Nursing Elites

1. A nurse is on a med-surg unit caring for a client who follows the dietary laws of Orthodox Judaism. Which of the following menu selections should the nurse recommend for this client?

• A. Fried catfish
• B. Broiled shrimp
• C. Pork sausage
• D. Grilled vegetables

Correct answer: D

Rationale: Grilled vegetables comply with the dietary laws of Orthodox Judaism, which restrict the consumption of certain animals.

2. A nurse is caring for a client who is receiving parenteral nutrition. Which of the following findings indicates the therapy is effective?

• A. Client has soft, formed bowel movements.
• B. Client’s mucous membranes are pink.
• C. Client reports ability to complete ADLs.
• D. Client’s blood glucose level is within the expected reference range.

Correct answer: D

Rationale: Having a blood glucose level within the expected reference range indicates that parenteral nutrition is effectively meeting the client's nutritional needs.

3. A nurse is caring for a client who has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

• A. Replace the bag and tubing every 24 hr
• B. Flush the tubing with 10 mL water every 6 hr
• C. Admin the feeding by gravity drip
• D. Heat the formula prior to infusion

Correct answer: B

Rationale: Flushing the tubing with 10 mL of water every 6 hours helps prevent clogging when using high-viscosity formulas.

4. A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that 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.

5. A nurse is teaching a client about adding more fiber to his diet. The nurse should teach the client that which of the following foods has the highest fiber content?

• A. 1 cup cooked sweet potato
• B. 1 slice rye toast
• C. 1 cup raw watermelon
• D. 1 oz cashews

Correct answer: D

Rationale: Cashews have the highest fiber content among the options listed, which is important for improving digestive health.

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