A miss is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

Sweeten foods with fructose corn syrup.

increase intake of foods high in gluten.

Increase intake of milk products.

Consume foods high in bran fiber.

Answer and Explanation

The Correct Answer is D

A. Fructose (high-fructose corn syrup) can worsen IBS symptoms by increasing bloating and diarrhea.
B. Gluten may trigger symptoms in some IBS clients, so it should be avoided if symptoms worsen.
C. Milk products can exacerbate IBS symptoms, especially in clients with lactose intolerance.
D. Bran fiber can help regulate bowel movements by adding bulk to stools, which is beneficial for clients with IBS.

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Correct Answer is C

Explanation

A. Incorrect – Warfarin is generally safe while breastfeeding, as it does not significantly transfer into breast milk.
B. Incorrect – Sodium phosphate is a common bowel prep before a colonoscopy. No immediate concerns.
C. Correct – A Mantoux test (PPD skin test) with induration could indicate tuberculosis (TB) infection. The size of the induration (not redness) determines if the result is positive and requires further testing.
D. Incorrect – Bumetanide is a loop diuretic, and increased urination is an expected effect.

A. Osteoarthritis B. Primary glaucoma C. Hypertension D. Amputation

Correct Answer is C

Explanation

A. Incorrect – Osteoarthritis is a non-systemic condition that does not affect kidney function.
B. Incorrect – Primary glaucoma is an eye disorder and does not interfere with kidney donation.
C. Correct – Hypertension is a contraindication because kidney donation increases the remaining kidney's workload, increasing the risk of renal complications.
D. Incorrect – Amputation does not directly affect kidney function, so it is not a contraindication.

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A miss is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical records of four clients. The nurse should identify that which of the following client findings requires follow-up care?

Correct Answer is C

Explanation

A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?

Correct Answer is C

Explanation

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