The nurse is caring for a young woman who is breastfeeding and will need to increase her intake of calories and protein.
The nurse suggests which foods are healthy sources of protein?

Green leafy vegetables.

Citrus fruits and juices.

White bread, rice, and potatoes.

Nuts, turkey breast, and lean meats.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Green leafy vegetables are excellent sources of vitamins, minerals, and fiber, which are crucial for overall health during breastfeeding. However, they are not primary sources of complete protein, which contains all nine essential amino acids needed for milk production and maternal tissue repair.

Choice B rationale

Citrus fruits and juices are rich in vitamin C and provide hydration, which are important during breastfeeding. However, they are primarily sources of carbohydrates and micronutrients and do not offer significant amounts of protein necessary for increased protein intake during lactation.

Choice C rationale

White bread, rice, and potatoes are primarily sources of carbohydrates, providing energy. While they contribute to the overall caloric intake needed during breastfeeding, they are low in protein and do not offer the essential amino acids required in higher amounts for milk production and maternal needs.

Choice D rationale

Nuts, turkey breast, and lean meats are excellent sources of complete protein, providing all the essential amino acids required by a breastfeeding mother and her infant. These foods support milk production, tissue repair, and overall nutritional needs during lactation, making them healthy choices for increasing protein intake.

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Correct Answer is ["1610"]

Explanation

Step 1: Convert ounces to milliliters for oral intake. 8 ounces of coffee × 30 mL/ounce = 240 mL. 3 ounces of juice × 30 mL/ounce = 90 mL. 12 ounces of soda × 30 mL/ounce = 360 mL.

Step 2: Calculate the amount of water consumed from the pitcher. Initial amount - Remaining amount = Consumed amount. 800 mL - 200 mL = 600 mL.

Step 3: Calculate the total oral fluid intake. Coffee + Juice + Soda + Water = Total oral intake. 240 mL + 90 mL + 360 mL + 600 mL = 1290 mL.

Step 4: Calculate the total IV fluid intake over 8 hours. IV rate × Time = Total IV fluid. 40 mL/hour × 8 hours = 320 mL.

Step 5: Calculate the total fluid intake (oral + IV). Total oral intake + Total IV fluid = Total intake. 1290 mL + 320 mL = 1610 mL.

The nurse should document 1610 mL as the client's total intake for the shift.

A. Normoactive bowel sounds. B. Hypoactive bowel sounds. C. Absent bowel sounds. D. Hyperactive bowel sounds.

Correct Answer is C

Explanation

Choice A rationale

Normoactive bowel sounds are the typical, intermittent gurgling sounds heard during a bowel assessment, indicating normal peristalsis and intestinal activity. The absence of any sounds for 30 seconds suggests a significant reduction or cessation of this activity, which is not consistent with normoactive findings.

Choice B rationale

Hypoactive bowel sounds are characterized by infrequent and faint gurgling sounds, indicating a decrease in intestinal motility. While a pause of 30 seconds without any sounds might precede hypoactive sounds, the complete absence of sounds for this duration is more indicative of a further reduction in bowel activity than simply hypoactivity.

Choice C rationale

Absent bowel sounds are documented when no bowel sounds are heard after listening in each of the four abdominal quadrants for a specified period, typically ranging from 2 to 5 minutes per quadrant. A 30-second period without any sounds in one area is a significant finding that should be documented as absent in that specific quadrant, warranting further assessment.

Choice D rationale

Hyperactive bowel sounds are loud, high-pitched, and frequent gurgling sounds, often described as "borborygmi" or stomach rumbling. These sounds indicate increased intestinal motility, which is the opposite of the finding of no bowel sounds for 30 seconds.

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The nurse is caring for a young woman who is breastfeeding and will need to increase her intake of calories and protein.The nurse suggests which foods are healthy sources of protein?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1610"]

Explanation

The nurse is assessing a patient's bowel sounds.The nurse does not hear anything for 30 seconds.How should the nurse document this finding?

Correct Answer is C

Explanation

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The nurse is caring for a young woman who is breastfeeding and will need to increase her intake of calories and protein.
The nurse suggests which foods are healthy sources of protein?