The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which menu item(s) should the nurse request for this client? Select all that apply.
Hot chocolate.
Black coffee.
Orange juice.
Apple juice.
Correct Answer : C,D
A. Hot chocolate is not an appropriate choice for a clear liquid diet, and it is not allowed for clients who follow Mormon beliefs, which typically discourage caffeinated beverages.
B. Black coffee is not allowed for clients who follow Mormon beliefs due to its caffeine content and is also not suitable for a clear liquid diet.
C. Orange juice is a clear liquid and is acceptable on a clear liquid diet. It does not contain caffeine or other prohibited substances for Mormons.
D. Apple juice is a clear liquid and suitable for a clear liquid diet. It aligns with Mormon dietary guidelines and provides hydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Encourage the parents to allow the child to continue attending swimming lessons with supervision: Swimming is a low-impact exercise that can be beneficial for children with Duchenne muscular dystrophy, and supervision ensures safety.
B. Provide a list of alternative activities that are less likely to cause the child to experience fatigue: While considering fatigue is important, swimming can be a safe and beneficial activity if supervised.
C. Explain that their child is too young to understand the risks associated with swimming: The child's age is not a relevant factor; safety measures and supervision are key.
D. Suggest that the child be encouraged to participate in a team sport to encourage socialization: Team sports are not necessarily appropriate for a child with Duchenne muscular dystrophy due to potential physical strain.
Correct Answer is C
Explanation
A. Administer prescribed sedative: While administering a sedative is important for the client's comfort, it is not the most critical step immediately before cardioversion.
B. Select a monitor lead with a tall R wave: Choosing a lead with a clear R wave helps in visualizing the heart rhythm, but the most crucial step before cardioversion is ensuring that the procedure is synchronized with the R wave.
C. Activate the synchronization mode: Synchronization mode ensures that the electrical shock is delivered at the correct time in the cardiac cycle, specifically during the R wave of the ECG, to avoid causing a dangerous arrhythmia like ventricular fibrillation.
D. Verify the prothrombin time (PT): While checking PT is important for assessing the risk of blood clots, it is not the most immediate action right before cardioversion. PT verification is typically done well in advance of the procedure.
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