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 C
Explanation
Choice A rationale:
Phenytoin 100 mg PO every 8 hr is a standard prescription for controlling seizures.
Choice B rationale:
Lisinopril 20 mg PO every 12 hr is a typical dose for treating high blood pressure.
Choice C rationale:
“Hold for systolic BP less than 110 mm Hg” is unclear because it does not specify which medication to hold.
Choice D rationale:
Morphine 2.5 mg IV bolus PRN for incisional pain is a standard prescription for pain control after surgery.
Choice E rationale:
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner is a common prescription for managing blood glucose levels in diabetes patients.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
Keeping the client NPO after midnight is not necessary for an ECG. It is a non-invasive procedure that does not require fasting.
Choice B rationale:
Inspecting the electrode pads is important to ensure good contact with the skin and accurate readings.
Choice C rationale:
Instructing the client to breathe normally during the ECG helps to prevent artifacts in the tracing that could lead to misinterpretation.
Choice D rationale:
Administering an analgesic prior to the procedure is not necessary. An ECG is a painless procedure.
Choice E rationale:
Using alcohol to wipe the skin before placing the electrodes can improve the quality of the ECG by reducing skin impedance.
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