A nurse is caring for a client who is 2 hours post-op, receiving a clear liquid diet. Which of the following food choices by the nurse is appropriate?
Banana shake.
Grape juice.
Scrambled eggs with avocado.
Milk.
The Correct Answer is B
Choice A rationale:
A banana shake is not appropriate because it is not a clear liquid. Clear liquids are foods that are clear and liquid at room temperature.
Choice B rationale:
Grape juice is a clear liquid, which is appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice C rationale:
Scrambled eggs with avocado is not a clear liquid. It is a solid food, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice D rationale:
Milk is not a clear liquid. It is a dairy product, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Elevated potassium levels are not a specific indicator of a myocardial infarction (MI). They could be due to other conditions like kidney disease.
Choice B rationale:
Elevated CK-MB and Troponin levels are indeed indicators of an MI. These proteins are released into the blood when heart muscle is damaged.
Choice C rationale:
An elevated lipid profile is a risk factor for heart disease, but it does not indicate an acute MI.
Choice D rationale:
An elevated WBC count could indicate an infection or inflammation, but it is not a specific indicator of an MI.
Correct Answer is B
Explanation
Choice A rationale:
Yoga involves gentle stretching and may not directly impact the phlebitis.
Choice B rationale:
Therapeutic massage could potentially dislodge a clot in the leg, leading to a dangerous condition called a pulmonary embolism.
Choice C rationale:
Acupressure, like yoga, involves gentle pressure and may not directly impact the phlebitis.
Choice D rationale:
Acupuncture involves the insertion of needles and could potentially cause harm, but it is less likely to dislodge a clot than massage.
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