A nurse is reinforcing teaching about foods that are high in folic acid with a client who is at 8 weeks of gestation. Which of the following foods should the nurse recommend as the best source of folic acid?

1/2 cup of corn

1/2 cup of cooked lentils

1 fried egg

1 slice of toast

Answer and Explanation

The Correct Answer is B

Rationale:

A. 1/2 cup of corn: While corn contains some folate, the amount is relatively low compared to legumes and leafy greens. It is not considered one of the best sources of folic acid for meeting the increased demands of early pregnancy.

B. 1/2 cup of cooked lentils: Lentils are among the richest natural sources of folic acid, providing a significant portion of the recommended daily intake. They are especially beneficial during early pregnancy to help prevent neural tube defects in the developing fetus.

C. 1 fried egg: Eggs provide a small amount of folate but are not a primary source. Although eggs offer other important nutrients during pregnancy, they do not meet the body’s high folic acid needs at 8 weeks gestation.

D. 1 slice of toast: Most bread products in some regions are fortified with folic acid, but the quantity in a single slice is minimal. While it can contribute to daily intake, it is not as concentrated a source as legumes like lentils.

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Correct Answer is C

Explanation

Rationale:

A. Removing an NG tube: Removing a nasogastric tube is a task that can be safely delegated to a licensed practical nurse (LPN) under appropriate supervision, as it is considered a stable, routine procedure that does not require complex assessment.

B. Administering a subcutaneous insulin injection: LPNs are trained and authorized to administer subcutaneous injections, including insulin, as long as the client's condition is stable and the dose is clearly prescribed.

C. Providing discharge teaching about home IV medication therapy: Discharge education involving IV therapy requires comprehensive teaching, clinical judgment, and evaluation of understanding, which falls within the scope of practice of a registered nurse (RN).

D. Collecting a sputum culture: Collecting a sputum specimen is a basic nursing task that can be performed by an LPN or even by trained assistive personnel, depending on facility policy. It does not require the expertise of an RN.

A. "Use a home device to monitor the newborns respiration." B. "Offer the newborn a pacifier during sleep times." C. "Minimize the number of middle-of-the night feedings” D. "Place the newborn on a slightly inclined sleep surface”

Correct Answer is B

Explanation

Rationale:

A. "Use a home device to monitor the newborn’s respiration.": Home apnea monitors have not been proven to reduce the risk of SUID and are not routinely recommended for healthy newborns. Reliance on these devices may provide a false sense of security.

B. "Offer the newborn a pacifier during sleep times.": Using a pacifier during sleep has been shown to reduce the risk of SUID. It may help maintain airway patency and promote lighter sleep, which decreases the risk of airway obstruction.

C. "Minimize the number of middle-of-the-night feedings.": Frequent feedings are important for newborn nutrition and do not increase the risk of SUID. Reducing feedings is neither safe nor recommended.

D. "Place the newborn on a slightly inclined sleep surface.": Infants should be placed on a firm, flat sleep surface to minimize SUID risk. Inclined surfaces increase the risk of airway obstruction and are unsafe for infant sleep.

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A nurse is reinforcing teaching about foods that are high in folic acid with a client who is at 8 weeks of gestation. Which of the following foods should the nurse recommend as the best source of folic acid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for four clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the guardian of a newborn about measures that can be taken to minimize the risk of sudden unexpected infant death (SUID). Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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