Elsevier adaptive quizzing- nutrition

which is a risk factor of necrotizing enterocolitis (NEC) in the preterm infant? 1. polycythemia 2. hypoglycemia 3. ventilatory support 4. antibiotic administration

1. polycythemia

which population would benefit form an annual influnza vaccination program for members of the community? (SATA) 1. pregnant women 2. health care workers 3. people older than 50 4. chronic medical condition 5. children between 6 and 59 months

1. pregnant women 2. health care workers 3. people older than 50 4. chronic medical condition 5. children between 6 and 59 months

which information would help the nurse determine the cause of an immuno compromised 12 year old client's repeated infections? 1. presence of pets 2. daily food intake 3. hours played outside 4. medications prescribed

1. presence of pets

when reviewing the dietary calcium intake of a 16 year old who is 12 weeks pregnant which question or statement would the nurse make? 1 do you like soy or regular milk products 2. how many servings of dairy do you generally consume each day 3. you may eat yogurt or dried figs as alternative sources of calcium 4. you will need to add at least 4 servings of calcium rich foods per day.

2. how many servings of dairy do you generally consume each day

which type of disorder is anorexia nervosa 1. mood disorder 2. eating disorder 3. sexual disorder 4. reality testing disorder

2. eating disorder

a teaching plan for a client who has been prescribed a 2 gram sodium diet would include which foods that are low in sodium? 1. meat and fish 2. fruits and cheese 3. milk and cheese 4. dry cereals and grains

2. fruits and cheese

a client admitted with full thickness burns 2 weeks ago has lost an average of 1 lb each day. which addition would the nurse expect to be made to the clients diet? 1. low sodium milk 2. high protein drinks 3. foods that are low in potassium 4. ten percent more calories in the form of fats

2. high protein drinks

a client is instructed to eat a nutrient rich diet as a means of supporting the body's natural defense mechanisms. which nutrients would the nurse encourage the client to include in her diet 1. fat soluble vitamins 2. dietary fiber and oat bran 3. low fat food with essential fatty acid 4. vitamins A C E and selenium

4. vitamins A C E and selenium

which dietary information would be included when teaching a parent about specific foods allowed on a gluten free diet? 1. corn flour is not included in the diet 2. labels of prepared foods must be read carefully 3. caloric intake is increased to compensate for a deficiency of proteins. 4. the gluten free diet is discontinued when the affected child starts kindergarten

2. labels of prepared foods must be read carefully

which information is important for the nurse to include in the teaching plan for a client admitted to the hospital with Crohn disease 1. controlling constipation 2. meeting nutritional needs 3. preventing increased weakness 4. anticipating a sexual alteration

2. meeting nutritional needs

which action can a woman take to improve the health of her baby before she becomes pregnant? 1. go buy maternity clothes 2 start running 3 miles every day 3. start taking prenatal vitamins 4. buy a crib for the baby

3. start taking prenatal vitamins

the nurse is assessing a client for possible malabsorbtion syndrome. which stool assessment finding would support this diagnosis? 1. melena 2. frank blood 3. steatorrhea 4. currant jelly consistency

3. steatorrhea

which vitamin and other dietary supplements would the nurse recommend to prevent osteoporosis? 1. Vitamin E and ginseng tea 2. vitamin B and ginko biloba 3. vitamin D and calcium citrate 4. vitamin C and glucosamine/chondroitin

3. vitamin D and calcium citrate

what would the nurse explain is the recommended age when a child can start having whole cows milk?

1 year

how many daily ounces of juice would the nurse recommend to the parent of a 2 year old child. 1. 4 2. 8 3. 10 4. 12

1. 4

which statement made by the parent of a child who has been admitted for failure to thrive prompts the nurse to provide additional education? 1. I double the amount of water in the formula to save money 2. i hold the head up a little higher than the stomach when i feed the baby 3. i burp the baby when the feeding is done to get rid of the extra air 4. i make sure that the formula is in the nipple so the baby doesn't swallow so much air

1. I double the amount of water in the formula to save money

which would be appropriate when a parent asks how often new foods can be introduced to a 6 month old infant? 1. once a week 2. once a month 3. every other day 4. once every 2 weeks

1. once a week

which disorder would the nurse suspect in a client who admits eating non food items such as laundry starch and dirt? 1. pica 2. anorexia 3. bulimia 4. rumination

