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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

A. 108/60 mm Hg. B. 154/96 mm Hg. C. 164/104 mm Hg. D. 128/88 mm Hg.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

A blood pressure of 108/60 mm Hg is considered normal, as it is less than 120/80 mm Hg.

Choice B rationale:

A blood pressure of 154/96 mm Hg falls into the category of stage 1 hypertension. Stage 1 hypertension is classified as a systolic blood pressure reading that falls between 130 and 139 mm Hg or a diastolic reading that is between 80 and 89 mm Hg.

Choice C rationale:

A blood pressure of 164/104 mm Hg is considered stage 2 hypertension, as the systolic blood pressure is 140 mm Hg or higher, or the diastolic pressure is 90 mm Hg or higher.

Choice D rationale:

A blood pressure of 128/88 mm Hg is considered elevated, as the systolic blood pressure ranges from 120 to 129 mm Hg and the diastolic blood pressure is below 80 mm Hg.

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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?

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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?