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A client is receiving education from a nurse regarding the dietary changes needed for weight loss. Which of the following actions should the nurse perform first?
- A. Educate the client about daily caloric requirements.
- B. Determine the client's daily caloric intake.
- C. Provide the client with meal planning information.
- D. Show the client how to identify the fat content of packaged foods.
Correct Answer: B
Rationale: The correct answer is to determine the client's daily caloric intake first. This step is crucial in understanding the client's current dietary habits and establishing a baseline for creating an effective weight loss plan. Educating the client about daily caloric requirements (Choice A) can only be done effectively after knowing the client's current intake. Providing meal planning information (Choice C) and teaching the client how to identify fat content in foods (Choice D) come after determining the baseline caloric intake to tailor the plan accordingly.
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A healthcare professional is preparing to remove a client's clogged NG tube prior to re-inserting a new tube. Which of the following actions should the healthcare professional take first?
- A. Assist the client in blowing their nose.
- B. Ask the client to take a deep breath and hold it.
- C. Pinch the proximal end of the tube.
- D. Disconnect the tube from the suction source.
Correct Answer: D
Rationale: Correct Answer: Disconnecting the tube from the suction source is the first step in safely removing a clogged NG tube. This action helps prevent any suction-related complications and ensures a smooth transition when removing the tube. Choice A, assisting the client to blow their nose, is not necessary in this situation. Choice B, asking the client to take a deep breath and hold it, is unrelated to the process of removing a clogged NG tube. Choice C, pinching the proximal end of the tube, should only be done after disconnecting the tube from the suction source to prevent the contents from leaking.
A nurse is teaching a client about complete and incomplete proteins. Which of the following foods should the nurse include in the teaching as an incomplete protein?
- A. 4 oz chickpeas
- B. 2 poached eggs
- C. 2 oz cheddar cheese
- D. 4 oz salmon fillet
Correct Answer: A
Rationale: The correct answer is A: 4 oz chickpeas. Chickpeas are considered an incomplete protein because they lack one or more essential amino acids required by the body. Incomplete proteins do not provide all essential amino acids in sufficient quantities. Choice B, 2 poached eggs, is a complete protein source because eggs contain all essential amino acids. Choice C, 2 oz cheddar cheese, is also a complete protein as it contains all essential amino acids. Choice D, 4 oz salmon fillet, is another complete protein source as fish typically provide all essential amino acids needed by the body.
A client with chronic kidney disease is being taught about dietary needs by a nurse. Which of the following foods should the nurse identify as being the lowest in phosphorus?
- A. Medium apple
- B. Bran cereal
- C. Scrambled eggs
- D. Ground turkey
Correct Answer: A
Rationale: The correct answer is A, a medium apple. Apples are a suitable option for clients with chronic kidney disease as they are low in phosphorus. Bran cereal (choice B), scrambled eggs (choice C), and ground turkey (choice D) are all higher in phosphorus content compared to apples, making them less ideal choices for individuals with chronic kidney disease.
A caregiver is teaching a parent about recommended protein intake for a toddler. Which of the following food selections is equivalent to 1 oz of protein?
- A. 2 tbsp peanut butter
- B. ½ cup peas
- C. 1 slice of bread
- D. 1 scrambled egg
Correct Answer: D
Rationale: One scrambled egg is equivalent to 1 oz of protein, making it a suitable choice for a toddler's diet. A ½ cup of peas (choice B) does not provide 1 oz of protein but is still a good source of protein. 2 tbsp of peanut butter (choice A) contains more than 1 oz of protein. 1 slice of bread (choice C) typically provides less protein than 1 oz.
A client with anorexia undergoing radiation therapy is being taught by a nurse. Which instruction should the nurse include in the teaching?
- A. Limit high-calorie supplements to between meals
- B. Avoid overeating during your 'good' days
- C. Eat hot foods instead of cold foods
- D. Consume nutrient-dense foods first
Correct Answer: D
Rationale: The correct instruction for a client with anorexia undergoing radiation therapy is to consume nutrient-dense foods first. This ensures that the client receives the necessary calories and nutrients. Option A is incorrect because high-calorie supplements should not be limited but rather incorporated wisely into the diet. Option B is incorrect as overeating is not recommended regardless of the type of day. Option C is incorrect as there is no specific preference for hot foods over cold foods in managing anorexia during radiation therapy.