A nurse is caring for a client who follows a kosher diet.
Which of the following menu items should the nurse include on the tray?
Pulled-pork sandwich.
Shrimp salad.
Roasted salmon.
Clam chowder.
The Correct Answer is C
Choice A rationale:
A pulled-pork sandwich is not appropriate for a client following a kosher diet, as pork is not considered kosher due to dietary restrictions in Jewish dietary law (kashrut)
Choice B rationale:
Shrimp salad is not suitable for a client following a kosher diet, as shellfish is not considered kosher according to Jewish dietary laws.
Choice C rationale:
Roasted salmon is an appropriate choice for a client following a kosher diet, as salmon is typically considered kosher, provided it has been prepared and cooked according to kosher guidelines.
Choice D rationale:
Clam chowder is not appropriate for a client following a kosher diet, as it contains shellfish (clams), which is not considered kosher in Jewish dietary law.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Following a subtotal thyroidectomy, the nurse should position the client in a way that minimizes strain on the surgical site and promotes respiratory function. The most appropriate position for this client is:
d) Semi-Fowler's.
Semi-Fowler's position, where the head of the bed is elevated at a 30 to 45-degree angle, helps reduce swelling at the surgical site and facilitates breathing. This position also minimizes tension on the suture line and aids in preventing strain on the neck.
The other options are not as suitable for post-thyroidectomy positioning:
a) Dorsal recumbent: This position involves lying on the back with the knees flexed. While it might be used in some situations, it doesn't specifically address the considerations after a thyroidectomy.
b) Supine: Lying flat on the back may not provide optimal support to the neck and could potentially increase discomfort.
c) Left lateral: Lying on the left side may not be as effective in reducing strain on the neck and surgical site compared to the semi-Fowler's position.
Correct Answer is D
Explanation
Choice A rationale:
Tape the tube to the child's cheek. Taping the tube to the child's cheek is not the recommended method for securing a gastrostomy enteral tube. It can cause discomfort and skin irritation for the child. Proper securing methods involve using specialized tube holders or dressings designed for this purpose.
Choice B rationale:
Apply water-soluble lubricant to the site. Rationale: Applying a water-soluble lubricant to the site is not a standard practice for gastrostomy tube care. It is essential to keep the site clean and dry to prevent infection. Lubricants are not typically used in this context.
Choice C rationale:
Attaching an extension tube is related to administering feedings or medications rather than the maintenance and care of the gastrostomy site. Site care focuses on protecting the skin and ensuring cleanliness around the tube insertion area.
Choice D rationale:
Apply a skin barrier protectant to the site. Using a skin barrier protectant helps shield the peristomal skin from irritation and breakdown caused by gastric contents and formula leakage.
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