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?

"Provide sugar-free candy for the client between meals."

"Recommend that the client eliminate the intake of carbonated beverages."

"Instruct the client to increase consumption of beans."

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

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Providing sugar-free candy is not an appropriate action for managing chronic diarrhea. Sugar-free candy may contain artificial sweeteners, which could worsen diarrhea or have other gastrointestinal effects. Additionally, candy doesn't address the underlying cause of chronic diarrhea.
Choice B rationale:
Recommending that the client eliminate the intake of carbonated beverages is the correct choice. Carbonated beverages, especially those with added sugars or artificial sweeteners, can contribute to gastrointestinal irritation and exacerbate diarrhea. Avoiding these drinks can help reduce symptoms and promote better digestion.
Choice C rationale:
Instructing the client to increase the consumption of beans is not advisable. Beans are known to cause gas and bloating in some individuals, which could further worsen the client's symptoms of chronic diarrhea. Increasing bean consumption might aggravate gastrointestinal distress.
Choice D rationale:
Encouraging the client to drink 4 oz of milk after each loose stool is not a suitable approach. Milk, particularly in larger quantities, can have a laxative effect in some individuals, potentially worsening the diarrhea. This suggestion could lead to increased discomfort for the client.

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Correct Answer is B

Explanation

Choice A rationale:
Avoiding glutamine is not a typical recommendation for managing Crohn's disease. Glutamine is an amino acid that plays a role in gut health, and its avoidance wouldn't necessarily aid in disease recovery.
Choice B rationale:
Limiting the amount of fiber in the diet is important for clients with Crohn's disease. High-fiber foods can exacerbate symptoms by causing bowel irritation and increasing motility. A low-fiber diet can help reduce inflammation and discomfort in the digestive tract.

Choice Crationale:
Taking mild laxatives is generally not recommended for individuals with Crohn's disease. Laxatives can irritate the digestive tract and potentially worsen symptoms. Bowel movements should be managed with dietary and lifestyle modifications under the guidance of a healthcare provider.
Choice Drationale:
It's not common for individuals with Crohn's disease to gain weight due to the disease itself. In fact, weight loss is a more typical symptom due to reduced nutrient absorption and increased metabolism.

A. 1 cup cooked green peppers. B. 1 cup mashed potatoes. C. 1 cup cooked carrots. D. 1 cup cooked lentils.

Correct Answer is D

Explanation

Choice A rationale:
1 cup cooked green peppers. Green peppers are a good source of vitamin C but do not contain a significant amount of folate. Folate is important for preventing neural tube defects in a developing fetus.
Choice B rationale:
1 cup mashed potatoes. While potatoes contain some folate, especially in their skins, they do not have as high an amount as other options. Additionally, mashed potatoes may not retain all of their folate content after cooking and preparation.
Choice C rationale:
1 cup cooked carrots. Carrots are not a substantial source of folate. They are more known for their beta-carotene content, which is converted into vitamin A in the body.
Choice D rationale:
1 cup cooked lentils. Lentils are an excellent source of folate, providing a substantial amount per serving. Folate is essential for preventing neural tube defects in the early stages of pregnancy. Including folate-rich foods like lentils in the diet can be highly beneficial for individuals planning to become pregnant.

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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 providing discharge teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is providing teaching about natural food sources that contain folate to a client who plans to become pregnant. The nurse should identify which of the following foods contains the highest amount of folate.

Correct Answer is D

Explanation

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