A nurse is caring for a client who requires a clear liquid diet. Which food is acceptable for the client to consume?

Skim milk

Carrot juice

Grape juice

Chicken broth

Answer and Explanation

The Correct Answer is D

Choice A rationale
Skim milk is not acceptable for a client on a clear liquid diet. Clear liquid diets only include liquids that you can see through, and milk is not a clear liquid.
Choice B rationale

Carrot juice is not acceptable for a client on a clear liquid diet. While it is a liquid, it is not clear, and therefore does not meet the criteria for a clear liquid diet.
Choice C rationale
Grape juice is acceptable for a client on a clear liquid diet, as long as it is without pulp. Clear fruit juices are typically included in a clear liquid diet.
Choice D rationale
Chicken broth is acceptable for a client on a clear liquid diet. Broths are clear liquids and are often included in a clear liquid diet to provide some savory flavor.

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Correct Answer is C

Explanation

Choice A rationale
Increasing the client’s oral fluid intake is not the immediate action the nurse should take. While hydration is important, it does not directly address the client’s low oxygen saturation.
Choice B rationale
Initiating humidification therapy can help to thin secretions and improve oxygenation, but it is not the immediate action the nurse should take.
Choice C rationale
Raising the head of the bed is the first action the nurse should take. This position can help to improve lung expansion and oxygenation.
Choice D rationale
Encouraging the client to cough and deep breath can help to clear secretions and improve oxygenation, but it is not the immediate action the nurse should take.

A. “I will place a bath seat in my shower to use when I bathe.”. B. “I will keep the fluorescent ceiling light on in my room at night.”. C. “I will place an area rug at the entry of my bathroom.”. D. “I will keep my walker at the end of my bed.”. .

Correct Answer is A

Explanation

Choice A rationale
Placing a bath seat in the shower is a good safety measure for a patient with a history of falls. It allows the patient to sit while bathing, reducing the risk of slipping and falling.
Choice B rationale

Keeping the fluorescent ceiling light on in the room at night can actually increase the risk of falls. It can create shadows and glare that can be disorienting, especially for older adults.
Choice C rationale
Placing an area rug at the entry of the bathroom is not recommended. Rugs can easily become tripping hazards, especially if they’re not secured to the floor.
Choice D rationale
Keeping a walker at the end of the bed can be helpful for some patients, but it’s not the best indication that the patient understands home safety instructions. It’s important that the walker is used correctly and that the patient’s home is arranged to accommodate its use.

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A nurse is caring for a client who requires a clear liquid diet. Which food is acceptable for the client to consume?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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