A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Clear liquid.

Pureed.

Mechanical soft.

Full liquid.

Answer and Explanation

The Correct Answer is A,D,B,C

A.   Clear liquid. Clear liquids are the first step in advancing the diet after a period of nothing by mouth (NPO). They are easy to digest and help prevent dehydration.
D. Full liquid. Full liquids are the next step after clear liquids and include liquids and foods that are smooth and easily poured or formed into a liquid at room or body temperature. Examples
include milk, yogurt, and cream-based soups.

B.   Pureed. Pureed foods are soft and smooth, requiring minimal chewing. They are often recommended for individuals who have difficulty swallowing or have undergone oral or facial surgery.
C.   Mechanical soft. Mechanical soft foods are semi-solid and easily mashed or broken down with a fork. They are suitable for individuals with difficulty chewing or swallowing but can tolerate more texture than pureed foods.

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Correct Answer is C

Explanation

A. Cashews. While cashews are nutritious and contain various vitamins and minerals, they are not particularly high in folate, which is crucial for preventing neural tube defects.
B. Yogurt. Yogurt is a good source of calcium and protein but is not a significant source of folate.

C. Asparagus. Asparagus is rich in folate, a B-vitamin that is essential for the prevention of neural tube defects during pregnancy. It is one of the best food sources of folate.
D. Chicken. Chicken provides protein and other nutrients but is not a significant source of folate, making it less effective in preventing neural tube defects compared to folate-rich vegetables like asparagus.

A. Call the healthcare provider to clarify if the client may have ice cream as requested. B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. C. Provide the chocolate ice cream after determining the presence of bowel sounds. D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.

Correct Answer is A

Explanation

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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A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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