A nurse is providing dietary education about general nutritional guidelines to a group of older adult patients. Which of the following statements, if made by a patient, would indicate an understanding of the teaching?

“I will choose fortified foods containing vitamin B2.”.

“I will decrease my fluid intake.”.

“I will limit my intake of plant-based foods.”.

“I will decrease my daily intake of protein.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Choosing fortified foods containing vitamin B2 is a good practice. Vitamin B2, also known as riboflavin, is important for energy production and cellular function, and older adults may need more of this nutrient.

Choice B rationale

Decreasing fluid intake is not generally recommended for older adults. Adequate hydration is important for many body functions, including maintaining blood volume and preventing constipation.

Choice C rationale

Limiting intake of plant-based foods is not a healthy practice. Plant-based foods are rich in fiber, vitamins, and minerals, and they can help reduce the risk of chronic diseases.

Choice D rationale

Decreasing daily intake of protein is not generally recommended for older adults. Protein is essential for maintaining muscle mass, which tends to decrease with age.

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Correct Answer is C

Explanation

A decreased level of consciousness in a client who had a head injury 2 days ago is a critical sign that requires immediate attention. This could indicate a serious complication such as brain swelling or bleeding. The other clients’ needs, while important, are not as immediately life- threatening and can be addressed after the client with the head injury is stabilized.

A. Change the dressing on the tracheostomy site. B. Suction the tracheostomy tube. C. Auscultate the client’s lungs. D. Clean the inner cannula.

Correct Answer is C

Explanation

A.Changing the dressing on the tracheostomy site is an important part of tracheostomy care, but it is not the first action that should be taken.

B.Suctioning the tracheostomy tube should only be performed if there are signs of airway obstruction (e.g., increased secretions, decreased oxygenation, or adventitious breath sounds). Suctioning too frequently or unnecessarily can cause mucosal damage and hypoxia.

C. Auscultating the lungs helps the nurse determine if there is increased secretions, diminished breath sounds, or other airway concerns that may require suctioning. This ensures that care is performed appropriately based on the client’s needs.

D.Cleaning the inner cannula is a necessary part of tracheostomy care, but it should bedone after assessing the airway and performing suctioning if needed.

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A nurse is providing dietary education about general nutritional guidelines to a group of older adult patients. Which of the following statements, if made by a patient, would indicate an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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