1. pica

which criterion would the nurse select when developing a form for teachers to use when referring students to the school counselor? (SATA) 1. Parental divorce 2. student shyness 3. history of asthma 4. physical disabilities 5. involvement in sports

1. Parental divorce

a nurse is caring for a client with Addison's disease which instruction regarding diet would the nurse include in teaching? 1. add extra salt to food 2. consume high potassium foods 3. omit protein foods at each meal 4. restrict the daily intake of fluids to 1 L

1. add extra salt to food

which juice would the nurse teach a client taking spironolactone contains the lease amount of potassium 1. apple juice 2. orange juice 3. tomato juice 4. cranberry juice

1. apple juice

which is the nurses best response to a parent who asks which foods should be introduced first for their 6 month old infant 1. baby cereal 2. soft boiled egg 3. fruits and puddings 4. meats and vegetables

1. baby cereal

which drug is derived from a natural source and may be prescribed for treatment of osteoporosis? 1. calcitonin 2. raloxifene 3. clompiphene 4. bisphonates

1. calcitonin

which food would the nurse include in teaching for a client who is deficient in vitamin a? (SATA) 1. carrots 2. oranges 3. toamtoes 4. skim milk 5. leafy greens

1. carrots 5. leafy greens

which topic regarding healthy lifestyle choices would the nurse discuss with a group of adolescents from different cultural backgrounds (SATA) 1. diet 2. exercise 3. alcohol use 4. limiting screen time 5. stress management

1. diet 2. exercise 3. alcohol use 4. limiting screen time 5. stress management

which professional will the nurse confer with to meet the religious and cultural needs of a hospitalized child from Jewish family? 1. dietitian 2. social worker 3. case manager 4. physical therapist

1. dietitian

the clinic nurse is teaching an adolescent about lifestyle modifications to prevent hyperlipidemia which statement by the adolescent indicates a need for further teaching. 1. ill start eating more red meat 2. i'm going to eat a lot of low fat yogurt 3. i'll try to stop eating so much processed food 4. i'll start eating whole grain bread instead of white bread

1. ill start eating more red meat

which is the appropriate way to introduce infants to pureed foods 1. introduce one food at a time every 4 to 7 days 2. mix the pureed foods with the formula 2 or 3 times a day 3. maintain formula intake regardless of solid food intake 4. offer pureed foods by spoon after the bottle of formula is finished.

1. introduce one food at a time every 4 to 7 days

which dietary deficiency would the nurse expect to find in a toddler client who does not consume an adequate amount of solid foods 1. iron 2. calcium 3. vitamin C 4. magnesium

1. iron

which foods would the nurse offer to a client who is prescribed a clear liquid diet after surgery? (SATA) 1. jello 2. broth 3. sherbert 4. ice milk 5. gingerale

1. jello 2. broth 5. gingerale

which enzyme would a nurse consider to be deficient in a client experiencing abdominal discomfort following the ingestion of milk? 1. lactase 2. sucrase 3. maltase 4. amylase

1. lactase

a client is admitted to the hospital with a diagnosis of alcohol withdrawal syndrome. which body organ will be protected by the ingestion of a high calorie diet fortified with vitamins. 1. liver 2. heart 3. pancreas 4. adrenals

1. liver

which statement by a participant during a health symposium signals to the nurse an understanding of how to prevent food poisoning 1. meats and cream based foods need to be refrigerated 2. once most food is cooked it does not need to be refrigerated 3. poultry should be stuffed and then refrigerated before cooking 4. cooked food should be cooled before being put into the refrigerator

1. meats and cream based foods need to be refrigerated

the nurse is providing education about hypoglycemia to a client with newly diagnosed type 1 diabetes. which symptoms would prompt the client to drink orange juice indicating an understanding of the teaching 1. nervousness and weakness 2. thirst with a headache 3. flushing and shortness of breath 4. nausea and abdominal cramping

1. nervousness and weakness

which risk factor is associates MOST commonly with hiatal hernia 1. obesity 2. alcoholism 3. chronic bronchitis 4. esophageal varices

1. obesity

which action would the nurse implement to encourage intake in a 2 year old client with a normal gastrointestinal tract who refuses to eat (SATA) 1. offer finger foods 2. serve on a colorful dish 3. offer a variety of foods 4. chop food into fine pieces 5. offer the clients favorite foods

