Which student lunch is the least nutritious?
- A. Ham sandwich, apple, and milk
- B. Hamburger, fries, and soft drink
- C. Macaroni and cheese, green beans, and peaches
- D. Meatloaf, broccoli, and pear slices
Correct Answer: B
Rationale: The correct answer is B - 'Hamburger, fries, and soft drink' as it contains foods high in unhealthy fats, sugars, and low nutritional value. A hamburger, fries, and a soft drink are considered less nutritious compared to the other options. Choice A includes a ham sandwich, apple, and milk, which provide a balance of protein, fiber, and calcium. Choice C consists of macaroni and cheese, green beans, and peaches, offering a mix of carbohydrates, vegetables, and fruits. Choice D contains meatloaf, broccoli, and pear slices, which provide a good source of protein, vitamins, and fiber. Therefore, option B is the least nutritious among the given choices.
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Chest x-ray was ordered after thoracentesis. When your client asks what is the reason for another chest x-ray, you will explain:
- A. to rule out pneumothorax
- B. to rule out any possible perforation
- C. to decongest
- D. to rule out any foreign body
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which client is most likely to need regular injections of vitamin B12?
- A. The client with malabsorption syndrome.
- B. The client following a vegan eating pattern.
- C. The client whose stomach does not produce intrinsic factors.
- D. The client with alcoholism.
Correct Answer: C
Rationale: The correct answer is C. The client whose stomach does not produce intrinsic factors is most likely to need regular injections of vitamin B12. Intrinsic factor is essential for the absorption of vitamin B12. Without intrinsic factor, the client cannot absorb vitamin B12 from food, necessitating the need for regular injections. Choices A, B, and D do not directly impact the production of intrinsic factors in the stomach, so they are less likely to result in the need for vitamin B12 injections.
The nurse is planning education about appropriate protein food choices for a client who has recently been prescribed a renal diet. Which protein food items should the nurse include in the education?
- A. Yogurt, seeds, and lentils
- B. Beef, bacon, and nuts
- C. Peanut butter, beans, and peas
- D. Poultry, eggs, and fish
Correct Answer: D
Rationale: The correct answer is D: Poultry, eggs, and fish. These protein sources are high-quality proteins suitable for a renal diet as they provide essential amino acids without excessive amounts of potassium or phosphorus. Choice A, yogurt, seeds, and lentils, may be high in potassium and phosphorus, which could be restricted in a renal diet. Choice B, beef, bacon, and nuts, are also high in phosphorus and may not be ideal for a renal diet. Choice C, peanut butter, beans, and peas, are high in potassium and phosphorus, making them less suitable for a renal diet.
A nurse is completing an admission assessment on an adolescent client who is vegan. Which breakfast item should the nurse recommend as a protein combination with their diet restriction?
- A. Bagel with cream cheese
- B. Wheat toast with jelly
- C. Oatmeal pancakes with peanut butter
- D. Eggs with tofu bacon
Correct Answer: C
Rationale: The correct answer is C: Oatmeal pancakes with peanut butter. For a vegan client, it is important to recommend plant-based protein sources. Oatmeal pancakes with peanut butter offer a good protein combination that aligns with their dietary restriction. Choices A, B, and D are not suitable as they all contain animal-derived products, which are not suitable for a vegan diet.
Which foods increase iron absorption when consumed with nonheme iron? (SATA)
- A. Kiwi
- B. Strawberries
- C. Coffee
- D. A, B
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.