Question

The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

Answer 1

Correct Answers:

Consult with the pharmacist about a liquid form of the medication

Rationale :

🔷 Enteric-coated medications are designed to resist stomach acid and dissolve in the intestine for proper absorption.

🔷 Crushing or altering them compromises this coating, which can lead to drug inactivation or gastric irritation.

🔷 Medications administered via feeding tube should be in a form that is safe, effective, and non-reactive with the tube or GI tract.

🔷 The nurse’s best course of action is to consult the pharmacist for a liquid equivalent or alternative route to maintain therapeutic safety.

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Answer 2

Correct Answers:

Explain the benefits of a high fiber diet.

Rationale :

🔶 Clients with hemorrhoids benefit from a high-fiber diet that promotes soft, bulky stools and reduces straining during defecation.

🔶 Nuts and seeds are not necessarily harmful unless they cause mechanical irritation; the emphasis should be on overall fiber intake from safe sources.

🔶 Teaching should focus on understanding the cause, which is often chronic constipation or straining—not isolated food types.

🔶 Clarifying the benefits of fiber encourages evidence-based dietary choices rather than unnecessary restrictions.

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Answer 3

Correct Answers:

Whole wheat peanut butter sandwich, banana, and milk.

Rationale :

🟡 A lacto-ovo-vegetarian consumes dairy and eggs, but not meat or fish.

🟡 Combining whole grains (bread) and legumes (peanut butter) forms a complete protein, providing all essential amino acids.

🟡 Milk offers an additional source of complete protein and calcium, making this meal nutritionally balanced.

🟡 This choice shows the client understands how to combine plant-based and animal-derived sources to maintain adequate protein intake.

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Answer 4

Correct Answers:

Encourage the client to continue these changes in a dietary plan.

Rationale :

🟣 Clients with hyperthyroidism experience increased metabolic rate, requiring more calories and protein to prevent weight loss and muscle wasting.

🟣 Increasing caloric and protein intake supports tissue repair, maintains lean body mass, and meets the high energy demand.

🟣 The client is appropriately managing the condition with nutritional therapy, and the nurse should reinforce these positive changes.

🟣 Nutritional support is a key part of managing symptoms like weight loss, weakness, and fatigue in hyperthyroidism.

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Answer 5

Correct Answers:

539

Rationale :

🔴 Intake:

6 oz apple juice = 180 mL

1 cup water = 240 mL

1 cup soup = 240 mL

6 oz tea = 180 mL

12 oz soda = 360 mL

Total Intake = 180 + 240 + 240 + 180 + 360 = 1,200 mL

🔴 Output:

Voided: 250 + 250 = 500 mL

Vomitus: 150 mL

Total Output = 650 mL

🔴 Balance: 1200 intake - 650 output = 539 mL net positive balance

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Answer 6

Correct Answers:

"Be sure to drink sugar-free cranberry juice."

Rationale :

🟢 Clients with diabetes mellitus must avoid sugary beverages, including regular fruit juices, which can spike blood glucose levels.

🟢 While cranberry juice may help acidify urine and reduce bacterial adhesion, it must be sugar-free to prevent hyperglycemia.

🟢 The nurse should encourage proper fluid intake with sugar-free options and monitor for signs of glycemic control.

🟢 This guidance promotes both infection prevention and diabetes management.

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Answer 7

Correct Answers:

Soybean products.

Rationale :

🔵 Vegans avoid all animal products, so plant-based protein sources are essential.

🔵 Soybeans are one of the few complete plant proteins, containing all essential amino acids.

🔵 Encouraging soy intake—via tofu, tempeh, or soy milk—helps meet protein and calcium needs in the vegan diet.

🔵 The nurse supports nutritional adequacy by highlighting high-quality vegan protein sources.

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Answer 8

Correct Answers:

Restrict sodium rich foods and excessive oral fluids.

Rationale :

🟠 Glomerulonephritis often leads to fluid retention, hypertension, and edema due to impaired kidney function.

🟠 Sodium restriction reduces fluid retention and helps control blood pressure and edema.

🟠 Limiting oral fluids helps prevent volume overload, which can worsen cardiovascular and renal symptoms.

🟠 Dietary counseling should also monitor protein and potassium intake based on individual renal function.

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Answer 9

Correct Answers:

Pain when eating.

Rationale :

🟤 Periodontitis leads to inflammation and damage to the gums and oral tissues, causing pain during chewing or swallowing.

🟤 Pain reduces oral intake, especially of harder or more textured foods, contributing to inadequate nutrition.

🟤 The nurse must address the underlying oral discomfort to restore normal eating behavior and meet nutritional needs.

🟤 Assessment and referral to dental care, along with diet modifications, may be necessary to manage this issue.

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Answer 10

Correct Answers:

"I can see at night when I wake up now."

Rationale :

⚪ Vitamin A is essential for the formation of rhodopsin, a pigment needed for night vision.

⚪ Deficiency commonly results in night blindness, where the individual struggles to see in low-light conditions.

⚪ The child's improvement in night vision reflects the restoration of proper Vitamin A levels.

⚪ This indicates that supplementation is adequate and effective, supporting ocular health and immune function.

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QLexNursing

1 :
The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

2 :
A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

3 :
Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet? .

4 :
In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

6 :
A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

7 :
The nurse is planning a nutrition class for vegans. Which food should the nurse encourage to be combined with other foods to enhance the nutritional intake in the vegan diet?

8 :
A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

9 :
The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

10 :
A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

QLexNursing

1 : The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

2 : A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

3 : Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet? .

4 : In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

6 : A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

7 : The nurse is planning a nutrition class for vegans. Which food should the nurse encourage to be combined with other foods to enhance the nutritional intake in the vegan diet?

8 : A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

9 : The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

10 : A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

1 :
The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

2 :
A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

3 :
Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet? .

4 :
In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

6 :
A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

7 :
The nurse is planning a nutrition class for vegans. Which food should the nurse encourage to be combined with other foods to enhance the nutritional intake in the vegan diet?

8 :
A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

9 :
The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

10 :
A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?