1. offer finger foods 2. serve on a colorful dish 3. offer a variety of foods 4. chop food into fine pieces 5. offer the clients favorite foods

at what age in years would a child master spoon feeding? 1. 1 year 2. 2 years 3. 3 years 4. 4 years

2. 2 years

when counseling a pregnant who maintains a vegetarian diet which intervention would the nurse include in the plan of care to ensure optimal nutrition during the pregnancy 1. refer the client to a dietitian to help plan her daily menus 2. encourage the client to join a group that teaches nutrition 3. explain that she needs to include meat in her diet at least once a day 4. advise the client that it is unhealthy to continue a vegetarian diet during the pregnancy

1. refer the client to a dietitian to help plan her daily menus

a nurse reviews the plan of care for a client who is recovering from the acute phase of left ventricular failure. the nurse expects which dietary restriction to be included in the plan? 1. sodium 2. calcium 3. potassium 4. magnesium

1. sodium

the nurse is providing a list of appropriate food choices for a client with newly diagnosed diabetes. The client reviews the list and says i do not like and refuse to eat broccoli and mushrooms. in response the nurse teaches the client about the food exchange list. which foods would the client substitute for asparagus broccoli and mushrooms. 1. string beans, beets, and carrots 2. corn, lima beans, and dried peas, 3. baked beans, potatoes and parsnips 4. corn muffin corn chip and pretzels

1. string beans, beets, and carrots

which action by a 70 year old female would limit further progression of osteoporosis? 1. taking supplemental calcium and vitamin d 2. increasing the consumption of eggs and cheese 3. taking supplemental magnesium and vitamin E 4. increasing the consumption of milk and milk products

1. taking supplemental calcium and vitamin d

which characteristic would prompt the nurse to classify a wound as stage 4 instead of stage 3? (SATA) 1. the client is at risk of osteomyelitis 2. bone, tendon, and muscle are exposed 3. slough obscures the depth of tissue loss 4. the injury involves full thickness tissue loss 5. the wound often includes some undermining or tunneling

1. the client is at risk of osteomyelitis 2. bone, tendon, and muscle are exposed 4. the injury involves full thickness tissue loss 5. the wound often includes some undermining or tunneling

which recommendation is MOST important for the nurse to include in a teaching program for a client who has been placed on a 2 g sodium diet? 1. use lemon juice to season meat 2. put condiments on food to add flavor 3. include canned vegetables in meal preparation 4. drink carbonated beverages instead of decaf coffee

1. use lemon juice to season meat

the nurse determines that the client is probably referring to which vitamin that the client heard may reduce the effects of aging because of its prevention of the oxidative breakdown of cell walls. 1. vitamin e 2. vitamin a 3. vitamin c 4. vitamin b1

1. vitamin e

which deficiency is the MOST common in the older adult and can result in dizziness and falls? 1. water 2. protein 3. vitamins 4. carbohydrates

1. water

until what age in years does a child need to drink whole milk for adequate neurologic development

2 years of age

which items would be included on the list of foods recommended for a client who has peptic ulcer disease? 1. orange juice, fried eggs, and sausage 2. Applesauce, cream of wheat, and milk 3. tomato juice, raisin bran cereal, and tea 4. sliced oranges, pancakes with syrup, and coffee

2. Applesauce, cream of wheat, and milk

which test is MOST significantly related to the clients response to treatment of acute pancreatitis 1. platelet count 2. amylase level 3. red blood cell count 4. erythrocyte sedimentation rate

2. amylase level

the nurse would teach the parents of a newborn that which sign indicates overfeeding? 1. crying 2. diarrhea 3. restlessness 4. abdominal distention

2. diarrhea

which foods can be safely fed to an 8 month old infant on a regular diet? (SATA) 1. whole milk 2. pureed pears 3. pureed carrots 4. soft boiled eggs 5. mashed sweet potatoes

2. pureed pears 3. pureed carrots 5. mashed sweet potatoes

which enzyme is responsible for retaining milk in an infants stomach for digestion? 1. lipase 2. renin 3. trypsin 4. amylase

2. renin

which action would be the nurses priority when assisting a healthy pregnant client with dietary planning 1. discuss food pyramid 2. review current dietary intake 3. instruct to limit the intake of fatty foods 4. caution to avoid large doses of fat soluble vitamins

