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A client receiving total parenteral nutrition (TPN is awaiting the next container. What fluid should the nurse infuse in the interim?
- A. Dextrose 5% in water
- B. 0.9% sodium chloride
- C. Dextrose 10% in water
- D. Lactated Ringer's solution
Correct Answer: B
Rationale: The correct answer is 0.9% sodium chloride. When a client receiving TPN is awaiting the next container, infusing 0.9% sodium chloride is the appropriate choice to maintain fluid and electrolyte balance. Dextrose solutions are not recommended as they do not provide sufficient nutrition. Lactated Ringer's solution contains electrolytes but lacks essential nutrients found in TPN, making it an inadequate choice during the delay in TPN delivery.
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A nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select one that does not apply.)
- A. Top yogurt with fruits.
- B. Add cream to soups.
- C. Use milk instead of water in recipes.
- D. Increase fluids during meals.
Correct Answer: D
Rationale: The correct recommendation to increase calorie and protein intake for a client taking chemotherapy and losing weight is to add cream to soups (choice B), as it provides additional calories and proteins. Using milk instead of water in recipes (choice C) can also increase the calorie and protein content. Topping yogurt with fruits (choice A) can be a healthy choice but may not significantly increase calorie and protein intake. Increasing fluids during meals (choice D) may fill up the stomach, potentially reducing the intake of solid foods, which is not ideal when trying to increase calorie and protein consumption.
A client with pre-dialysis end-stage kidney disease is being taught about diet. Which of the following instructions should the nurse include?
- A. Increase intake of dietary phosphorus.
- B. Eliminate foods high in protein from your diet.
- C. Reduce intake of foods high in potassium.
- D. Increase intake of sodium-containing foods.
Correct Answer: C
Rationale: In pre-dialysis end-stage kidney disease, reducing intake of foods high in potassium is crucial as impaired kidney function can lead to potassium buildup in the blood, which can be dangerous. High potassium levels can cause irregular heartbeats and even cardiac arrest. Therefore, advising the client to reduce potassium-rich foods is essential to prevent complications. Choices A, B, and D are incorrect. Increasing dietary phosphorus, eliminating foods high in protein, or increasing sodium-containing foods are not appropriate recommendations for a client with pre-dialysis end-stage kidney disease as they can exacerbate the condition.
A client who is postoperative following a liver transplant and weighs 65 kg. Which of the following actions should the nurse plan to take?
- A. Keep the client NPO for the first week postoperative.
- B. Limit caloric content once the client resumes eating.
- C. Stress the importance of safe food-handling practices.
- D. Decrease foods high in carbohydrates once the client resumes eating.
Correct Answer: C
Rationale: After a liver transplant, it is crucial to stress the importance of safe food-handling practices to prevent foodborne illnesses, especially due to the client's altered immune system. Keeping the client NPO for the first week postoperative is not recommended as early nutrition support is essential for recovery. Limiting caloric content once the client resumes eating may not be appropriate as they need adequate nutrition for healing. Decreasing foods high in carbohydrates without a specific indication may lead to inadequate nutrient intake, which is not ideal for the client's recovery.
A nurse is caring for a client who is to receive a mechanically altered diet. Which of the following client food choices necessitates intervention by the nurse?
- A. Scrambled eggs
- B. Cottage cheese
- C. Piece of wheat toast
- D. Sliced banana
Correct Answer: D
Rationale: The correct answer is 'Sliced banana.' A mechanically altered diet is designed for clients who have difficulty chewing or swallowing. Sliced bananas, due to their texture and potential choking hazard for clients with swallowing difficulties, would necessitate intervention by the nurse. Scrambled eggs, cottage cheese, and a piece of wheat toast are softer and safer options for clients on a mechanically altered diet, making them appropriate choices.
A nurse is reviewing the laboratory results for a client who has a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up teaching on a low-cholesterol diet?
- A. "I flavor my meat with lemon juice."?
- B. "I eat two eggs for breakfast each morning."?
- C. "I cook my food with canola oil."?
- D. "I take an omega-3 supplement daily."?
Correct Answer: B
Rationale: The correct answer is B. Eggs are high in cholesterol, so someone with elevated cholesterol levels, especially with a history of atherosclerosis, should be cautious about egg consumption. Choices A, C, and D are not as concerning for cholesterol levels. Lemon juice, canola oil, and omega-3 supplements do not significantly impact cholesterol levels compared to consuming eggs regularly.