Which meal selection best demonstrates a client with osteoporosis understands dietary recommendations?

Chicken, carrots, and fresh grapefruit salad.

Salmon, turnip greens, brown rice, and an orange.

Green salad, ground beef patty, corn, and applesauce.

Plain omelet, bacon, toast with butter, and strawberries.

Answer and Explanation

The Correct Answer is B

This meal selection best demonstrates a client with osteoporosis understands dietary recommendations because it provides adequate amounts of calcium, vitamin D, and protein, which are essential nutrients for bone health.

Choice A is wrong because chicken, carrots, and fresh grapefruit salad do not provide enough calcium or vitamin D for a person with osteoporosis.

Calcium is mainly found in dairy products, leafy green vegetables, and fish with bones. Vitamin D is mainly found in fatty fish, egg yolks, and fortified foods.

Choice C is wrong because green salad, ground beef patty, corn, and applesauce do not provide enough calcium or vitamin D for a person with osteoporosis.

Green salad may contain some calcium depending on the type of greens, but it is not a rich source.

Ground beef patty and corn are low in calcium and vitamin

D. Applesauce does not contain any calcium or vitamin

D. Choice D is wrong because plain omelet, bacon, toast with butter, and strawberries do not provide enough calcium or vitamin D for a person with osteoporosis.

Plain omelet and bacon are high in protein but low in calcium and vitamin

Toast with butter may contain some vitamin D if the bread or butter are fortified, but it is not a rich source.

Strawberries do not contain any calcium or vitamin

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Correct Answer is D

Explanation

“I can use clean instead of sterile technique to suction my tracheostomy.” This statement demonstrates that the client understands how to care for their tracheostomy at home. According to the American Thoracic Society, clean technique can be used for suctioning at home, as long as the equipment is cleaned and stored properly.

Choice A is wrong because the client should be able to take care of their own tracheostomy as much as possible, with the help of a caregiver if needed. This promotes independence and self-care.

Choice B is wrong because the client should not be the only one who knows how to suction their tracheostomy at home. They should have at least one backup person who can assist them in case of an emergency or if they are unable to do it themselves.

Choice C is wrong because the client should not use saline for longer than 24 hours, even if they boil it.

Saline can become contaminated with bacteria and cause infection. The client should use fresh saline every time they suction their tracheostomy.

A. Close the window and remove the client’s oxygen. B. Sound the fire alarm and activate the emergency response system. C. Cover the client with a blanket to smother the flames. D. Remove the client from the room and close the door.

Correct Answer is C

Explanation

This is the priority action because it follows the RACE acronym for fire safety: Rescue, Alarm, Contain, Extinguish. The nurse should first rescue the client from immediate danger by smothering the flames with a blanket.

This will also help contain the fire and prevent it from spreading.

Choice A is wrong because closing the window and removing the client’s oxygen will not put out the fire.

Oxygen is not flammable, but it can make a fire burn faster and hotter. Removing the oxygen source may help reduce the intensity of the fire, but it will not extinguish it.

Choice B is wrong because sounding the fire alarm and activating the emergency response system are important steps, but they are not the priority. The nurse should first ensure the client’s safety before alerting others and calling for help.

Choice D is wrong because removing the client from the room and closing the door may expose the client to more harm and make the fire worse.

The nurse should not move the client unless it is absolutely necessary, as this may cause further injury or infection. Closing the door may create a backdraft, which is a sudden explosion of fire caused by oxygen rushing into an enclosed space.

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Which meal selection best demonstrates a client with osteoporosis understands dietary recommendations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is providing education to a client discharged with a tracheostomy. Which statement by the client demonstrates teaching has been effective?

Correct Answer is D

Explanation

A nurse enters a client’s room and finds the client’s gown is on fire. Which is the nurse’s priority action?

Correct Answer is C

Explanation

Which nursing intervention would best assist a hospitalized client to maintain self-esteem?

Which statement best documents the situation when a client becomes extremely agitated after receiving a sedative?

The nurse talks with a client who is a widower of six years and who misses his wife. What is the best statement by the nurse to encourage the client to express his feelings?

Which client assessment should a nurse immediately report to the health care provider?

Which is the most appropriate order to remove (doff) personal protective equipment (PPE)?

Which dessert choice by a client who is prescribed a low-fat diet indicates the client understands the dietary instructions?

The nurse is assessing an elderly client who has become confused since admission to the hospital two days ago. Which assessment should the nurse complete first?

A client is started on furosemide 80 mg every morning. Which lab result needs to be reported to the health care provider?