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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:

Repeating the potassium level is not the first action to take. The nurse already has a recent lab value.

Choice B rationale:

The nurse should withhold the medication. The normal range for potassium is 3.5-5.0 mEq/L. A level of 5.5 mEq/L is high, so giving more potassium could lead to hyperkalemia.

Choice C rationale:

Monitoring for paresthesia is important in hyperkalemia, but it is not the first action. The nurse should first prevent further increase in potassium levels.

Choice D rationale:

Administering a hypertonic solution is not relevant in this situation. It does not directly address the high potassium level.

A. Drains the chest wall and empties into the superior vena cava. B. Are arteries that supply oxygenated-rich blood to the sex glands. C. Can be palpitated in the mid-upper arm in the antecubital space. D. Carries blood from abdominal organs to the liver for processing before returning to the heart.

Correct Answer is D

Explanation

Choice A rationale:

The hepatic portal system does not drain the chest wall and it does not empty into the superior vena cava.

Choice B rationale:

The hepatic portal system is not composed of arteries and it does not supply oxygenated-rich blood to the sex glands.

Choice C rationale:

The hepatic portal system cannot be palpitated in the mid-upper arm in the antecubital space.

Choice D rationale:

The hepatic portal system carries blood from abdominal organs to the liver for processing before returning to the heart.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

The nurse is talking to the patient caregiver about discharge instructions for the patient.They start to talk about blood flow through the body.The caregiver asks the nurse about the hepatic portal system and why it is important.The nurse responds that the Hepatic Portal System.

Correct Answer is D

Explanation

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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?