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).
Orange juice.
Apple juice.
Hot chocolate.
Chicken broth.
Black coffee.
Correct Answer : B,D
The correct answer is choice b. Apple juice and d. Chicken broth.
Choice A rationale:
Orange juice is a clear liquid and generally acceptable on a clear liquid diet. However, it is not the best choice for someone following Mormon beliefs due to its acidity, which might not be suitable post-surgery.
Choice B rationale:
Apple juice is a clear liquid and suitable for a clear liquid diet. It is also non-caffeinated and non-alcoholic, aligning with Mormon dietary restrictions.
Choice C rationale:
Hot chocolate contains caffeine and is not considered a clear liquid. It is not suitable for a clear liquid diet and does not align with Mormon dietary restrictions.
Choice D rationale:
Chicken broth is a clear liquid and suitable for a clear liquid diet. It is non-caffeinated and non-alcoholic, making it appropriate for someone following Mormon beliefs.
Choice E rationale:
Black coffee contains caffeine, which is prohibited in the Mormon diet. It is also not recommended on a clear liquid diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Assigning the newly hired unlicensed assistive personnel (UAP) to clients who require the least complex level of care is not the best approach to ensure adequate care for all clients. It may limit the UAP's opportunities for learning and growth and may not fully utilize their skills.
Choice B rationale:
Asking the most experienced UAP to partner with the newly hired UAP is a reasonable approach, but it may not provide a comprehensive solution. It can be beneficial for mentorship and guidance, but it may not address all the clients' needs efficiently.
Choice C rationale:
Reviewing the UAP's skills checklist and experience with the person who hired the UAP is an important step in assessing competency. However, it alone may not ensure adequate care for all clients. Competency assessment should be ongoing and include direct observation of care delivery.
Correct Answer is B
Explanation
Choice A rationale:
Leaving the client alone to give them space is not an appropriate intervention for a client with depression and a history of suicide attempts. Isolation can increase feelings of hopelessness and despair, potentially leading to self-harm or suicidal thoughts.
Choice B rationale:
Removing any potential means of self-harm from the client's environment is the most essential intervention in this scenario. It is crucial to ensure the client's safety by eliminating access to items or substances that could be used for self-harm, such as medications, sharp objects, or other dangerous items. This intervention helps reduce the immediate risk of harm.
Choice C rationale:
Encouraging the client to confront their feelings of hopelessness is important in the long term, as it can be part of therapeutic interventions. However, it should not be the immediate priority when the client is at risk of self-harm. Ensuring their safety is paramount.
Choice D rationale:
Telling the client that they should be grateful for what they have is not an appropriate intervention. It can be perceived as dismissive of their feelings and may worsen their sense of hopelessness and isolation.
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