A nurse is caring for a client who is prescribed a mechanical soft diet. Which food choice would be appropriate for this client to have included in their diet?

Ribs

Apple

Ground beef

Corn on the cob

Answer and Explanation

The Correct Answer is C

A) Ribs: Ribs are typically not suitable for a mechanical soft diet because they are tough and require chewing. Mechanical soft diets are designed for individuals who have difficulty chewing or swallowing solid foods.

B) Apple: Apples are generally too hard and crunchy for a mechanical soft diet, which is intended to include softer, easier-to-chew foods.

C) Ground beef: Ground beef is appropriate for a mechanical soft diet because it is easier to chew and swallow compared to whole cuts of meat. It is typically tender and does not require extensive chewing.

D) Corn on the cob: Corn on the cob is not suitable for a mechanical soft diet due to its tough and fibrous texture, which can be difficult to chew and swallow for individuals on this type of diet.

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Correct Answer is D

Explanation

A) Speech Therapist: A speech therapist typically works with clients who have communication or swallowing disorders. While they may be involved in assessing and managing difficulties with swallowing, they are not the primary professionals for addressing issues related to hand function or fine motor skills, which are crucial for self-feeding in clients with rheumatoid arthritis.

B) Registered Dietician: A registered dietician is responsible for assessing and planning nutritional needs, which may include recommending dietary modifications for overall health and well-being. However, they do not specifically address the mechanical or functional aspects of eating, such as difficulties due to pain and hand deformities in rheumatoid arthritis.

C) Physical Therapist: Physical therapists focus on improving gross motor function, mobility, and physical strength. While they may help with general mobility and exercise plans to reduce pain and improve joint function, they are not specialists in the fine motor skills and adaptive strategies needed for activities of daily living, such as self-feeding.

D) Occupational Therapist: Occupational therapists specialize in helping clients regain and improve their ability to perform daily activities, particularly those involving fine motor skills. They are well-suited to address issues like pain management, joint protection techniques, and the use of adaptive equipment for self-feeding in clients with rheumatoid arthritis. They work on enhancing the client’s functional independence despite physical limitations.

A. Isotonic solution B. Total Parenteral Nutrition (TPN) C. Hypertonic solution D. Hypotonic solution

Correct Answer is D

Explanation

A) Isotonic solution: Isotonic solutions, such as 0.9% sodium chloride, maintain the current sodium levels and fluid balance but do not correct hypernatremia. They are not suitable for lowering elevated sodium levels.

B) Total Parenteral Nutrition (TPN): TPN is used for providing comprehensive nutritional support and does not address electrolyte imbalances such as hypernatremia. It is not used to manage sodium levels directly.

C) Hypertonic solution: Hypertonic solutions, such as 3% sodium chloride, increase sodium levels and are used for treating hyponatremia or specific conditions requiring higher sodium concentrations. They would worsen hypernatremia.

D) Hypotonic solution: Hypotonic solutions, like 0.45% sodium chloride (half-normal saline) or Dextrose 5% in water (D5W), are appropriate for treating hypernatremia. They help dilute the sodium concentration in the blood and aid in correcting the elevated sodium levels

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A nurse is caring for a client who is prescribed a mechanical soft diet. Which food choice would be appropriate for this client to have included in their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with rheumatoid arthritis. The client is having difficulty with self-feeding due to the pain and hand deformities. The nurse would anticipate a referral will be made to which member of the interprofessional team?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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