RN Nursing · Nutrition · Practice question
A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?
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Call the healthcare provider (HCP) to clarify if the client may have ice cream as requested.
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Provide the chocolate ice cream after determining the presence of bowel sounds.
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Offer to prepare a chocolate flavored liquid nutritional supplement poured over ice.
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✓
Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.
Answer & explanation
Correct: Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.
A clear liquid diet consists of foods and fluids that are transparent and liquid at room temperature, such as water, broth, plain gelatin, popsicles, apple juice, and clear tea. The purpose of this diet before surgery is to minimize gastric residual volume and reduce the risk of aspiration during anesthesia. Ice cream does not meet the criteria for a clear liquid diet because it is opaque, contains fat and dairy, and becomes a thick liquid when melted; it is classified as a full liquid item at best. Chocolate ice cream specifically contains particulate matter and cocoa solids, making it even less appropriate. The correct nursing action is to explain that a popsicle or a cup of gelatin can be provided, as both of these are transparent, low-residue options that comply with the clear liquid restriction. Calling the healthcare provider to clarify would be unnecessary because the clear liquid definition is a well-established clinical standard that does not require clarification for this request. Providing the chocolate ice cream after checking for bowel sounds is inappropriate because ice cream does not meet clear liquid criteria regardless of bowel sounds. Offering a liquid nutritional supplement poured over ice is also incorrect because these supplements are opaque and nutritionally dense, violating the clear liquid guidelines. A popsicle or gelatin is the appropriate substitute.
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