A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?

Gelatin

Popsicle

Yogurt

Broth

Answer and Explanation

The Correct Answer is C

A) Gelatin: Gelatin is a suitable choice for a clear liquid diet. It is transparent and easily digestible, making it appropriate for individuals requiring clear liquids, such as those recovering from certain medical procedures or surgeries.

B) Popsicle: Popsicles are commonly included in clear liquid diets. They provide hydration and can help soothe a sore throat or provide relief from nausea. However, it is essential to ensure that the popsicle is clear and does not contain any solid fruit or pieces.

C) Yogurt: Yogurt is not typically included in a clear liquid diet. Clear liquid diets consist of transparent or translucent fluids that are easily digested and leave minimal residue in the gastrointestinal tract. Yogurt, being a semi-solid food, contains particles that are not clear and is typically considered a full liquid or soft diet item rather than a clear liquid. Therefore, the client's choice of yogurt indicates a need for further teaching regarding appropriate food choices for a clear liquid diet.

D) Broth: Broth, such as chicken or beef broth, is a staple of clear liquid diets. It is easily digested and provides essential electrolytes and hydration. Broth can be consumed hot or cold, depending on the client's preference and medical condition.

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Correct Answer is A

Explanation

A) Severity: When the nurse asks the client to rate the pain on a scale of 0 to 10, they are assessing the severity of the pain. This component of the PQRST mnemonic focuses on understanding the intensity or severity of the pain experienced by the client. By asking the client to quantify their pain on a scale, the nurse gains insight into how much the pain is affecting the client's well-being and can use this information to guide pain management interventions.
B) Precipitating cause: This component of the PQRST mnemonic involves identifying factors that trigger or worsen the pain. Asking about activities or events that preceded the onset of pain helps the nurse understand the precipitating cause.
C) Region: This component involves identifying the specific location or region of the body where the pain is experienced. It helps the nurse localize the pain and identify potential underlying causes.
D) Quality: This component involves asking the client to describe the characteristics or quality of the pain, such as sharp, dull, stabbing, or burning. Understanding the quality of the pain provides additional information about its nature and possible underlying mechanis

A. "The health care proxy does not go into effect until I am incapable of making decisions." B. "I have to choose a family member as my health proxy." C. "If I become incapacitated, end-of-life choices will be made by my proxy." D. "I can change who I designate as my health care proxy at any time."

Correct Answer is B

Explanation

A) "The health care proxy does not go into effect until I am incapable of making decisions.": This statement is accurate. A health care proxy, also known as a durable power of attorney for health care or health care agent, is appointed to make medical decisions on behalf of the client if they become unable to do so themselves. This can include decisions related to treatment options, end-of-life care, and other medical interventions.

B) "I have to choose a family member as my health proxy.": This statement is incorrect. While some individuals may choose a family member as their health care proxy, it is not a requirement. The client can choose any competent adult who is willing to serve as their health care proxy, including a friend, relative, or even a legal representative.

C) "If I become incapacitated, end-of-life choices will be made by my proxy.": This statement is accurate. The health care proxy is responsible for making medical decisions on behalf of the client if they are unable to do so, including decisions related to end-of-life care and treatment preferences.

D) "I can change who I designate as my health care proxy at any time.": This statement is accurate. The client has the right to change their health care proxy at any time by completing a new advance directive document and revoking any previous designations. It is essential for the client to review and update their advance directives regularly to ensure they reflect their current wishes and preferences.

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A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following components of the PQRST mnemonic?

Correct Answer is A

Explanation

A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

Correct Answer is B

Explanation

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