stomatitis in chemotherapy patients.
B. Mechanical soft diet. While this diet includes foods that are easier to chew, it might not provide the necessary high protein content needed for someone who is significantly underweight and has increased nutritional needs due to chemotherapy.
C. Pureed regular diet. This diet consists of pureed foods that are easy to swallow, which is beneficial for those with severe difficulty chewing or swallowing, but it might not provide enough variety or appeal to encourage adequate intake in someone with stomatitis.
D. High protein soft diet. This diet includes soft foods that are easy to chew and swallow, making it suitable for someone with stomatitis. Additionally, it focuses on high protein content, which is essential for tissue repair and maintaining muscle mass, especially important for a client who has lost a significant amount of weight due to chemotherapy.

Correct Answer is ["539"]

Explanation

6 ounces of apple juice = 177 mL (1 ounce = 29.57 mL)
1 cup of water = 240 mL (1 cup = 240 mL)
1 cup of soup = 240 mL
6 ounces of tea = 177 mL
12 ounces of carbonated beverage = 355 mL

Total intake: 177 + 240 + 240 + 177 + 355 = 1189 mL

Total output:

Voided at 0830 = 250 mL
Vomitus at 1300 = 150 mL
Voided at 1400 = 250 mL

Total output: 250 + 150 + 250 = 650 mL

Fluid balance: Total intake - Total output = 1189 - 650 = 539 mL

Therefore, the client's current fluid balance is 539 mL.

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The nurse is caring for a client who has dysphagia as the result of a stroke. Which breakfast should the nurse provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is D

Explanation

Correct Answer is ["539"]

Explanation

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