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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice B rationale:

Choice A rationale:

Gathering information regarding how long it will take for the children to arrive is important but does not address the immediate need for information on the dying process.

Choice C rationale:

Offering to discuss the client's health status with each of the adult children is a good approach for involving them in their father's care but does not provide the immediate information the wife is seeking.

Choice D rationale:

Reassuring the spouse that the healthcare provider will notify when to call the children does not offer information about the dying process itself, which is what the wife is interested in understanding.

A. Instruct the unlicensed assistive personnel (UAP) to apply a warm blanket and massage the client's back. B. Insert a gloved finger into the rectum and gently massage the rectal sphincter. C. Stop the procedure and observe for a reduction in symptoms before continuing. D. Encourage the client to take slow, deep breaths while continuing the procedure.

Correct Answer is A

Explanation

Choice A rationale:

Instructing the UAP to apply a warm blanket and massage the client's back is the appropriate intervention in response to the client's complaints of feeling dizzy and cold during a fecal impaction removal procedure. These symptoms suggest a vasovagal response, which can be managed by keeping the client warm and providing comfort. This intervention helps increase blood flow and alleviate symptoms.

Choice B rationale:

Inserting a gloved finger into the rectum and massaging the rectal sphincter is not the first-line intervention when a client complains of feeling dizzy and cold during a fecal impaction removal. This invasive procedure should be reserved for cases where other interventions have failed, and it is necessary to complete the impaction removal.

Choice C rationale:

Stopping the procedure and observing for a reduction in symptoms before continuing is a reasonable approach, but it does not address the immediate discomfort and distress the client is experiencing. Providing comfort measures, such as applying a warm blanket and massaging the client's back, should be the initial response.

Choice D rationale:

Encouraging the client to take slow, deep breaths while continuing the procedure may not be effective in addressing the client's symptoms of dizziness and coldness. The client may require immediate comfort measures to stabilize their condition.

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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).

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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).