Difficulty: Medium
Average Score: 80%
Simulated
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?
Correct answer
A
Rationale
Ice cream is not a clear liquid; it is a full liquid because it contains milk solids and fat. Clear liquids are transparent and leave no residue, such as juice, gelatin, and popsicles. The nurse should educate the client and offer appropriate alternatives from the clear liquid diet. Providing ice cream violates the preoperative orders. Checking bowel sounds or calling the provider is unnecessary as the diet prescription is clear.