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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Placing a pillow under the knees can lead to knee flexion contractures.
B. Placing a towel under the neck does not prevent contractures.
C. A trochanter wedge prevents hip external rotation but does not prevent joint contractures.
D. An orthotic device (e.g., foot splint) maintains proper foot alignment and prevents foot drop, a common contracture in immobile clients.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
|
Provider Prescriptions |
Anticipated |
Unanticipated |
|
Administer betamethasone |
✅ |
|
|
Administer oxytocin |
✅ |
|
|
Administer terbutaline |
✅ |
|
|
Place client in supine position |
✅ |
|
|
Maintain bed rest with bathroom privileges |
✅ |
|
|
Limit fluid intake to 1000 mL/day |
✅ |
Rationale:
Anticipated:
Administer betamethasone: The client is 33 weeks gestation with signs of preterm labor (back pain, contractions, cervical dilation). Betamethasone is given to enhance fetal lung maturity and reduce complications if preterm birth occurs.
Administer terbutaline: Terbutaline is a tocolytic (uterine relaxant) used to delay preterm labor and allow time for betamethasone to take effect. Since the client is not yet in active labor, terbutaline may be used to temporarily suppress contractions.
Maintain bed rest with bathroom privileges: Activity restrictions are recommended to reduce uterine stimulation and preterm labor progression. However, strict bed rest is not typically recommended due to risks (e.g., venous thromboembolism).
Unanticipated:
Administer oxytocin: Oxytocin stimulates labor contractions, which is contraindicated since the goal is to delay preterm birth. Instead, tocolytics (e.g., terbutaline) should be used to suppress contractions.
Place client in supine position: The supine position can cause supine hypotensive syndrome by compressing the vena cava, reducing blood flow to the fetus. The left lateral position is preferred to optimize placental perfusion.
Limit fluid intake to 1000 mL/day: Hydration is important for preventing contractions, as dehydration can trigger uterine irritability. Unless there is a specific medical reason (e.g., preeclampsia, heart failure), fluid restriction is unnecessary.
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