# The nurse checks meal trays for three clients with specific nutrition prescriptions. Drag each tray finding to the appropriate action category. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=en > language: en > subject: Nutrition and Oral Hydration > category: BCC ## Question The nurse checks meal trays for three clients with specific nutrition prescriptions. Drag each tray finding to the appropriate action category. **1.** Client A: smooth pureed chicken and vegetables with a Level 3 moderately thick drink Select a category Consistent with the current prescription Hold the tray item and clarify or replace **2.** Client A: thin water served with a straw Select a category Consistent with the current prescription Hold the tray item and clarify or replace **3.** Client A: dry cereal with thin milk pooling around the pieces Select a category Consistent with the current prescription Hold the tray item and clarify or replace **4.** Client B: fresh grilled chicken, rice, and steamed green beans prepared without added salt Select a category Consistent with the current prescription Hold the tray item and clarify or replace **5.** Client B: canned soup with deli turkey Select a category Consistent with the current prescription Hold the tray item and clarify or replace **6.** Client B: a ‘reduced sodium’ entree listing 700 mg sodium per serving Select a category Consistent with the current prescription Hold the tray item and clarify or replace **7.** Client C: apple slices, rice, and cabbage without salt substitute Select a category Consistent with the current prescription Hold the tray item and clarify or replace **8.** Client C: banana, baked potato, and a salt substitute containing potassium chloride Select a category Consistent with the current prescription Hold the tray item and clarify or replace ## 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. ## In-depth explanation 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.References 1IDDSI Framework 2American Heart Association: sodium 3National Kidney Foundation: individualized kidney-friendly plate ## Clinical scenario Nutrition safety round Client 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. ## Key concepts - **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. ## Related questions - [A 70-year-old client recovering from a left middle cerebral artery stroke has cleared an S…](https://mymerci.kr/pages/nclex_q.php?qn_id=363211&lang=en) - [A nurse is caring for an adult client receiving central venous total parenteral nutrition …](https://mymerci.kr/pages/nclex_q.php?qn_id=366131&lang=en) - [A nurse is caring for a 79-year-old client admitted from a long-term care facility with we…](https://mymerci.kr/pages/nclex_q.php?qn_id=368305&lang=en) - [Place the actions in order when a client with an acute stroke coughs during a bedside dysp…](https://mymerci.kr/pages/nclex_q.php?qn_id=395492&lang=en) - [Place the steps for starting a scheduled enteral feeding through an established gastric tu…](https://mymerci.kr/pages/nclex_q.php?qn_id=395525&lang=en) - [A client is beginning oral intake after abdominal surgery under an enhanced-recovery plan.…](https://mymerci.kr/pages/nclex_q.php?qn_id=395648&lang=en) - [A nurse is caring for an adult receiving enteral nutrition through a newly inserted small-…](https://mymerci.kr/pages/nclex_q.php?qn_id=395672&lang=en) - [Drag each caregiver statement about a toddler with acute gastroenteritis to the nurse's re…](https://mymerci.kr/pages/nclex_q.php?qn_id=396458&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=395513&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. Always follow current clinical guidelines and your institution’s protocols._