When conducting diet teaching for a client who is on a gastrostomy tube feeding, which foods should the nurse encourage the client use? (Select all that apply.)

Cooked cereal.

Lettuce.

Clear fat-free broth.

Brussels sprouts.

Nuts.

Answer and Explanation

Correct Answer : A,C

Choice A: Cooked cereal can be used as part of a gastrostomy tube feeding regimen for clients who require enteral nutrition.

Choice B: Lettuce is not typically used in gastrostomy tube feedings as it may not be well-tolerated in liquid form.

Choice C: Clear fat-free broth can be used as part of a gastrostomy tube feeding regimen for clients who require enteral nutrition.

Choice D: Brussels sprouts and nuts are not typically used in gastrostomy tube feedings as they may not be well-tolerated in liquid form.

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Correct Answer is D

Explanation

Choice A: The older female client who had a hip replacement yesterday and is notably pale with a hemoglobin of 10.5 g/dl likely needs attention, but the information provided does not indicate an urgent, life-threatening situation. Immediate intervention may not be necessary based on the information given.

Choice B: The adult client with osteomyelitis of the ankle who refuses an IV restart for antibiotics is concerning, but it does not represent an immediate life- threatening situation. The client's refusal should be addressed, but it may not require immediate attention.

Choice C: The elderly client with low back pain who removed pelvic traction and wants to go home may require assessment and intervention, but the information provided does not indicate an urgent, life-threatening situation. It may not be the first priority.

Choice D: The young adult client with a closed reduction of a fractured femur complaining of increasingly severe pain is the most concerning. Pain assessment and management are critical, and uncontrolled pain can lead to complications. This client should be attended to first to assess and address the pain.

A. Test the other reflexes later in the exam. B. Distract the client by instructing him to pull on his fingers. C. Instruct the client to see a neurologist as soon as possible. D. Record the patellar reflex as a zero.

Correct Answer is A

Explanation

Choice A: When a reflex response is not elicited, it is important to proceed with testing other reflexes later in the exam to assess the overall neurological status. A single absence of a reflex may not be indicative of a problem, so further assessment is needed.

Choice B: Distracting the client by instructing him to pull on his fingers is not an appropriate action when assessing reflexes.

Choice C: Instructing the client to see a neurologist as soon as possible based solely on the absence of one reflex would be premature. Further assessment is needed to determine the significance.

Choice D: Recording the patellar reflex as a zero without further assessment would not provide a comprehensive evaluation of the client's reflexes.

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When conducting diet teaching for a client who is on a gastrostomy tube feeding, which foods should the nurse encourage the client use? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving morning report about four clients, which client should the nurse attend to first?

Correct Answer is D

Explanation

The nurse is assessing the reflexes of a 35-year-old client who came to the clinic for an annual physical exam. When the nurse strikes the patellar tendon, there is no response. What action should the nurse take next?

Correct Answer is A

Explanation

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