A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?
Apple juice
Cream of rice cereal
Vanilla yogurt
Scrambled eggs
The Correct Answer is D
A. Apple juice: Apple juice is appropriate for a full liquid diet.
B. Cream of rice cereal: Cream of rice cereal is suitable for a full liquid diet as it can be made to a thin consistency.
C. Vanilla yogurt: Vanilla yogurt is allowed on a full liquid diet.
D. Scrambled eggs: Scrambled eggs are not considered part of a full liquid diet as they are a solid food.
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Related Questions
Correct Answer is D
Explanation
A. Pause the enema and give the client pain medication. Pain medication is not appropriate for mild cramping caused by an enema.
B. Discontinue the enema. Stopping the enema entirely may not be necessary and could prevent the procedure from being effective.
C. Continue the enema and reassure the client. Continuing the enema without adjustment may cause increased discomfort.
D. Lower the height of the solution bag. Lowering the height of the enema bag can reduce the flow rate, easing cramping and discomfort.
Correct Answer is B
Explanation
A. Introduce a regular diet: Introducing a regular diet is important but not the immediate priority.
B. Assess fluid balance: Assessing fluid balance is the priority to determine the extent of dehydration and guide rehydration therapy.
C. Rehydrate: Rehydration is crucial, but assessing fluid balance is necessary first to determine the appropriate rehydration method.
D. Maintain fluid therapy: Maintaining fluid therapy is important but comes after assessing the fluid balance to tailor the treatment accurately.
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