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?

Correct Answer: D

Rationale: In this scenario, the correct answer is D) 1 oz cashews. Cashews have a high fiber content per serving compared to the other options. Cashews provide around 1 gram of fiber per ounce, making them a good source of dietary fiber. Option A) 1 cup cooked sweet potato contains fiber but not as high as cashews per serving. Option B) 1 slice rye toast may have some fiber, but typically not as much as cashews. Option C) 1 cup raw watermelon is low in fiber compared to cashews. In an educational context, it is important for the nurse to teach the client about high-fiber foods to improve digestive health, prevent constipation, and maintain overall wellness. By understanding which foods are rich in fiber, the client can make informed choices to meet their dietary needs. It is crucial for clients to have a balanced diet that includes an adequate amount of fiber for optimal health outcomes.

Correct Answer: A

Rationale: In pediatric nutrition, understanding food allergies is crucial for providing safe care. The correct answer is A) Eggs. Eggs are one of the most common food allergens in toddlers, often causing severe reactions. The proteins in eggs can trigger an immune response in susceptible individuals, leading to symptoms ranging from hives to anaphylaxis. Option B) Milk is another common allergen in toddlers, but it is not the highest risk compared to eggs. Milk allergies can cause gastrointestinal distress and skin reactions, but they are less likely to result in severe reactions compared to egg allergies. Option C) Bananas and option D) Citrus fruits are generally not top allergens in toddlers. While any food has the potential to cause an allergic reaction, these fruits are less likely to trigger allergies compared to eggs and milk. Educationally, it is important for nurses to prioritize teaching parents about high-risk allergens like eggs to help them prevent allergic reactions in their toddlers. Recognizing common allergens and understanding the signs and symptoms of an allergic reaction is essential for parents to keep their children safe and healthy.

Correct Answer: C

Rationale: The correct answer is C) Measure the stomach aspirate prior to the feeding. This action is crucial because it helps ensure proper placement of the nasogastric tube in the stomach. In preterm newborns, correct tube placement is essential to prevent complications such as aspiration. By measuring the stomach aspirate, the nurse can confirm that the tube is in the stomach and not in the lungs or esophagus. Option A, stabilizing the tube with tape to the newborn's forehead, is incorrect as this does not address the proper placement of the tube and may cause discomfort or skin irritation to the newborn. Option B, removing supplemental oxygen during the feeding, is incorrect as it could compromise the newborn's respiratory status, especially if they require oxygen support. Option D, placing the newborn on her left side for 30 min after the feeding, is incorrect as there is no evidence to support this practice for gavage feeding administration. In an educational context, understanding the importance of proper nasogastric tube placement and aspiration assessment is crucial for nurses caring for neonates. This knowledge ensures safe and effective feeding practices, reducing the risk of complications and promoting optimal patient outcomes.

Correct Answer: C

Rationale: In the context of dumping syndrome following gastric surgery, it is crucial for the client to consume a protein source with each meal. Protein helps slow down gastric emptying, which can reduce the severity of dumping syndrome symptoms such as diarrhea, dizziness, and weakness. By choosing option C, the client demonstrates an understanding of the importance of protein in managing their condition. Option A is incorrect because drinking additional fluids with meals can actually worsen dumping syndrome by rapidly increasing gastric volume and exacerbating symptoms. Option B is also incorrect as high-fiber snacks between meals can further aggravate dumping syndrome due to their potential to speed up gastrointestinal transit. Option D is incorrect as caffeinated beverages can stimulate gastric acid secretion and worsen symptoms of dumping syndrome. It is important to educate clients to avoid caffeinated beverages in order to manage their condition effectively. In an educational context, it is essential for nurses to provide clear and accurate information to clients experiencing dumping syndrome to help them make informed choices that promote their health and well-being. Understanding the rationale behind dietary recommendations can empower clients to take an active role in managing their condition and improving their quality of life post-gastric surgery.

Correct Answer: D

Rationale: In this scenario, option D, which states "Flush the client's tube with 30 mL of water every 4 hr," is the correct action for the nurse to take when initiating continuous enteral feedings for a client with a new gastrostomy tube. This action is crucial because flushing the tube with water helps prevent clogging and ensures proper tube patency, which is essential for the delivery of enteral feedings. Regular flushing also helps maintain tube integrity and reduces the risk of infection. Regarding the incorrect options: - Option A (Measure the client's gastric residual every 12 hr) is not the immediate action needed when initiating continuous enteral feedings. Checking residual volumes is important but typically done before feedings to assess tolerance. - Option B (Obtain the client's electrolyte levels every 4 hr) is excessive and not necessary at this frequency for a client with a new gastrostomy tube unless there are specific indications. - Option C (Keep the client's head elevated at 15* during feedings) is a general recommendation for preventing aspiration during feedings but is not directly related to the immediate action of tube flushing. Educationally, understanding the importance of tube maintenance, such as regular flushing, is essential for nurses caring for clients with enteral feeding tubes. It ensures safe and effective delivery of nutrition and helps prevent complications associated with tube malfunctions.