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?
Pudding.
Milk.
Chicken noodle soup.
Apple juice.
The Correct Answer is A
Choice A rationale:
Pudding is a suitable choice for a client with dysphagia requiring a level 1 dysphagia diet. Level 1 dysphagia diet consists of pureed, cohesive, and pudding-like foods that are easy to swallow and safe for individuals with swallowing difficulties. Pudding's consistency aligns with this requirement, making it a safe option for the client.
Choice B rationale:
Milk is not an appropriate choice for a level 1 dysphagia diet. Milk is a thin liquid that poses a risk of aspiration for individuals with dysphagia. It does not meet the consistency requirements for safe consumption in this case.
Choice C rationale:
Chicken noodle soup is not suitable for a level 1 dysphagia diet. The soup contains solid ingredients such as noodles and chicken pieces, which can be difficult for individuals with dysphagia to swallow safely. It is important to avoid foods with mixed textures for such clients.
Choice D rationale:
Apple juice is also not appropriate for a level 1 dysphagia diet. Like milk, apple juice is a thin liquid that can increase the risk of aspiration for individuals with swallowing difficulties. It lacks the appropriate consistency for safe consumption by those with dysphagia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A rate of 0.45 kg (1 lb)/day is an extremely rapid weight loss rate that is not realistic or safe for most individuals. Such a rapid weight loss could lead to muscle loss, nutrient deficiencies, and other health complications.
Choice B rationale:
This choice is the correct answer. A weight loss rate of 0.45 kg (1 lb)/week is generally considered a safe and sustainable rate. This gradual weight loss allows the body to adjust and minimize the risk of adverse effects commonly associated with rapid weight loss.
Choice C rationale:
A weight loss rate of 0.23 kg (0.5 lb)/week is even slower than the recommended rate in choice B. While it might be very cautious, it might not provide the client with the desired progress in a reasonable timeframe.
Choice D rationale:
A rate of 0.23 kg (0.5 lb)/day is another unrealistic and rapid weight loss rate. It's not a sustainable approach and could lead to various health issues.
Correct Answer is D
Explanation
Choice A rationale:
Serving foods hot might seem like a way to enhance the aroma and taste, which could be appealing to the client. However, hot foods might worsen nausea and discomfort for someone undergoing radiation therapy due to their heightened sensitivity to smells. This choice doesn't directly address the client's symptoms.
Choice B rationale:
Increasing the intake of liquids at mealtime could be helpful to prevent dehydration, but it doesn't directly address the reported symptoms of nausea, stomatitis (inflammation of the mouth), and weight loss. Moreover, certain liquids might irritate the client's throat, making this choice less suitable.
Choice C rationale:
Consuming foods high in fat content is not the ideal choice for this client. Fat-rich foods can be heavy and difficult to digest, potentially exacerbating nausea and not being well-tolerated by someone experiencing stomatitis.
Choice D rationale:
The best choice is to recommend foods high in protein. Protein is essential for tissue repair, immune function, and maintaining lean body mass. Given the client's reported weight loss and stomatitis, protein-rich foods can aid in promoting tissue healing and preventing further muscle loss. Additionally, focusing on protein sources that are easy to swallow and tolerate can address the client's discomfort while supporting their nutritional needs.
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