The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

Fruits and vegetables.

Complete proteins.

Calcium-rich dairy products.

High potassium foods.

Answer and Explanation

The Correct Answer is A

A. Fruits and vegetables. Snacking on fruits and vegetables provides fiber, vitamins, and

minerals while being lower in calories, making them suitable choices for an adolescent with a high BMI who may be looking to manage their weight.
B.   Complete proteins. While complete proteins are important for overall nutrition, they may not be the best choice for after-school snacks, especially if the client is trying to manage their
weight, as they can be higher in calories.

C.   Calcium-rich dairy products. While dairy products are important for calcium intake, they can also be higher in calories and fat. Depending on the client's overall dietary intake, they may not be the best choice for snacks if weight management is a concern.
D.   High potassium foods. While potassium-rich foods are important for overall health, they may not be the best choice for after-school snacks specifically. Focusing on lower-calorie, nutrient- dense options like fruits and vegetables is more appropriate for an adolescent with a high BMI who may be trying to manage their weight.

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Correct Answer is C

Explanation

A. Check for body weight changes. While changes in body weight can provide valuable

information about nutritional status, they may not be immediately relevant to addressing the high gastric residual volume.
B. Calculate 24-hour caloric intake. While important for overall nutritional assessment,

calculating 24-hour caloric intake may not address the immediate concern of the high gastric residual volume.
C. Observe for abdominal distention. High gastric residual volumes can indicate delayed gastric emptying or intolerance to the feeding formula, which may manifest as abdominal distention.
Assessing for this symptom helps determine the client's comfort and potential complications related to tube feeding.

D. Measure the urinary output. Monitoring urinary output is important for assessing hydration status and renal function, but it may not directly address the issue of high gastric residual volume associated with tube feeding.

A. Clear liquid. B. Pureed. C. Mechanical soft. D. Full liquid.

Correct Answer is A,D,B,C

Explanation

A. Clear liquid. Clear liquids are the first step in advancing the diet after a period of nothing by mouth (NPO). They are easy to digest and help prevent dehydration.
D. Full liquid. Full liquids are the next step after clear liquids and include liquids and foods that are smooth and easily poured or formed into a liquid at room or body temperature. Examples
include milk, yogurt, and cream-based soups.

B. Pureed. Pureed foods are soft and smooth, requiring minimal chewing. They are often recommended for individuals who have difficulty swallowing or have undergone oral or facial surgery.
C. Mechanical soft. Mechanical soft foods are semi-solid and easily mashed or broken down with a fork. They are suitable for individuals with difficulty chewing or swallowing but can tolerate more texture than pureed foods.

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The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client's gastric residual volume as 325 mL during each of two consecutive hourly measurements. Which assessment should the nurse complete before contacting the healthcare provider?

Correct Answer is C

Explanation

A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Correct Answer is A,D,B,C

Explanation

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