A child has experienced several episodes of vomiting.

After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child.

Which information should the nurse obtain about the popsicles?

Whether they contain pulp or fruit.

The color and flavor of gelatin used.

If the popsicles are completely frozen.

How many popsicles are available.

None

Answer and Explanation

The Correct Answer is A

Choice A rationale

When a child is on a clear liquid diet due to vomiting, it's essential to ensure that all consumed liquids are transparent and free from solid particles. Popsicles made from flavored gelatin are typically considered acceptable because they are clear and do not contain solid pieces. However, if the popsicles contain pulp or fruit, they would no longer be classified as clear liquids and could potentially irritate the stomach, leading to further vomiting. Therefore, the nurse should inquire whether the popsicles contain pulp or fruit to ensure they adhere to the clear liquid diet guidelines.

Choice B rationale

While the color and flavor of the gelatin may affect the child's acceptance of the popsicles, they do not impact whether the popsicles are considered clear liquids.

Choice C rationale

If the popsicles are completely frozen is not relevant to the dietary restrictions. The focus should be on the ingredients and their suitability for a clear liquid diet.

Choice D rationale

The number of popsicles available does not impact their suitability for the child’s diet. The nurse should focus on the content and appropriateness of the popsicles.

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Correct Answer is A

Explanation

Choice A rationale

Reporting the client’s status to the healthcare provider is the appropriate action. The healthcare provider needs to be informed of the client’s death to provide further instructions and complete necessary documentation. This action ensures proper communication and adherence to protocols.

Choice B rationale

Asking the UAP to complete postmortem care is necessary, but it should be done after notifying the healthcare provider. The nurse must follow the proper sequence of actions to ensure all protocols are followed.

Choice C rationale

Beginning cardiopulmonary resuscitation (CPR) and calling a code is not appropriate because the client has a signed do not resuscitate (DNR) form. Performing CPR would go against the client’s wishes and legal documentation.

Choice D rationale
Notifying the family of the client’s death is important, but it should be done after reporting the client’s status to the healthcare provider. The healthcare provider may have specific instructions for communicating with the family and completing necessary documentation.

A. After each instruction, ask if the client understands. B. Have an interpreter repeat the wound care instructions. C. Have the client demonstrate prescribed wound care. D. Provide written instructions in the client’s native language. E. Answer and explanation

Correct Answer is C

Explanation

Choice A rationale

Asking the client if they understand after each instruction may not be effective if the client is not comfortable expressing confusion or misunderstanding. It does not allow for direct observation of the client’s ability to perform the necessary tasks.

Choice B rationale

Having an interpreter repeat the wound care instructions may be helpful, but it still does not allow for direct observation of the client’s ability to perform the necessary tasks.

Choice C rationale

Having the client demonstrate prescribed wound care is the best way to evaluate the client’s understanding of self-care at home. This allows the nurse to directly observe the client’s ability to perform the necessary tasks and provide feedback and clarification as needed.

Choice D rationale

Providing written instructions in the client’s native language may be helpful, but it does not allow the nurse to directly evaluate the client’s understanding

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A child has experienced several episodes of vomiting. After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child. Which information should the nurse obtain about the popsicles?

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Naxlex Comprehensive Predictor Exams

An older adult client with heart failure has a signed do not resuscitate (DNR) form in the medical record. The unlicensed assistive personnel (UAP) reports that the client is not breathing, and the nurse confirms the UAP’s findings. Which action should the nurse take next?

Correct Answer is A

Explanation

A client who had emergency gallbladder surgery yesterday is getting ready for discharge. The client speaks very little English. When teaching wound care, which method should the nurse use to evaluate the client’s understanding of self-care at home?

Correct Answer is C

Explanation

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A child has experienced several episodes of vomiting.

After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child.

Which information should the nurse obtain about the popsicles?