2. review current dietary intake

which type of diet would the nurse expect to be prescribed for a client with pulmonary tuberculosis? 1. liquid protein supplements 2. small frequent high calorie meals 3. foods high in calories and low in protein 4. meals low in calories but high in carbohydrates

2. small frequent high calorie meals

which substance would the nurse advise a client to avoid to limit GI irritability 1. iodized salt 2. soda 3. amino acids 4. rice products

2. soda

which addition to the diet would the nurse encourage for a client admitted for a laparoscopic cholecystectomy to help normalize bowel function after surgery 1. vitamins 2. whole bran 3. cod liver oil 4. amino acids

2. whole bran

which food would the nurse suggest is rich in calcium and digested easily by clients with osteoporosis who do not tolerate milk 1. eggs 2. yogurt 3. potatoes 4. applesauce

2. yogurt

for which amount of time would the nurse advise a parent to keep pumped breast milk in the refrigerator? 1. 5 days 2. 24 hour 3. 48 hours 4. 72 hours

3. 48 hours

which diet would the nurse teach a client scheduled for gastric bypass to maintain because it will help minimize the clinical manifestations of dumping syndrome 1. low residue bland diet 2. fluid intake below 500 mL 3. small frequent feeding schedule 4. low protein high carbohydrate diet

3. small frequent feeding schedule

a gavage feeding is prescribed for an infant. how would the nurse determine the length of tube needed to reach the stomach 1. the tube is advanced until resistance is met 2. the tube is advanced until gastric contents are aspirated 3. a measurement is made from earlobe to nose and then to the epigastric area 4. a measurement is made from the mouth to umbilicus and then half that distance is added

3. a measurement is made from earlobe to nose and then to the epigastric area

which instruction would be included when teaching an adolescent about the dietary management of type 1 diabetes? 1. meals should be eaten at home 2. foods should be weighed on a gram scale 3. a ready source of glucose should be available 4. specific foods should be cooked for the adolescent

3. a ready source of glucose should be available

which action does the shilling test for pernicious anemia determine 1. storing vitamin B 12 2. digesting vitamin B 12 3. absorbing vitamin B 12 4. producing vitamin B 12

3. absorbing vitamin B 12

which approach to weight gain is appropriate for a pregnant woman of average height who weight 145 lbs 1. a decrease of 100 calories per day 2. a decrease of 200 calories per day 3. an increase of 300 calories per day 4. an increase of 500 calories per day

3. an increase of 300 calories per day

the parent of a healthy 10 month old infant asks the nurse which type of milk and pureed foods should be given to the baby. which response would the nurse give? 1. pears green beans turkey and whole milk 2. peaches beef cottage cheese and 2% milk 3. carrots chicken applesauce and breast milk 4. bananas sweet potatoes ham and skim milk

3. carrots chicken applesauce and breast milk

which recommendation by the nurse is appropriate to a group of adolescents who are being taught about nutrition and the prevalence of overweight teenagers 1. join a gym 2. drink fewer diet sodas 3. decrease fast food intake 4. take a multivitamin daily

3. decrease fast food intake

which information would a nurse include when teaching a client with pancreatitis about dietary restrictions? 1. use unsaturated fats 2. season food sparingly 3. eat small meals frequently 4. limit coffee to 3 cups per day

3. eat small meals frequently

which dietary pattern is effective in the treatment of a peptic ulcer 1. including milk in the diet 2. drinking fluids with meals 3. eating small and frequent meals 4. including high fiber foods in the diet

3. eating small and frequent meals

which intervention would the nurse include in the plan of care for a post term newborn? 1. monitoring for apnea 2. monitoring for hypothermia 3. evaluation of the nutritional status 4. observation for respiratory distress syndrome type 1

3. evaluation of the nutritional status

which response would a nurse give to a breast feeding mother who asks how humans milk compares to cows milk? 1. lactose content is higher in cows milk than in human milk 2. protein content in human milk is higher than that in cows milk 3. fat in human milk is easier to digest and absorb than the fat in cows milk 4. immunologic and antiallergenic factors are now added to cows milk

3. fat in human milk is easier to digest and absorb than the fat in cows milk

a 15 year old student is in which stage of Piaget's theory of cognitive development 1. sensorimotor 2. preoperational 3. formal operations 4. concrete operations

