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 B

Explanation

A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful

information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B. Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C. Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D. Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.

A. Follow low carbohydrate diet with low glycemic index foods. B. Eat a high protein diet three times a day. C. Avoid foods high in potassium. D. Restrict sodium rich foods and excessive oral fluids.

Correct Answer is D

Explanation

A. Follow low carbohydrate diet with low glycemic index foods. This recommendation is more appropriate for managing diabetes rather than glomerulonephritis. Carbohydrate and glycemic index considerations are not the primary dietary concerns for glomerulonephritis patients.
B. Eat a high protein diet three times a day. In glomerulonephritis, kidney function is impaired, and a high protein diet can exacerbate the condition by increasing the workload on the kidneys. Protein intake should often be moderated, not increased.
C. Avoid foods high in potassium. While potassium management may be relevant in certain cases of kidney disease, it is not the primary dietary focus for glomerulonephritis unless hyperkalemia is a specific issue.
D. Restrict sodium rich foods and excessive oral fluids. Reducing sodium intake helps prevent fluid retention and hypertension, both of which can be problematic in glomerulonephritis. Controlling fluid intake also helps manage symptoms and prevent complications associated with impaired kidney function.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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