A female client with haemorrhoids tells the nurse that she understands the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?
Explain the benefits of a high fibre diet.
Confirm that these foods should be avoided.
Encourage soft foods such as yogurt.
Suggest that the client also avoid fruit skins.
The Correct Answer is B
Choice A
Explain the benefits of a high fibre diet is not correct response. While a high fibre diet can indeed be beneficial for individuals with haemorrhoids by promoting regular bowel movements and reducing strain during defecation, the immediate concern here is addressing the client's understanding about avoiding nuts and seeds. This information could be provided as a follow-up after confirming the client's understanding in response to option B.
Choice B
Confirm that these foods should be avoided is the correct response. In this situation, the nurse's first response should be to confirm the client's understanding and provide accurate information about the need to avoid certain foods. Nuts and seeds can be challenging to digest and may lead to irritation and inflammation in individuals with haemorrhoids. Confirming the client's understanding and providing guidance aligns with the nurse's role in patient education and care.
Choice C
Encourage soft foods such as yogurt is not the correct response. Encouraging soft foods like yogurt is a reasonable suggestion for someone with haemorrhoids, as soft foods are generally easier to digest and less likely to cause irritation. However, the client's statement was specifically about avoiding nuts and seeds. While this choice might be relevant, it doesn't directly address the client's statement.
Choice D
Suggest that the client also avoid fruit skins is not the correct response. This option is not directly related to the client's concern about nuts and seeds. Fruit skins generally contain dietary fibre, which can be beneficial for maintaining regular bowel movements. While some individuals might find that certain fruits with tough skins could exacerbate their haemorrhoid symptoms, this advice might be better suited for a separate discussion about dietary choices rather than as a direct response to the client's statement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A
Soft low-residue diet should not be recommended. This diet is often used for individuals with gastrointestinal issues and aims to reduce the bulk and frequency of bowel movements. It might not be necessary for this client's dental concerns.
Choice B
Pureed diet should not be recommended. A pureed diet involves blending foods to a smooth consistency, which is often recommended for individuals with severe difficulty swallowing or chewing. Since the client has no teeth but doesn't necessarily have difficulty swallowing, a pureed diet might be overly restrictive.
Choice C
Mechanical soft diet should not be recommended. mechanical soft diet consists of foods that are easy to chew and swallow, making it suitable for individuals with dental issues or difficulty chewing. It includes foods that are softer in texture, often cooked until they are tender and easy to manipulate with a fork or spoon. This type of diet would be beneficial for the client in question, as it accommodates his lack of teeth and ensures that he can consume a variety of foods without the need for extensive chewing.
Choice D
Full liquid diet should be recommended. A full liquid diet includes foods in liquid form, such as soups, milk, and juice. While it's easy to swallow, it might not provide the necessary variety and texture for the client's nutritional needs.
Correct Answer is C
Explanation
Choice A
Urinary ketones are not most important. Monitoring urinary ketones can provide information about the utilization of glucose and fat as energy sources. However, it is not the primary lab value to monitor in TPN administration.
Choice B
Serum protein is not most important. Monitoring serum protein levels is important to assess nutritional status, but it might not be as immediate a concern as serum osmolarity.
Choice C
Serum osmolarity is the most important. When caring for a client receiving total parenteral nutrition (TPN), monitoring serum osmolarity is most important. TPN is a highly concentrated solution containing various nutrients, and it is infused directly into the bloodstream. Serum osmolarity reflects the concentration of particles (such as electrolytes, glucose, and other solutes) in the blood. Monitoring serum osmolarity is crucial to prevent complications related to fluid and electrolyte imbalances that can arise from the administration of TPN.
Choice D
Capillary glucose is not the most important. Monitoring capillary glucose levels is important, especially in clients receiving TPN with added glucose. Hyperglycaemia is a potential complication of TPN. While glucose monitoring is important, it is secondary to monitoring serum osmolarity, which encompasses a broader range of solute concentrations.
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