A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.

Bowl of oatmeal.

Bacon slices.

Raisin bran muffins.

Cup of raspberries.

Scrambled eggs.

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: Oatmeal is high in fiber and helps soften stools, making it a good option for someone with hemorrhoids.

Choice B reason: Bacon slices are not high in fiber and are not recommended.

Choice C reason: Raisin bran muffins are high in fiber and beneficial for managing hemorrhoids.

Choice D reason: Raspberries are high in fiber and are a good choice for a high-fiber diet.

Choice E reason: Scrambled eggs do not contain fiber and are not particularly beneficial for increasing fiber intake.

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Correct Answer is B

Explanation

Choice A reason: Increasing the wound VAC suction may help with drainage but does not address the underlying issue that might require specialist evaluation.

Choice B reason: Consulting the wound care specialist to evaluate the wound ensures that the client receives expert assessment and appropriate recommendations for care.

Choice C reason: Cleansing the wound and discontinuing the VAC system is not an appropriate action without specialist input.

Choice D reason: Reapplying the VAC system after irrigating away drainage may be necessary, but it should be done based on the specialist’s recommendations.

Choice E reason: Documenting the wound measurements with tunneling is important for record-keeping but does not address the immediate issue of evaluating the wound.

A. Monitor daily sodium intake. B. Measure ankle circumference. C. Obtain serum creatinine levels daily. D. Ensure client takes a diuretic every morning.

Correct Answer is A

Explanation

Choice A reason: Monitoring daily sodium intake is crucial because SIADH often leads to hyponatremia (low sodium levels). Keeping track of sodium intake helps manage and prevent complications associated with sodium imbalances, such as seizures or confusion.

Choice B reason: Measuring ankle circumference can help assess fluid retention, but it is not the first intervention. It is more important to address the underlying issue of sodium imbalance.

Choice C reason: Obtaining serum creatinine levels daily can provide information about kidney function but does not directly address the immediate concern of sodium and fluid balance in SIADH.

Choice D reason: Ensuring the client takes a diuretic every morning may be part of the treatment plan, but it is more important to first monitor and manage sodium levels to ensure safe and effective use of diuretics.

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A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a non-healing wound and excessive drainage is using a wound VAC system. The nurse notices increased drainage and signs of possible infection. What is the most appropriate nursing intervention?

Correct Answer is B

Explanation

A client is being treated for syndrome of inappropriate antidiuretic hormone (SIADH). On examination, the client has a weight gain of 4.4 lbs (2 kg) in 24 hours and an elevated blood pressure. Which intervention should the nurse implement first?

Correct Answer is A

Explanation

While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure readings are taken so often. Which response by the nurse is most accurate?

The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

A client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

The nurse is caring for a client who reports running out of aspirin one week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

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The nurse observes an unlicensed assistive personal (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

The nurse knows that a medication has the side effect of orthostatic hypotension. Which assessment should the nurse make before administering the medication?