3. formal operations

which food group has the lowest level of sodium compared with the other food groups 1. meat 2. dairy 3. fresh fruit 4. fresh vegetables

3. fresh fruit

Which food group selected by the client with hypertension indicates understanding of the nurse's dietary teaching about foods that are low in natural sodium? 1. milk 2. meats 3. fruits 4. vegetables

3. fruits

which component of a therapeutic diet would the nurse encourage the client recovering from an acute episode of alcoholism to consume? 1 high fat 2. low calorie 3. high protein 4. low carbohydrate

3. high protein

which statement by a client prescribed a low sodium diet indicates an understanding of the nurses teachings 1. i can eat boiled scallops 2. i enjoy eating bologna on rye bread 3. i eat shredded wheat cereal for breakfast 4. it is okay for me to eat canned soup

3. i eat shredded wheat cereal for breakfast

which diminishing function in the older adult client would result in a decreased ability to fight infection? 1. acid base balance 2. metabolic response 3. immunocompetence 4. total peripheral resistance

3. immunocompetence

which is the cause of milk anemia in toddlers 1. drinking skim milk 2. drinking whole milk 3. increased milk intake 4. increased intake of fruits

3. increased milk intake

which type of diet would the nurse encourage a client with chronic hepatic failure to follow based on the health care providers prescription 1. high fat 2. low calorie 3. low protein 4. high sodium

3. low protein

which information would the nurse include when discussing prevention of esophageal reflux with an obese client with a hiatal hernia? 1. increase intake of fat with each meal 2. lie down after eating to aid in digestion 3. reduce caloric intake to foster weight reduction 4. drink several glasses of fluid during each meal

3. reduce caloric intake to foster weight reduction

which items would be specifically included on a full liquid diet? 1. bullion 2. clear fruit juice 3. refined cooked cereals 4. pasta and moist tender meats

3. refined cooked cereals

which vitamin is an antioxidant that affects the structure of cell walls 1. A 2. B 1 3. C 4. E

4. E

which statement made by the nurse is correct regarding total parenteral nutrition? 1. the risks associated with total parenteral nutrition are minimal 2. the client will still need to eat healthy meals while getting TPN 3. Only clients who cannot consume meals orally are candidates for TPN 4. TPN must be administered through a central IV catheter

4. TPN must be administered through a central IV catheter

optimal discharge teaching with regard to dumping syndrome following gastroduodenostomy includes which information 1 encouraging the client to plan for a light walk immediately after meals 2. encouraging the clients to drink adequate fluids with and between meals 3. instructing the client to follow a high carbohydrate low fat low protein diet 4. assuring the client that symptoms generally resolve within 1 year of surgery

4. assuring the client that symptoms generally resolve within 1 year of surgery

which characteristic of the environment is MOST therapeutic for clients with the diagnosis of bulimia nervosa? 1. controlling 2. empathetic 3. focused on foods 4. based on realistic limits

4. based on realistic limits

a client with iron deficiency anemia is prescribed supplemental iron. during which time of day will the MOST iron absorption occur? 1. dinner time 2. bed time 3. after lunch 4. before breakfast

4. before breakfast

a nurse is counseling a pregnant client with iron deficiency anemia about when and how to take supplemental iron. which time of day and with which drink is iron absorption most effecient 1. dinnertime with water 2. bedtime with a milkshake 3. after lunch with cranberry drink 4. before breakfast with orange juice

4. before breakfast with orange juice

a nurse identifies that the client understands information about vitamin K when the client makes which statement? 1. vitamin k is found in a variety of foods so there is no danger of deficiency. 2. vitamin k is easily absorbed without assistance so everything eaten is absorbed 3. vitamin k is rarely found in dietary foods so a natural deficiency can easily occur 4. vitamin k is produced in sufficient amounts by intestinal bacteria so metabolic needs are met in healthy individuals

4. vitamin k is produced in sufficient amounts by intestinal bacteria so metabolic needs are met in healthy individuals

which nutrient deficiency would result in ketosis? 1. iron 2. calcium 3. vitamin k 4. carbohydrate

