Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

Baked acorn squash, whole grain rolls, and lemonade.

Sun-dried tomatoes with wheat pasta and iced tea.

Whole wheat peanut butter sandwich, banana, and milk.

Lentil soup with wild rice and orange-pineapple juice.

Answer and Explanation

The Correct Answer is C

A. While acorn squash and whole grain rolls are nutritious, they do not provide complete proteins.
B. Sun-dried tomatoes and wheat pasta are rich in carbohydrates but lack complete proteins.

C. A whole wheat peanut butter sandwich, combined with milk, provides complementary proteins, as peanut butter is rich in essential amino acids that complement those found in milk.
D. Lentils and wild rice are excellent sources of protein and carbohydrates, respectively, but they do not provide complete proteins when consumed individually.

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Correct Answer is D

Explanation

A. Low residue diet. This diet is designed to reduce the amount of indigestible material in the digestive tract, which is helpful for certain gastrointestinal conditions but not specifically for managing weight loss and stomatitis in chemotherapy patients.
B. Mechanical soft diet. While this diet includes foods that are easier to chew, it might not provide the necessary high protein content needed for someone who is significantly underweight and has increased nutritional needs due to chemotherapy.
C. Pureed regular diet. This diet consists of pureed foods that are easy to swallow, which is beneficial for those with severe difficulty chewing or swallowing, but it might not provide enough variety or appeal to encourage adequate intake in someone with stomatitis.
D. High protein soft diet. This diet includes soft foods that are easy to chew and swallow, making it suitable for someone with stomatitis. Additionally, it focuses on high protein content, which is essential for tissue repair and maintaining muscle mass, especially important for a client who has lost a significant amount of weight due to chemotherapy.

A. Slow the infusion rate and catch up the rate when the next TPN solution arrives. B. Flush the central line with a heparin solution and cap the subclavian access. C. Start 1,000 mL of 0.9% sodium chloride and monitor the serum glucose levels. D. Follow the TPN with a 10% dextrose solution at the current rate of infusion.

Correct Answer is C

Explanation

A. Slow the infusion rate and catch up the rate when the next TPN solution arrives. Slowing the

infusion rate may not provide adequate nutrition to the client, and catching up the rate later could lead to complications such as hyperglycemia or hypoglycemia.
B. Flush the central line with a heparin solution and cap the subclavian access. Flushing the central line with heparin and capping the access would not provide the client with nutrition and could increase the risk of line occlusion.

C. Start 1,000 mL of 0.9% sodium chloride and monitor the serum glucose levels. Starting 0.9% sodium chloride (normal saline) provides hydration and helps maintain electrolyte balance until the next bag of TPN is available. Monitoring serum glucose levels is essential to ensure that the client's glucose levels remain within the target range.
D. Follow the TPN with a 10% dextrose solution at the current rate of infusion. Administering a 10% dextrose solution could lead to hyperglycemia, especially if the client does not require additional glucose. It is important to maintain appropriate glucose levels while awaiting the next bag of TPN.

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Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is D

Explanation

A client is receiving total parenteral nutrition (TPN) via a subclavian central line, and the solution bag is nearly empty. The next bag of TPN is not available from the pharmacy. Which action should the nurse implement until the fluid arrives?

Correct Answer is C

Explanation

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