A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?

One cup of pureed avocado

One cup of lentils

One cup of brown rice

One cup of orange juice

Answer and Explanation

The Correct Answer is B

A.   This option is not the best source of protein. While avocados are nutritious and contain healthy fats, they are low in protein. One cup of pureed avocado contains approximately 3 grams of protein, which is relatively low compared to other protein-rich foods. It’s better for providing healthy fats rather than substantial protein needed for wound healing.
B.   This is the best source of protein among the choices. Lentils are an excellent source of plant-based protein, providing about 18 grams of protein per cup. They are also rich in fiber, vitamins, and minerals. For someone on a vegan diet, lentils can effectively support protein needs essential for wound healing and overall recovery.
C.   This option is not the best source of protein. Brown rice is a good source of carbohydrates and provides about 5 grams of protein per cup, but it is not as protein-dense as lentils. While brown rice can be part of a balanced diet, it does not provide as much protein as lentils or other high-protein vegan foods.
D.   This option does not provide significant protein. Orange juice is rich in vitamin C, which is important for wound healing, but it contains negligible protein. It's not a protein source and should not be relied upon for meeting protein needs.

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Correct Answer is C

Explanation

A. This device is used to prevent hip rotation and adduction. It is placed along the lateral side of the client's hips to keep the hips in a neutral position, preventing external rotation and adduction. It does not specifically address plantar flexion contractures of the feet.
B. This device is used primarily to reduce pressure and prevent heel ulcers, not to prevent plantar flexion contractures. Sheepskin pads provide cushioning to prevent pressure sores, but they do not help in maintaining the proper position of the feet to prevent contractures.
C. This is the appropriate device for preventing plantar flexion contractures. A footboard is placed at the end of the bed to keep the feet in a dorsiflexed position, preventing them from curling downward. It helps maintain the feet in a neutral or slightly dorsiflexed position, thus preventing plantar flexion contractures.
D. This device is used to maintain the hips in an abducted position, typically following hip surgery. It prevents the legs from coming together and helps with hip alignment but does not address the issue of plantar flexion contractures.

A. "The medication works by decreasing gastric acid secretions." B. "The medication relieves nausea by promoting gastric emptying." C. "The medication relieves nausea by slowing peristalsis." D. "The medication works by relaxing gastric muscles."

Correct Answer is B

Explanation

A. Decreasing gastric acid secretions is not the primary mechanism of action for metoclopramide. This action is more characteristic of medications like proton pump inhibitors (PPIs) or H2 receptor antagonists, which reduce stomach acid to help with conditions such as GERD or peptic ulcers.
B. Promoting gastric emptying is the correct explanation for how metoclopramide relieves nausea. Metoclopramide acts as a prokinetic agent, meaning it enhances gastrointestinal motility by increasing the movement of the stomach and intestines.
C. Slowing peristalsis is not the mechanism of action for metoclopramide. In fact, metoclopramide does the opposite by increasing peristalsis and gastrointestinal motility. Slowing peristalsis would typically exacerbate nausea and lead to delayed gastric emptying, which metoclopramide aims to counteract.
D. Relaxing gastric muscles is not how metoclopramide works. Metoclopramide’s primary action is to increase gastrointestinal motility rather than relaxing the gastric muscles. Other medications, such as antispasmodics, might be used to relax gastrointestinal muscles, but metoclopramide is not used for this purpose.

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A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?

Correct Answer is C

Explanation

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is B

Explanation

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