A nurse is assisting a patient with hypothyroidism in meal planning. Which foods should the nurse suggest the patient add to their diet?

Whole grains

Poached eggs

Baked chicken

Fresh fruits .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Whole grains are a good source of energy and fiber, which can help regulate bowel movements and maintain a healthy weight. They also contain important nutrients like B vitamins, iron, folate, selenium, potassium, and magnesium, which are beneficial for overall health.
Choice B rationale

While poached eggs are a good source of protein, they do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice C rationale
Baked chicken is a good source of lean protein, but it does not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice D rationale
Fresh fruits are a good source of vitamins, minerals, and fiber. They are part of a healthy diet but do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.

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Correct Answer is D

Explanation

Choice A rationale
Documenting the bowel sounds as hypoactive is not the most appropriate action. Hypoactive bowel sounds are fewer than three bowel sound events in a minute or none at all. However, the absence of bowel sounds does not necessarily mean they are hypoactive. It could be due to other reasons such as ileus.
Choice B rationale
Administering prescribed drugs for constipation is not the immediate course of action when the nurse doesn’t hear any gurgling while listening to bowel sounds. Constipation is a condition that can cause hypoactive bowel sounds, but it’s not the only reason for the absence of bowel sounds. The nurse should first confirm the absence of bowel sounds before considering this action.
Choice C rationale

Reviewing dietary intake for the past 24 hours is not the immediate course of action. While diet can affect bowel sounds, it’s not the first step when bowel sounds are not heard. The nurse should first confirm the absence of bowel sounds before considering this action.
Choice D rationale
The correct action when the nurse doesn’t hear any gurgling while listening to bowel sounds is to continue to listen for at least another 60 seconds. Bowel sounds are produced by the movement of fluid, gas, and contents through the intestines. An absence of bowel sounds for greater than two minutes may indicate that there is no peristalsis—which implies an ileus.
Therefore, the nurse should continue to listen for at least another 60 seconds to confirm the absence of bowel sounds.

A. This is likely related to new-onset dementia. B. This is likely related to new-onset schizophrenia. C. This is likely related to new-onset hepatic encephalopathy. D. This is likely related to a new-onset UTI.

Correct Answer is C

Explanation

Choice C rationale
Hepatic encephalopathy is a condition that can cause confusion or delirium in patients with end-stage liver disease and increasing ascites. It occurs when the liver is unable to remove toxins from the blood, such as ammonia, which can then accumulate in the brain and affect mental function. This condition is common in patients with cirrhosis or end-stage liver disease, and can manifest as confusion, changes in sleep patterns, mood alterations, and, in severe cases, coma.
Choice A rationale
While dementia can cause confusion and changes in mental status, it is typically a progressive condition that develops over time. In the context of a patient with end-stage liver failure and

increasing ascites who is usually lucid, a sudden onset of confusion or delirium is more likely to be due to a condition related to their liver disease, such as hepatic encephalopathy.
Choice B rationale
Schizophrenia is a chronic mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. It is not typically associated with end-stage liver disease or ascites. In the context of a patient with end-stage liver failure and increasing ascites who is usually lucid, a sudden onset of confusion or delirium is more likely to be due to a condition related to their liver disease, such as hepatic encephalopathy.
Choice D rationale
While a urinary tract infection (UTI) can cause confusion, especially in older adults, it would not typically be the primary suspect in a patient with end-stage liver failure and increasing ascites. In such a patient, hepatic encephalopathy is a more likely cause of confusion or delirium.

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A nurse is assisting a patient with hypothyroidism in meal planning. Which foods should the nurse suggest the patient add to their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse doesn’t hear any gurgling while listening to bowel sounds. What should be the nurse’s next course of action?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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