4. carbohydrate

the nurse concludes that the client on a 2 gram sodium diet needs further teaching when the client selects which food 1. a soft cooked egg toast jelly and skim milk 2. baked chicken boiled potatoes, broccoli and coffee 3. fillet of sole, a baked potato and a fresh fruit cup 4. cottage cheese crackers and a relish dish

4. cottage cheese crackers and a relish dish

which feeding instruction would the nurse give the parent of a 2 month old infant with the diagnosis of heart failure 1. mix powder formula to double strength consistency to promote growth 2. refrain from using a soft nipple to avoid increased effort with oral intake 3. allow infant to cry before feeding to avoid over feeding 4. feed slowly while allowing time for adequate periods of rest

4. feed slowly while allowing time for adequate periods of rest

which findings during a follow up assessment of a primigravida in the second trimester of pregnancy would require further intervention by the health care provider 1. quickening 2. braxton hicks contractions 3. consistent increase in fundal height 4. fetal heart rate of 190 beats per minute

4. fetal heart rate of 190 beats per minute

which statement by a client with hypertension prescribed a 2 gram sodium diet provides evidence that the nurse's dietary instructions are understood. 1. my fluid intake should be restricted 2. i should limit the number of daily food servings 3. salt should not be used during cooking but can be used at the table 4. labels on prepackaged food products should be evaluated before purchase

4. labels on prepackaged food products should be evaluated before purchase

which statement by the nurse is true regarding the diet plan for toddlers 1. finger foods should be avoided 2. toddlers need 4 to 6 cups of milk per day 3. low fat or skim milk should be given until the child is 2 years old 4. milk should be supplemented with solid food items like vegetables and fruits

4. milk should be supplemented with solid food items like vegetables and fruits

which statement is true about the diet plan for toddlers? 1. refrain from serving finger foods 2. toddlers need 4 to 6 cups of milk per day 3. low fat or skimmed milk should be given until the child is 2 years old 4. milk should be supplemented with solid food items like vegetables and fruits

4. milk should be supplemented with solid food items like vegetables and fruits

the nurse understands that megestrol is MOST often used to treat which issue? 1. menopause 2. birth control 3. PMS 4. palliative management of cancer

4. palliative management of cancer

which reason about why salt must be limited would the nurse give to a client recovering from an acute myocardial infarction who reports not being happy about the lack of salt with meals? 1. prevent an increase in blood pressure from tissue edema 2. reduce the circulating blood volume via a diuretic effect 3. reduce the amount of edema present which interferes with heart action 4. prevent further accumulation of fluid which increases the workload of the heart

4. prevent further accumulation of fluid which increases the workload of the heart

the nurse teaches the client with gastroesophageal reflux disease that is best to do which action after meals? 1. drink 8 oz of water 2. take a walk for 30 minutes 3. lie down for at least 20 minutes 4. rest in a sitting position for 1 hour

4. rest in a sitting position for 1 hour

which cereal selection indicates to the nurse that the client has understood teaching about how to prevent constipation? 1. froot loops 2. corn flakes 3. cap'n crunch 4. shredded wheat

4. shredded wheat

which dietary information would the nurse emphasize when reinforcing a dietary program for a pregnant client with diabetes? 1. the need to increase high quality protein and decrease fats 2. the need to increase carbohydrates to meet energy demands and prevent ketosis 3. the need to eat a low calorie diet that maintains the current insulin coverage and helps prevent hyperglycemia 4. the need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary

4. the need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary

which information would the nurse consider when caring for an older adult hospitalized for weight loss and dehydration caused by nutritional deficits? 1. financial resources usually are unrelated to nutritional status 2. an older adults daily fluid intake must be markedly increased 3. the diet would be high in carbohydrates and low in protein 4. the nutritional needs of an older adult are unchanged except for a decreased need for calories

4. the nutritional needs of an older adult are unchanged except for a decreased need for calories

which information does the nurse suggest to be included in the updated plan of care for the postpartum mother who plans to bottle feed the newborn 1. diluting ready to feed formula 2. starting cows milk at 1 month of age 3. placing a warm compress on the breasts for engorgement 4. using tap water to mix powdered formula per instruction

4. using tap water to mix powdered formula per instruction

the parents ask how to introduce new foods to a 5 month old infant. which foods would the nurse suggest to be selected first 1. meats and fish 2. eggs and cheese 3. citrus fruits and bread 4. vegetables and non citrus fruit

4. vegetables and non citrus fruit