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 the therapy is effective?

Client has soft, formed bowel movements.

The client's mucous membranes are pink.

The client reports the ability to complete ADLs.

The client's blood glucose level is within the expected reference range.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Soft, formed bowel movements indicate effective probiotic therapy. Probiotics are live microorganisms that confer health benefits when consumed in adequate amounts. They can promote gut health and regular bowel movements by restoring the balance of intestinal flora. The presence of soft, formed stools suggests that the probiotics are aiding in digestion and maintaining a healthy gut environment.
Choice B rationale:
The pinkness of mucous membranes is not a direct indicator of the effectiveness of probiotic therapy. While probiotics can have systemic effects on the body, such as enhancing the immune system, mucous membrane color is more influenced by factors like oxygenation and hydration status.
Choice C rationale:
The ability to complete activities of daily living (ADLs) is not a specific marker of the effectiveness of probiotic therapy. Probiotics primarily impact gastrointestinal health and digestion. ADLs reflect a client's overall functional status, which can be influenced by various factors beyond probiotic use.
Choice D rationale:
Blood glucose level being within the expected reference range is not directly related to probiotic therapy. The question stem mentions that the client is receiving parenteral nutrition, which means they are likely not consuming food orally, reducing the impact of dietary factors on blood glucose levels. Blood glucose levels are more affected by factors like insulin administration and the body's glucose utilization.

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Correct Answer is B

Explanation

The correct answer is choice B. “Consume foods that are high in calcium.”

Choice A rationale:

The DASH diet recommends limiting sodium intake to no more than 2,300 milligrams per day, and ideally to 1,500 milligrams per day for greater blood pressure reduction. Therefore, 3,200 milligrams per day is too high.

Choice B rationale:

Consuming foods high in calcium is part of the DASH diet, which emphasizes the intake of fruits, vegetables, and low-fat dairy products to help lower blood pressure.

Choice C rationale:

The DASH diet advises reducing saturated fat intake to less than 6% of total daily calories. Ten percent is higher than recommended.

Choice D rationale:

The DASH diet encourages the consumption of whole grains and discourages refined carbohydrates, which can contribute to higher blood pressure and other health issues.

: WebMD - DASH Diet Foods for High Blood Pressure

A. Have the client swallow his medications with the supplement. B. Enhance the flavor of supplements by serving them warm. C. Leave an opened supplement at the bedside throughout the day. D. Offer the supplement as a substitute for one of the client's daily meals.

Correct Answer is B

Explanation

Choice A rationale:
Having the client swallow medications with the supplement might not be appropriate, as some medications may interact with the nutritional supplement or alter its effectiveness. It's important to assess each medication's compatibility with the supplement and consult with a pharmacist if needed.
Choice B rationale:
Enhancing the flavor of supplements by serving them warm can improve their palatability and encourage the client to consume them. Cold supplements might be less appealing, and warming them could make them more enjoyable, especially for older adults who might have altered taste perceptions.
Choice C rationale:
Leaving an opened supplement at the bedside throughout the day is not recommended. Nutritional supplements should be consumed within a specified time frame to ensure their safety and efficacy. Opened liquids are susceptible to contamination and spoilage, which could be harmful to the client.
Choice D rationale:
Offering the supplement as a substitute for one of the client's daily meals is not a suitable approach without proper guidance from a healthcare provider or registered dietitian. High-calorie liquid supplements are intended to supplement the client's regular meals, not replace them entirely. Adequate overall nutrition is essential for the client's well-being.

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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 the therapy is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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