A nurse is reinforcing teaching about complete and incomplete proteins with a client who has a prescription for a high-protein diet. The nurse should identify which of the following foods as sources of complete proteins? (Select all that apply.)
Cottage cheese
Whole wheat bread
Salmon
Hard-boiled eggs
Steamed spinach
Correct Answer : A,C,D
A. Cottage cheese: Cottage cheese is a dairy product that contains all nine essential amino acids, classifying it as a complete protein. It supports tissue repair and overall protein needs, making it suitable for a high-protein diet.
B. Whole wheat bread: Whole wheat bread is primarily a plant-based protein source and is considered an incomplete protein because it lacks one or more essential amino acids. It must be combined with other plant proteins to achieve completeness.
C. Salmon: Salmon is an animal-based protein that contains all essential amino acids, making it a complete protein. It also provides healthy omega-3 fatty acids, supporting cardiovascular health and anti-inflammatory benefits.
D. Hard-boiled eggs: Eggs are a classic source of complete protein, offering all essential amino acids in optimal proportions. They are highly digestible and ideal for meeting high-protein dietary requirements.
E. Steamed spinach: Spinach is a plant-based protein and considered incomplete because it does not provide all essential amino acids in adequate amounts. While nutritious, it cannot alone meet complete protein requirements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer a short-acting bronchodilator: Diminished breath sounds and use of accessory muscles indicate severe airway obstruction and impending respiratory compromise. Administering a short-acting bronchodilator, such as albuterol, provides rapid relief by relaxing bronchial smooth muscle, improving airflow, and preventing further hypoxemia.
B. Reinforce the importance of using a peak flow meter: While peak flow monitoring is useful for long-term asthma management and early detection of exacerbations, it does not address acute airway obstruction. Education about peak flow is important but not the first action in a potentially life-threatening exacerbation.
C. Encourage the client to take slow, deep breaths: Breathing techniques may support ventilation in mild exacerbations, but they cannot relieve severe bronchospasm or restore adequate airflow in a client with diminished breath sounds. This intervention is secondary to urgent pharmacologic management.
D. Request a prescription for ABGs: Arterial blood gas measurement helps assess oxygenation and acid-base status, but it does not immediately reverse airway obstruction. While ABGs may be indicated for evaluation, the first priority is to administer a bronchodilator to relieve life-threatening bronchospasm.
Correct Answer is B
Explanation
A. "I will sleep on a soft mattress.": A soft mattress does not provide adequate joint support and may allow excessive joint flexion, increasing stiffness and discomfort in osteoarthritis. Firm or supportive surfaces help maintain proper spinal alignment and reduce mechanical stress on weight-bearing joints.
B. "I will apply a heating pad to make my hands feel better.": Heat therapy promotes vasodilation, increases blood flow, and relaxes periarticular muscles, which can reduce stiffness and improve joint mobility in osteoarthritis. Application of warm compresses or heating pads is particularly beneficial before activity to decrease morning stiffness and enhance range of motion.
C. "I will take aspirin on an empty stomach.": Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gastric mucosa by inhibiting prostaglandin synthesis, increasing the risk of gastritis and gastrointestinal bleeding. Taking these medications with food or milk reduces gastric irritation.
D. "I will exercise my joints as much as I can when they are inflamed.": During periods of acute inflammation, excessive joint use can worsen pain and tissue irritation. Low-impact, regular exercise is encouraged, but it should be balanced with rest during flare-ups to prevent additional joint stress and exacerbation of symptoms.
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