A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following information should the nurse include?

Choose foods high in vitamin B12-

Choose high-fat cheese as a meat substitute.

Limit intake of nuts and legumes.

Limit intake of foods high in vitamin C.

Answer and Explanation

The Correct Answer is A

A.   Since vitamin B12 is primarily found in animal products, clients following a vegan diet should be advised to consume fortified foods or supplements containing vitamin B12 to prevent deficiency.
B.   High-fat cheese is not a suitable meat substitute for individuals following a vegan diet, as it is an animal-derived product.
C.   Nuts and legumes are valuable sources of protein and other nutrients in a vegan diet and should not be limited unless there are specific dietary restrictions or preferences.
D.   Foods high in vitamin C are beneficial for overall health, but limiting them is not necessary for individuals following a vegan diet.

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Correct Answer is C

Explanation

A. While a temperature elevation in a client with Clostridium difficile requires assessment, it is not as urgent as potential cardiac ischemia.
B. Pain assessment in a client with a femur fracture is important but does not take priority over potential cardiac issues.
C. Left shoulder pain with S-T elevation on an ECG can indicate myocardial infarction (MI), a life-threatening condition requiring immediate assessment and intervention.
D. Orthostatic hypotension and pitting edema, while concerning, do not indicate an acute, life-threatening condition that requires immediate assessment in this scenario.

A. Flush the tube with 0.9% sodium chloride. B. Replace the NG tube every 24 hr. C. Position the client supine in bed. D. Increase the suction pressure as tolerated.

Correct Answer is A

Explanation

A. Flushing the NG tube with 0.9% sodium chloride helps maintain patency and prevents obstruction. It is a standard practice to flush NG tubes before and after administering medications or feedings.
B. NG tubes are not routinely replaced every 24 hours unless there is a specific clinical indication to do so.
C. The position of the client depends on the clinical situation, but supine position alone does not address NG tube care.
D. Suction pressure should be set according to the physician's orders and the patient's tolerance, but it should not be increased arbitrarily without clinical indication.

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A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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