A nurse is caring for a postoperative patient following abdominal surgery. The surgeon has prescribed a clear liquid diet.Which of the following items should the nurse include on the patient’s lunch tray?

Cranberry juice.

Lemon sherbet.

Carrot juice.

Plain yogurt.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Cranberry juice is an acceptable component of a clear liquid diet. Clear liquid diets are often prescribed postoperatively as they are easy to digest and leave no residue in the digestive tract.
Choice B rationale
Lemon sherbet is not part of a clear liquid diet. It is considered part of a full liquid diet, which is more substantial and includes foods that are liquid at room temperature.
Choice C rationale

Carrot juice is not typically included in a clear liquid diet. It may contain pulp and is not clear, which is a requirement of a clear liquid diet.
Choice D rationale
Plain yogurt is not part of a clear liquid diet. It is considered a solid food and is therefore not included.

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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. A client who has community-acquired pneumonia with copious respiratory secretions B. A client who has AIDS and is coughing up blood C. A client who has Guillain-Barré syndrome and is on a ventilator D. A client who has bronchitis and a tracheostomy

Correct Answer is A

Explanation

Choice A rationale
A client who has community-acquired pneumonia with copious respiratory secretions should be assigned to the private room. This is because pneumonia, especially with copious respiratory secretions, can be transmitted through the air, and therefore requires airborne precautions.
Choice B rationale
A client who has AIDS and is coughing up blood may not necessarily require a private room for airborne precautions. While AIDS is a serious condition, it is not primarily transmitted through the air. Instead, it is transmitted through direct contact with bodily fluids, particularly blood, semen, vaginal fluids, and breast milk.
Choice C rationale
A client who has Guillain-Barré syndrome and is on a ventilator would not necessarily require a private room for airborne precautions. Guillain-Barré syndrome is a neurological disorder, not an infectious disease, and it is not transmitted from person to person.
Choice D rationale

A client who has bronchitis and a tracheostomy may not necessarily require a private room for airborne precautions. While bronchitis can be caused by an infection, it is typically transmitted through direct contact or droplet transmission, not through the air.

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A nurse is caring for a postoperative patient following abdominal surgery. The surgeon has prescribed a clear liquid diet.Which of the following items should the nurse include on the patient’s lunch tray?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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