A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Suggest that the client also avoid fruit skins.

Confirm that these foods should be avoided.

Encourage soft foods such as yogurt.

Explain the benefits of a high fiber diet.

Answer and Explanation

The Correct Answer is B

A.   Suggesting that the client also avoid fruit skins may not directly address the concern about nuts and seeds, potentially causing confusion.
B.   Confirming that these foods should be avoided validates the client's understanding and reinforces the importance of dietary modifications to prevent inflammation associated with hemorrhoids.
C.   Encouraging soft foods such as yogurt is beneficial for easing bowel movements, but it does not specifically address the need to avoid nuts and seeds.
D.   Explaining the benefits of a high fiber diet is important for overall bowel health, but it does not directly address the client's concern about avoiding specific foods that may aggravate
hemorrhoids.

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Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

A. Whole wheat cereal with milk, bacon, and coffee. B. Pancakes, bacon, fruit, and milk. C. Scrambled eggs, sausage, toast, and orange juice. D. Bowl of hot oatmeal with milk, fruit, and lemon tea.

Correct Answer is C

Explanation

A. Whole wheat cereal with milk, bacon, and coffee is incorrect. While it contains some protein (milk and bacon), it lacks adequate protein and calorie density needed for burn healing.
B. Pancakes, bacon, fruit, and milk is incorrect. While this meal provides carbohydrates and some protein, it does not offer enough protein for optimal wound healing.
C. Scrambled eggs, sausage, toast, and orange juice is correct. Burn patients require high-protein and high-calorie meals to support tissue repair and metabolic demands. Eggs and sausage provide high-quality protein, while toast and juice add necessary carbohydrates for energy.
D. A bowl of hot oatmeal with milk, fruit, and lemon tea is incorrect. Although this meal has carbohydrates and some protein, it is not protein-dense enough for burn recovery.

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A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

Correct Answer is D

Explanation

Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

Correct Answer is C

Explanation

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