A nurse is teaching a client who has food allergies about safe food handling. Which of the following recommendations should the nurse make for the client?
Tuna can
Gravy beef
Apple pie
Bread
The Correct Answer is C
Choice A reason: Tuna can is not a safe food choice for a client who has food allergies because it may contain traces of other fish or shellfish that can trigger an allergic reaction. Tuna can should be avoided or checked for allergen labels before consuming.
Choice B reason: Gravy beef is not a safe food choice for a client who has food allergies because it may contain gluten, soy, or dairy products that can trigger an allergic reaction. Gravy beef should be avoided or checked for allergen labels before consuming.
Choice C reason: Apple pie is a safe food choice for a client who has food allergies because it is unlikely to contain common allergens, such as nuts, eggs, or milk. Apple pie is made from cooked apples, sugar, flour, and butter, which are low-risk ingredients for food allergies. Apple pie should be stored in the refrigerator or freezer after cooling to prevent spoilage.
Choice D reason: Bread is not a safe food choice for a client who has food allergies because it may contain gluten, wheat, or sesame seeds that can trigger an allergic reaction. Bread should be avoided or checked for allergen labels before consuming.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A pump is usually needed to administer intermittent tube feedings, as it can control the flow rate and volume of the formula. A pump can also prevent overfeeding, aspiration, or diarrhea.
Choice B reason: Administering feedings over 10 to 20 minutes is too fast, as it can cause abdominal cramps, nausea, vomiting, or dumping syndrome. Intermittent tube feedings should be administered over 30 to 60 minutes.
Choice C reason: Administering feedings while sleeping at night is not recommended, as it can increase the risk of aspiration, reflux, or infection. Intermittent tube feedings should be administered during waking hours and with the head of the bed elevated at least 30 degrees.
Choice D reason: Advancing the rate of feedings slowly is advisable, as it can help the body adjust to the formula and prevent intolerance or complications. The rate should be increased gradually until the desired goal is reached.
Correct Answer is D
Explanation
Choice A reason: Hemoglobin 16 g/dL is within the normal range for adults and does not indicate an adverse effect of TPN.
Choice B reason: Temperature 36.1°C (97°F) is normal and does not indicate an infection or inflammation, which are possible complications of TPN.
Choice C reason: Blood glucose 98 mg/dL is normal and does not indicate hyperglycemia or hypoglycemia, which are common problems associated with TPN.
Choice D reason: Weight gain of 1.5 kg (3 lB. per day is excessive and indicates fluid overload, which can result from too rapid or too high infusion of TPN. Fluid overload can cause edema, hypertension, heart failure, and pulmonary congestion.
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