A nurse is caring for a client who is receiving a mechanically altered diet.
Which of the following food choices necessitates intervention by the nurse?
Scrambled eggs.
Piece of wheat toast.
Cottage cheese.
Sliced banana.
The Correct Answer is B
Choice A rationale:
Scrambled eggs are soft and easy to chew and swallow, making them appropriate for a mechanically altered diet.
Choice B rationale:
Wheat toast is hard and requires more chewing, which may be difficult for a client on a mechanically altered diet.
Choice C rationale:
Cottage cheese is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.
Choice D rationale:
A sliced banana is soft and easy to chew and swallow, making it appropriate for a mechanically altered diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
An angle of 60° is not typically used for IM injections. It is more commonly used for subcutaneous injections.
Choice B rationale:
An angle of 45° is also more commonly used for subcutaneous injections, not IM injections.
Choice C rationale:
An angle of 90° is the correct angle for an IM injection into the ventrogluteal muscle. This allows for the needle to penetrate deep into the muscle tissue.
Choice D rationale:
An angle of 75° is not typically used for any type of injection. It could potentially cause injury to the client if used for an IM injection.
Correct Answer is B
Explanation
Choice A rationale:
Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.
Choice B rationale:
The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.
Choice C rationale:
Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.
Choice D rationale:
Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.
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