A nurse is reinforcing instructions with the parent of a toddler about foods that are included on a clear liquid diet. Which of the following foods suggested by the parent indicates understanding of the instructions?
Gelatin
Strained soup
Yogurt
Pureed fruit
The Correct Answer is A
A. Gelatin: Gelatin is a clear liquid when prepared and is acceptable for a clear liquid diet.
B. Strained soup: Strained soups are not considered clear liquids as they may contain solids or fats.
C. Yogurt: Yogurt is not a clear liquid; it is part of a full liquid diet.
D. Pureed fruit: Pureed fruit is not clear and is unsuitable for this diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Assess fluid balance: Although assessment is important, rehydration takes priority to address the acute loss of fluids and electrolytes.
B. Maintain fluid therapy: Fluid therapy maintenance is secondary to initiating rehydration.
C. Introduce a regular diet: Diet modification is less critical than rehydration in the acute phase.
D. Rehydrate: Rehydration addresses the immediate risk of dehydration and electrolyte imbalance caused by severe diarrhea.
Correct Answer is A
Explanation
A. Urine specific gravity 1.034: This indicates concentrated urine, a sign of dehydration.
B. Distended neck veins: This is a sign of fluid overload, not dehydration.
C. BP 146/94 mm Hg: Hypertension is not a typical sign of dehydration; instead, dehydration often leads to low blood pressure.
D. Bounding pulse: Dehydration typically causes a weak, thready pulse rather than a bounding one.
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