Which of the following items on the tray should the nurse remove?
Vanilla pudding.
Cranberry juice.
Beef broth.
Orange gelatin.
Correct Answer : A,D
Choice A rationale
Vanilla pudding is often restricted in dysphagia diets due to its smooth, slippery texture, which can be difficult to control in the oral cavity and increases the risk of aspiration into the airway. Individuals with dysphagia may have impaired swallowing mechanisms, making thin, liquid-like consistencies particularly hazardous.
Choice B rationale
Cranberry juice is a thin liquid and poses a significant aspiration risk for a patient with dysphagia. Thin liquids are difficult to manage in the mouth and throat, increasing the likelihood of the liquid entering the trachea instead of the esophagus. Patients with swallowing difficulties often require thickened liquids to improve bolus control.
Choice C rationale
Beef broth is a clear liquid and, similar to cranberry juice, presents a high risk of aspiration for a patient with dysphagia. Its thin consistency makes it challenging for individuals with impaired swallowing to control its movement, potentially leading to it entering the airway and causing respiratory complications.
Choice D rationale
Orange gelatin, while seemingly semi-solid, often melts into a thin liquid in the mouth due to body temperature. This change in consistency makes it difficult to control and increases the risk of aspiration in patients with dysphagia. Gelatin's slippery texture further compounds this risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.52"]
Explanation
Step 1 is: The physician ordered 500 mg and the available concentration is 330 mg/mL. To find the volume to administer, divide the ordered dose by the available concentration: 500 mg ÷ 330 mg/mL.
Step 2 is: 500 ÷ 330 = 1.5151.
Step 3 is: Round to the nearest hundredth as is common for medication administration: 1.52 mL.
Final answer: The nurse will administer 1.52 mL.
Correct Answer is ["A","C"]
Explanation
Choice A rationale
Dried beans, including varieties like black beans, pinto beans, and navy beans, are a rich source of plant-based protein. They provide essential amino acids necessary for growth and development in toddlers following a vegetarian diet. Incorporating beans into meals helps meet their protein requirements.
Choice B rationale
Apple slices are primarily a source of carbohydrates, fiber, and some vitamins. They contain very little protein and would not be a significant contributor to increasing the protein intake of a vegetarian toddler.
Choice C rationale
Green peas are a good source of plant-based protein in addition to fiber and vitamins. They offer a higher protein content compared to many other vegetables and can be easily incorporated into a toddler's diet to help meet their protein needs on a vegetarian regimen.
Choice D rationale
Mashed potatoes are mainly a source of carbohydrates in the form of starch. While they provide energy and some nutrients, they are low in protein and not an ideal food choice for increasing dietary protein intake in a vegetarian toddler. .
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