Nokea
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.
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A client is being prepared for placement of a catheter for total parenteral nutrition. Which of the following access sites should be planned for catheter insertion?
- A. Left antecubital vein
- B. Right subclavian vein
- C. Right femoral artery
- D. Left arm radial artery
Correct Answer: B
Rationale: The correct answer is the Right subclavian vein. When preparing a client for placement of a catheter for total parenteral nutrition, the preferred access site for catheter insertion is the subclavian vein due to its large size, central location, and lower risk of infection compared to peripheral veins. The other options provided (Left antecubital vein, Right femoral artery, and Left arm radial artery) are not suitable access sites for central venous catheter insertion for total parenteral nutrition.
A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?
- A. Albumin
- B. Calcium
- C. Sodium
- D. Potassium
Correct Answer: A
Rationale: The correct answer is Albumin. Albumin is a protein made by the liver and is a key indicator of the body's protein status. Low levels of albumin can indicate inadequate protein intake or synthesis. Choices B, C, and D (Calcium, Sodium, and Potassium) are not direct indicators of protein uptake and synthesis. Calcium is related to bone health, Sodium to fluid balance, and Potassium to nerve and muscle function.
A nurse is planning teaching for the parents of a toddler who follows a vegetarian diet. The nurse should plan to include which of the following foods as the best source of dietary protein for the child?
- A. Soy milk
- B. Peanut butter
- C. Dried beans
- D. Whole grains
Correct Answer: C
Rationale: Dried beans are the best source of dietary protein for a toddler following a vegetarian diet. They are rich in protein and other essential nutrients. Soy milk, while a good source of protein, may not provide as much protein density as dried beans. Peanut butter is a good source of protein but may not be as protein-dense as dried beans. Whole grains are not as high in protein content compared to dried beans, making them a less optimal choice for meeting the toddler's protein needs.
A nurse is developing a program about strategies to prevent foodborne illnesses for a community group. The nurse should plan to include which of the following recommendations? (Select one that does not apply).
- A. Keep cold food temperatures below 4.4°C (40°F).
- B. Reheat leftovers before eating.
- C. Wash raw vegetables thoroughly in clean water.
- D. Keep cooked foods at 48.9°C (120°F).
Correct Answer: D
Rationale: The correct answer is to keep cooked foods at 48.9°C (120°F). This temperature is too low to keep cooked foods safe from bacterial growth. The ideal temperature to keep cooked foods safe is above 60°C (140°F). Choices A, B, and C are all important strategies to prevent foodborne illnesses. Keeping cold food temperatures below 4.4°C (40°F) helps prevent bacterial growth, reheating leftovers before eating kills any bacteria that may have grown during storage, and washing raw vegetables thoroughly in clean water helps remove dirt and bacteria.
A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching?
- A. I will give my child strained carrots and mashed egg yolks.
- B. I will give my child rice cereal and crackers.
- C. I will give my child pureed liver and strained pears.
- D. I will give my child applesauce and green peas.
Correct Answer: B
Rationale: Choice B, 'I will give my child rice cereal and crackers,' indicates a need for further teaching. Infants should not be given crackers at 8 months of age due to the risk of choking. Rice cereal is appropriate for infants, but it should be introduced carefully to avoid digestive issues. Choices A, C, and D are appropriate food choices for an 8-month-old infant, providing a variety of nutrients and textures suitable for their age and developmental stage.