A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?

"Set a goal and you will be able to attain it."

"Eat small portions of the high-calorie foods first."

"It is helpful to self-monitor your eating."

"Taste food while cooking to help curb your appetite."

Answer and Explanation

The Correct Answer is C

A.   While setting goals can be beneficial, simply stating this without providing practical advice or support may not address the client's specific needs.
B.   Eating small portions of high-calorie foods first may not be an effective weight loss strategy, as it does not address overall caloric intake or food choices.
C.   Self-monitoring eating behaviors, such as keeping a food diary or tracking portion sizes, can help individuals become more aware of their eating habits and identify areas for improvement when trying to lose weight.
D.   Tasting food while cooking may not necessarily curb appetite and could potentially lead to increased calorie consumption if the individual ends up eating more during meal preparation.

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Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.

A. "There should be a decrease in the number of bowel movements with this medication." B. "IV administration is the preferred route to give this medication." C. "This medication will treat the infection that is causing the confusion." D. "We will monitor the serum ammonia level to help determine if the medication is effective."

Correct Answer is D

Explanation

A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.

B. Lactulose is typically administered orally or rectally, not intravenously.

C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.

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A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?

Correct Answer is D

Explanation

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