A nurse is caring for a client who has dysphagia and requires a level 1 dysphagia diet. Which of the following foods should the nurse choose for this client?
Chicken noodle soup
Apple juice
Pudding
Milk
The Correct Answer is C
A level 1 dysphagia diet, also known as a pureed diet, is recommended for individuals with severe swallowing difficulties. It involves pureeing or blending all foods to a smooth consistency to facilitate swallowing and prevent choking.
● Chicken noodle soup: This option typically contains solid ingredients such as chicken, noodles, and vegetables, which are not suitable for a level 1 dysphagia diet. The client may have difficulty swallowing these solid components.
● Apple juice: Liquids, including apple juice, are generally not included in a level 1 dysphagia diet as they require minimal swallowing effort. However, it is essential to consult a speech-language pathologist or dysphagia specialist regarding the client's specific liquid consistency recommendations.
● Pudding: Pudding is an ideal choice for a level 1 dysphagia diet as it can be easily pureed to a smooth consistency that is safe for swallowing. It provides a creamy and soft texture that is easier for individuals with dysphagia to manage.
● Milk: Milk is not typically recommended for a level 1 dysphagia diet as it is a liquid and requires minimal swallowing effort. Similar to apple juice, specific liquid consistency recommendations should be sought from a dysphagia specialist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
GERD is a chronic condition in which stomach acid and contents flow back into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain. Obesity is a significant risk factor for developing GERD. The excess weight can put pressure on the stomach, causing the contents to reflux into the esophagus more easily. Additionally, obesity is associated with a higher prevalence of hiatal hernia, which can further contribute to the development of GERD
Crohn's disease, Peptic ulcer disease, and Celiac disease are not commonly associated with obesity:
Crohn's disease is a type of inflammatory bowel disease that can affect any part of the gastrointestinal tract. It is not specifically associated with obesity but rather has complex genetic and environmental factors as its causes.
Peptic ulcer disease refers to the presence of open sores in the lining of the stomach or small intestine. While obesity may be a risk factor for gastric ulcers, the association is not as strong as with GERD.
Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. It is not directly related to obesity but is associated with a specific immune response to gluten in genetically susceptible individuals.
Correct Answer is B
Explanation
2-hour glucose tolerance test level 150 mg/dL: The 2-hour glucose tolerance test level of 150 mg/dL indicates elevated blood glucose levels after a glucose challenge. This finding suggests impaired glucose tolerance or impaired fasting glucose, which are considered pre-diabetic states. It is important to report this finding to the provider for further evaluation and consideration of interventions to prevent or delay the development of diabetes mellitus.
Fasting blood glucose 70 mg/dL: A fasting blood glucose level of 70 mg/dL is within the normal range. Typically, fasting blood glucose levels below 100 mg/dL are considered normal.
Therefore, this finding does not indicate a concern for diabetes.
Glycosylated hemoglobin 5%: A glycosylated hemoglobin (HbA1c) level of 5% is within the normal range. HbA1c is a measure of average blood glucose levels over the past two to three months, and a level below 5.7% is typically considered normal. Therefore, this finding does not indicate a concern for diabetes.
Casual blood glucose 90 mg/dL: A casual blood glucose level of 90 mg/dL is within the normal range. Casual blood glucose levels below 140 mg/dL are generally considered normal.
Therefore, this finding does not indicate a concern for diabetes.
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