A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

Call the healthcare provider to clarify if the client may have ice cream as requested.

Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice.

Provide the chocolate ice cream after determining the presence of bowel sounds.

Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.

Answer and Explanation

The Correct Answer is A

A.   Call the healthcare provider to clarify if the client may have ice cream as requested. Ice cream is not a clear liquid and may not be appropriate for a client scheduled for surgery. The nurse should clarify the client's dietary restrictions with the healthcare provider before providing ice cream.
B.   Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. While this option may provide some chocolate flavor, it may not satisfy the client's request for ice cream.
Additionally, the nurse should confirm with the healthcare provider before offering any alternative to the prescribed clear liquid diet.
C.   Provide the chocolate ice cream after determining the presence of bowel sounds. This action does not address the appropriateness of ice cream for a clear liquid diet before surgery. The nurse should clarify with the healthcare provider before providing ice cream.
D.   Explain that a popsicle or a cup of gelatin can be provided rather than ice cream. While popsicles and gelatin are clear liquids and may be appropriate for the client's clear liquid diet, this option does not address the client's specific request for chocolate ice cream. The nurse should clarify with the healthcare provider before providing any alternatives.

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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.

A. Insert a portion of the tablet into the tube and apply gentle pressure. B. Consult with the pharmacist about a liquid form of the medication C. Dissolve the medication in sterile water and use gravity to administer. D. Crush the medication and dilute with water before pouring into the tube.

Correct Answer is B

Explanation

A. Inserting a portion of the tablet into the tube and applying gentle pressure may not ensure proper dissolution, potentially leading to clogging or incomplete administration.
B. Consulting with the pharmacist about a liquid form of the medication is the best course of action. Enteric-coated tablets are formulated to release the medication in the small intestine, and crushing or dissolving them can alter their effectiveness or cause irritation.
C. Dissolving the medication in sterile water and using gravity to administer may not adequately address the enteric coating, risking medication inefficacy or irritation.
D. Crushing the medication and diluting it with water before pouring into the tube is not recommended for enteric-coated tablets, as it may compromise their effectiveness and lead to adverse effects.

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A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

Correct Answer is D

Explanation

The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

Correct Answer is B

Explanation

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