In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Advise the client to include aerobic exercise along with dietary changes.

Emphasize the need to reduce caloric intake, rather than increasing it.

Instruct the client to also increase the daily intake of dietary fiber.

Encourage the client to continue these changes in a dietary plan.

None

Answer and Explanation

The Correct Answer is D

Rationale for A: Advising the client to include aerobic exercise could be beneficial as it may help in weight management and overall health. However, it does not directly address the dietary concerns associated with hyperthyroidism.
Rationale for B: Reducing caloric intake is generally not recommended for hyperthyroidism as the condition often leads to weight loss and increased metabolism; therefore, patients may require more calories to maintain a healthy weight.
Rationale for C: Increasing dietary fiber is beneficial for general health and can aid digestion, but it is not the primary dietary change needed for managing hyperthyroidism.
Rationale for D: Encouraging the client to continue increasing protein and caloric intake is appropriate, as hyperthyroidism can cause weight loss and muscle wasting. Adequate protein and caloric intake can help mitigate these effects.

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Correct Answer is A

Explanation

A. Call the healthcare provider to clarify if the client may have ice cream as requested. Ice cream is not a clear liquid and may not be appropriate for a client scheduled for surgery. The nurse should clarify the client's dietary restrictions with the healthcare provider before providing ice cream.
B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. While this option may provide some chocolate flavor, it may not satisfy the client's request for ice cream.
Additionally, the nurse should confirm with the healthcare provider before offering any alternative to the prescribed clear liquid diet.
C. Provide the chocolate ice cream after determining the presence of bowel sounds. This action does not address the appropriateness of ice cream for a clear liquid diet before surgery. The nurse should clarify with the healthcare provider before providing ice cream.
D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream. While popsicles and gelatin are clear liquids and may be appropriate for the client's clear liquid diet, this option does not address the client's specific request for chocolate ice cream. The nurse should clarify with the healthcare provider before providing any alternatives.

A. Oatmeal with honey, applesauce, and pear nectar. B. Pancakes with syrup, link sausage, and orange juice. C. An oral nutritional supplement. D. Scrambled eggs, bacon, toast, milk, and coffee.

Correct Answer is C

Explanation

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B. Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C. An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D. Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

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In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

Correct Answer is A

Explanation

The nurse is caring for a client who has dysphagia as the result of a stroke. Which breakfast should the nurse provide this client?

Correct Answer is C

Explanation

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