A nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates that the therapy is effective?
Client reports ability to complete ADLs.
Client's mucous membranes are pink.
Client's blood glucose level is within the expected reference range.
Client has soft, formed bowel movements.
The Correct Answer is D
Choice A reason: Reporting ability to complete ADLs is not a specific finding that indicates that probiotic therapy is effective. Ability to complete ADLs depends on various factors, such as energy level, muscle strength, mobility, cognition, and motivation. Ability to complete ADLs may improve with parenteral nutrition, but not necessarily with probiotic therapy.
Choice B reason: Having pink mucous membranes is not a specific finding that indicates that probiotic therapy is effective. Pink mucous membranes reflect adequate hydration and oxygenation status, which are important for overall health, but not directly related to probiotic therapy.
Choice C reason: Having blood glucose level within the expected reference range is not a specific finding that indicates that probiotic therapy is effective. Blood glucose level is influenced by carbohydrate intake, insulin production, and medication use, which are related to parenteral nutrition, but not probiotic therapy.
Choice D reason: Having soft, formed bowel movements is a specific finding that indicates that probiotic therapy is effective. Probiotic therapy is the use of beneficial bacteria or yeast to restore the normal flora and function of the gastrointestinal tract, which can prevent or treat diarrhea, constipation, or infection. Having soft, formed bowel movements shows that the client has a healthy and balanced gut microbiome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Tilt your head forward while you eat is a correct instruction for dysphagia. This position can help prevent choking by closing the airway and directing food and fluids to the back of the mouth and throat.
Choice B reason: Obtain your vitamins in liquid form is not a correct instruction for dysphagia. Liquid vitamins can be too thin and watery for people with dysphagia, as they can easily enter the airway and cause aspiration. Vitamins should be taken in pill or chewable form, or crushed and mixed with thickened liquids or pureed foods.
Choice C reason: Cool foods down to room temperature before consuming is not a correct instruction for dysphagia. Food temperature does not affect the risk of choking for people with dysphagia, as long as the food is not too hot or too cold. Food texture and consistency are more important factors for safe swallowing.
Choice D reason: Drink water with each bite of food is not a correct instruction for dysphagia. Water can also be too thin and watery for people with dysphagia, as it can also enter the airway and cause aspiration. Water should be thickened to a nectar-like, honey-like, or pudding-like consistency, depending on the individual's needs and preferences.
Correct Answer is B
Explanation
Choice A reason: Hamburger is not a suitable food item for a lacto-vegetarian diet because it is made from ground beef, which is an animal product. A lacto-vegetarian diet excludes meat, poultry, fish, and eggs, but allows dairy products.
Choice B reason: Cheese is a suitable food item for a lacto-vegetarian diet because it is a dairy product, which is allowed in this type of diet. Cheese provides protein, calcium, and vitamin B12 for lacto-vegetarians.
Choice C reason: Eggs are not a suitable food item for a lacto-vegetarian diet because they are an animal product. Eggs are excluded from a lacto-vegetarian diet, but they are allowed in an ovo-lacto vegetarian diet, which also includes dairy products.
Choice D reason: Shrimp is not a suitable food item for a lacto-vegetarian diet because it is a seafood product, which is an animal product. Seafood is excluded from a lacto-vegetarian diet, but it is allowed in a pescatarian diet, which also includes dairy products and eggs.
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