The nurse checks meal trays for three clients with specific nutrition prescriptions. Drag each tray finding to the appropriate action category.
Matrix Multiple Choice
Choose your responses, then check the answer.
Explanation
Match food texture and liquid thickness to the swallowing prescription, use the actual sodium content rather than marketing language, and apply potassium restriction only because this client has hyperkalemia and an individualized order. Thin liquids, mixed textures, high-sodium processed foods, and potassium-rich foods or potassium-chloride salt substitutes require follow-up.
Quick answer Check the specific prescription, texture, label, laboratory value, and portion.
Why this is correct A smooth Level 4 puree and Level 3 drink fit Client A's prescribed IDDSI levels; thin water and mixed cereal with pooled liquid do not. Fresh unprocessed foods prepared without added salt fit a low-sodium plan better than canned soup, deli meat, or a product that still contains 700 mg sodium per serving. Client C's potassium 6.0 mEq/L and explicit low-potassium order support lower-potassium choices and avoidance of banana, potato, and potassium-chloride salt substitute.
Current-practice correction There is no single ‘renal diet’ for everyone with kidney disease. Potassium, protein, phosphorus, sodium, and fluid limits should follow the client's stage, laboratory results, treatment, and individualized prescription.
Nutrition safety roundClient A is prescribed IDDSI Level 4 pureed food and Level 3 moderately thick liquids. Client B has heart failure and a low-sodium prescription. Client C has chronic kidney disease, potassium 6.0 mEq/L, and a prescribed low-potassium plan.
Renal Diet — A diet adjusted for kidney disease and electrolyte management.
Dysphagia Diet — A texture-modified diet used for swallowing safety.
Neutropenic Diet — Food-safety restrictions used to reduce infection exposure in selected immunocompromised clients.