A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?
Increased proteins rich in iron.
Potassium-rich fruits.
Reduced cholesterol and fats.
Foods rich in Vitamin K.
The Correct Answer is D
Choice D reason:
Foods rich in Vitamin K are essential for blood clotting and can help address the issue of bruising. Antibiotics can sometimes interfere with the gut bacteria that produce Vitamin K, leading to deficiencies. By recommending foods high in Vitamin K, such as leafy greens, the nurse can help improve the client’s clotting ability and reduce bruising.
Choice A reason:
Increased proteins rich in iron are beneficial for overall health and can help with anemia, but they do not directly address the issue of bruising. The primary concern here is the client’s clotting ability, which is more directly impacted by Vitamin K levels.
Choice B reason:
Potassium-rich fruits are important for maintaining electrolyte balance, especially if the client has experienced diarrhea. However, they do not directly address the issue of bruising and clotting. The focus should be on replenishing Vitamin K to improve clotting.
Choice C reason:
Reduced cholesterol and fats can be part of a healthy diet, but they do not address the immediate concern of bruising. The nurse’s priority should be to recommend dietary changes that directly impact the client’s clotting ability, such as increasing Vitamin K intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Eating fatty, sweetened snacks 1 hour before the game is not advisable. These types of snacks can cause a rapid spike in blood sugar followed by a crash, leading to decreased energy levels during the game. Additionally, fatty foods can be hard to digest and may cause gastrointestinal discomfort, which can negatively impact athletic performance.
Choice B reason:
Eating sodium-enriched foods immediately before the game is not recommended. While sodium is important for maintaining electrolyte balance, consuming high-sodium foods right before physical activity can lead to dehydration and increased thirst. It is better to maintain a balanced intake of electrolytes throughout the day rather than loading up on sodium just before the game.
Choice C reason:
Eating a high-protein meal 30 minutes before the game is not ideal. Protein takes longer to digest and does not provide the quick energy needed for immediate physical activity. Consuming a high-protein meal too close to the game can lead to discomfort and sluggishness, as the body diverts energy to digestion rather than athletic performance.
Choice D reason:
Eating a light high-carbohydrate meal 3 hours before the game is the best recommendation. Carbohydrates are the body’s primary source of energy, and consuming them a few hours before the game ensures that the body has time to digest and convert them into usable energy. This timing helps maintain steady blood sugar levels and provides sustained energy throughout the game, enhancing athletic performance.
Correct Answer is C
Explanation
Choice C reason:
Lactating mothers who are breastfeeding need to drink the most amount of water to remain adequately hydrated. Breastfeeding increases a mother’s fluid needs because a significant amount of water is used to produce breast milk. Adequate hydration is essential to maintain milk production and overall health. Lactating mothers are advised to drink more fluids than the average adult to compensate for the fluid loss through breastfeeding.
Choice A reason:
Clients who are between the ages of 19 and 64 years old have standard hydration needs based on their activity level, climate, and overall health. While staying hydrated is important for this age group, their fluid requirements are not as high as those of lactating mothers.
Choice B reason:
Older adult clients who are receiving dialysis twice a week need to manage their fluid intake carefully. Dialysis patients often have fluid restrictions to prevent fluid overload, which can lead to complications. Therefore, they do not need to drink the most amount of water compared to other groups.
Choice D reason:
Adolescent females who are menstruating may experience increased fluid needs due to blood loss and hormonal changes, but their hydration requirements are not as high as those of lactating mothers. While it is important for them to stay hydrated, they do not need to drink the most amount of water.
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