The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

Fruits and vegetables.

Complete proteins.

Calcium-rich dairy products.

High potassium foods.

Answer and Explanation

The Correct Answer is A

A. Fruits and vegetables. Snacking on fruits and vegetables provides fiber, vitamins, and

minerals while being lower in calories, making them suitable choices for an adolescent with a high BMI who may be looking to manage their weight.
B.   Complete proteins. While complete proteins are important for overall nutrition, they may not be the best choice for after-school snacks, especially if the client is trying to manage their
weight, as they can be higher in calories.

C.   Calcium-rich dairy products. While dairy products are important for calcium intake, they can also be higher in calories and fat. Depending on the client's overall dietary intake, they may not be the best choice for snacks if weight management is a concern.
D.   High potassium foods. While potassium-rich foods are important for overall health, they may not be the best choice for after-school snacks specifically. Focusing on lower-calorie, nutrient- dense options like fruits and vegetables is more appropriate for an adolescent with a high BMI who may be trying to manage their weight.

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Correct Answer is D

Explanation

A. Low residue diet. This diet is designed to reduce the amount of indigestible material in the digestive tract, which is helpful for certain gastrointestinal conditions but not specifically for managing weight loss and stomatitis in chemotherapy patients.
B. Mechanical soft diet. While this diet includes foods that are easier to chew, it might not provide the necessary high protein content needed for someone who is significantly underweight and has increased nutritional needs due to chemotherapy.
C. Pureed regular diet. This diet consists of pureed foods that are easy to swallow, which is beneficial for those with severe difficulty chewing or swallowing, but it might not provide enough variety or appeal to encourage adequate intake in someone with stomatitis.
D. High protein soft diet. This diet includes soft foods that are easy to chew and swallow, making it suitable for someone with stomatitis. Additionally, it focuses on high protein content, which is essential for tissue repair and maintaining muscle mass, especially important for a client who has lost a significant amount of weight due to chemotherapy.

A. The urine meter attached to the urinary drainage bag is completely full. B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. C. There is a large dependent loop in the client's urinary drainage tubing. D. Purulent drainage is present around the insertion site of the feeding tube.

Correct Answer is C

Explanation

A. The urine meter attached to the urinary drainage bag is completely full. While this observation requires attention, it does not pose an immediate risk to the client's safety. The nurse should
empty the urine meter promptly to prevent overflow.

B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. This rate of infusion is within the typical range for enteral feedings and does not indicate an immediate safety concern. However, the nurse should assess the client's tolerance to the feeding.
C. There is a large dependent loop in the client's urinary drainage tubing. A large dependent loop in the urinary drainage tubing can lead to urinary stasis and increase the risk of urinary tract
infections or catheter-associated complications. It requires immediate intervention to prevent complications.
D. Purulent drainage is present around the insertion site of the feeding tube. While purulent drainage indicates a potential infection at the insertion site, it may not require immediate
intervention unless the client exhibits signs of systemic infection such as fever or increased white blood cell count.

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The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is D

Explanation

When entering a client's room, the nurse observes that the unlicensed assistive personnel (UAP) has lowered the head of the bed to change the linens for a client who is bedfast. Which observation requires the most immediate intervention by the nurse?

Correct Answer is C

Explanation

The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

When conducting diet teaching for a client who was diagnosed with iron-deficiency anemia, which food(s) should the nurse encourage the client to eat? Select all that apply.

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?

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While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]