The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery.
Which menu item(s) should the nurse request for this client? (Select all that apply).
Orange juice.
Apple juice.
Hot chocolate.
Chicken broth.
Black coffee.
Correct Answer : B,D
The correct answer is choice b. Apple juice and d. Chicken broth.
Choice A rationale:
Orange juice is a clear liquid and generally acceptable on a clear liquid diet. However, it is not the best choice for someone following Mormon beliefs due to its acidity, which might not be suitable post-surgery.
Choice B rationale:
Apple juice is a clear liquid and suitable for a clear liquid diet. It is also non-caffeinated and non-alcoholic, aligning with Mormon dietary restrictions.
Choice C rationale:
Hot chocolate contains caffeine and is not considered a clear liquid. It is not suitable for a clear liquid diet and does not align with Mormon dietary restrictions.
Choice D rationale:
Chicken broth is a clear liquid and suitable for a clear liquid diet. It is non-caffeinated and non-alcoholic, making it appropriate for someone following Mormon beliefs.
Choice E rationale:
Black coffee contains caffeine, which is prohibited in the Mormon diet. It is also not recommended on a clear liquid diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Decreasing expiratory flow time is not the appropriate intervention in this case. The client's pH and PaCO2 levels suggest respiratory acidosis, which indicates inadequate ventilation. Increasing expiratory flow time might exacerbate the acidosis by reducing ventilation.
Choice C rationale:
Increasing the rate of ventilation (respiratory rate) is a potential intervention to improve the client's acid-base balance. However, it should be done cautiously and under medical supervision to avoid respiratory alkalosis. It is not the first-line intervention in this scenario.
Choice D rationale:
Increasing the ventilator tidal volume may help improve ventilation, but it should also be done under medical guidance to prevent barotrauma. It is not the initial intervention to address the client's respiratory acidosis.
Correct Answer is ["21"]
Explanation
The correct answer is 21 gtt/min,
To calculate the flow rate (in gtt/min), you can use the following formula: Flow rate (gtt/min) = (Volume to be infused in mL ÷ Time in minutes) × Drop factor (gtt/mL) In this case, the volume to be infused is 1 liter, which is equivalent to 1000 mL. The time for infusion is 12 hours, which is equivalent to 720 minutes. The drop factor is given as 15 gtt/mL. Flow rate (gtt/min) = (1000 mL ÷ 720 min) × 15 gtt/mL = (1.39 gtt/min) × 15 gtt/mL ≈ 20.83 gtt/min Rounded to the nearest whole number, the nurse should regulate the infusion at 21 gtt/min.
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