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 B

Explanation

A. It reflects a desire to improve physical fitness, which is a common and generally positive goal. However, if this statement were accompanied by an excessive focus on weight loss or extreme measures to achieve fitness, it could indicate a problem, but on its own, this statement is not clearly indicative of cognitive distortion.
B. It reflects "all-or-nothing thinking," a common cognitive distortion in eating disorders. This pattern of thinking involves seeing things in black and white, where a small lapse in diet is perceived as a complete failure, leading to excessive and irrational behavior, such as consuming more than intended.
C. It shows a strong fear of gaining weight, which is typical in anorexia nervosa. However, it is more a sign of extreme concern about body image rather than a specific cognitive distortion pattern. Cognitive distortions often involve faulty logic or irrational beliefs, and this statement is more about an emotional response to weight gain.
D. Cutting food into small pieces can be a behavioral characteristic or ritual for someone with anorexia nervosa, but it does not necessarily reflect a cognitive distortion on its own. It might be a way to control portions or prolong the eating process, but it is not a direct example of distorted thinking.

A. Lactated Ringer's solution B. Dextrose 10% in water C. Dextrose 5% in water D. 0.9% sodium chloride

Correct Answer is C

Explanation

A. While Lactated Ringer's is often used for fluid resuscitation, it doesn't contain the necessary nutrients to replace TPN. It can lead to electrolyte imbalances and other complications if used for extended periods.
B. While Dextrose 10% provides calories, it lacks essential amino acids, electrolytes, and other nutrients found in TPN. Prolonged use can lead to imbalances and nutritional deficiencies.
C. Dextrose 5% in water is a commonly used IV fluid that can be administered temporarily while waiting for the next TPN container. It provides hydration and some calories, but it's important to monitor the client's glucose levels closely.
D. While 0.9% sodium chloride (normal saline) is used for fluid replacement, it can lead to hypernatremia (excess sodium) if used for extended periods, especially in clients receiving TPN.

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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

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