A nurse is caring for a client who received radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?

Recommend that the client eliminate the intake of carbonated beverages.

Instruct the client to increase consumption of beans.

Provide sugar-free candy for the client between meals.

Encourage the client to drink 4 oz of milk after each loose stool.

Answer and Explanation

The Correct Answer is A

Recommend that the client eliminate the intake of carbonated beverages: Carbonated beverages, such as soda or sparkling water, can exacerbate diarrhea symptoms by increasing gas production and potentially causing abdominal discomfort. Eliminating carbonated beverages can help alleviate symptoms and improve the client's condition.

Instruct the client to increase consumption of beans: While beans are a good source of dietary fiber and can promote regular bowel movements in some individuals, they can also worsen diarrhea in others. Since the client is experiencing chronic diarrhea, increasing consumption of beans may not be advisable as it could contribute to loose stools and increased frequency.

Provide sugar-free candy for the client between meals: Sugar-free candies often contain artificial sweeteners like sorbitol or mannitol, which can have a laxative effect and worsen diarrhea. Offering sugar-free candy may not be helpful and can potentially exacerbate the client's symptoms.

Encourage the client to drink 4 oz of milk after each loose stool: Drinking milk after each loose stool is not recommended for clients experiencing chronic diarrhea. Milk contains lactose, and some individuals may have difficulty digesting it, leading to increased gas production and loose stools. Assessing the client's tolerance to milk and considering lactose-free alternatives, if needed, would be more appropriate.

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Correct Answer is A

Explanation

Place the client in a semi-Fowler's position when eating. The semi-Fowler's position involves elevating the head of the bed to an angle of 30 to 45 degrees. This position helps prevent aspiration by facilitating proper swallowing and reducing the risk of food or liquid entering the airway.

Initiating a calorie count of daily food intake is not a specific action for dysphagia. Calorie counting is generally used for monitoring caloric intake in clients with specific dietary needs or conditions, but it is not directly related to dysphagia management. The focus for dysphagia management is on ensuring safe swallowing and preventing complications such as aspiration.

Instructing the client to keep their chin up when swallowing is not appropriate for dysphagia management. This action can actually increase the risk of aspiration. The proper technique for swallowing with dysphagia typically involves tucking the chin slightly down towards the chest to help close off the airway and direct the food or liquid down the esophagus.

Providing food in a thin liquid consistency is not appropriate for dysphagia unless specifically recommended by a healthcare professional. Dysphagia diets typically involve modifying the consistency of food and liquids based on the client's swallowing abilities and recommendations from a speech-language pathologist or dietitian. Different levels of texture modifications (such as pureed, minced, or mechanically soft) may be prescribed to ensure safe swallowing and reduce the risk of aspiration.

A. Pulse rate 118/min B. Blood pressure 152/90 mm Hg C. Temperature 37.2° C (99° F) D. Central venous pressure 25 mm Hg

Correct Answer is A

Explanation

A. Pulse rate of 118/min: In a client with fluid volume deficit, the pulse rate often increases as the body compensates for reduced blood volume.

B. Blood pressure of 152/90 mm Hg: This blood pressure reading does not specifically indicate fluid volume deficit as it can be influenced by various factors, including vascular tone and cardiac function.

C. Temperature of 37.2° C (99° F): This temperature reading is within the normal range and does not directly reflect fluid volume status.

D.Central venous pressure 25 mm Hg: This is elevated and typically suggests fluid volume excess rather than deficit.

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A nurse is caring for a client who received radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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