A nurse is collecting data from a patient who has an inadequate dietary intake of fiber.
Which of the following findings should the nurse expect?
Memory loss
Bleeding gums
Constipation
Brittle hair
The Correct Answer is C
Choice A rationale
Memory loss is not typically associated with inadequate dietary intake of fiber. Memory loss can be a symptom of various conditions such as Alzheimer’s disease, dementia, or certain vitamin deficiencies, but it is not directly linked to fiber intake.
Choice B rationale
Bleeding gums are not typically a symptom of inadequate dietary intake of fiber. Bleeding gums are more commonly associated with conditions such as gingivitis or vitamin C deficiency, not a lack of dietary fiber.
Choice C rationale
Constipation is the correct answer. Inadequate intake of dietary fiber can lead to constipation. Dietary fiber adds bulk to the diet and helps prevent constipation by promoting regular bowel movements.
Choice D rationale
Brittle hair is not typically a symptom of inadequate dietary intake of fiber. Brittle hair can be a sign of malnutrition or lack of certain nutrients like protein, but it is not directly linked to fiber intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypothermia is not a typical finding in a client who has had diarrhea for several days. Diarrhea does not typically affect the body’s ability to regulate temperature.
Choice B rationale
Dehydration is a common finding in a client who has had diarrhea for several days. Diarrhea can lead to significant fluid and electrolyte loss, causing dehydration.
Choice C rationale
Decreased bowel sounds are not typically associated with diarrhea. In fact, hyperactive bowel sounds are more common due to increased intestinal motility.
Choice D rationale
A rigid abdomen is not a typical finding in a client who has had diarrhea for several days. A rigid abdomen may indicate a serious condition such as peritonitis or bowel obstruction, which are not typically associated with diarrhea.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Daily measurement of abdominal girth is crucial in patients with an intestinal obstruction undergoing continuous gastrointestinal decompression. This is because any changes in the abdominal girth can indicate an improvement or worsening of the obstruction. Regular monitoring allows for timely intervention and adjustment of the care plan.
Choice B rationale
Maintaining the patient in Fowler’s position can help promote the drainage of gastric contents via the nasogastric tube. This position, where the patient is seated in bed at an angle of 45-60 degrees, uses gravity to assist in the drainage process, thereby potentially alleviating discomfort and reducing the risk of aspiration.
Choice C rationale
Moistening the patient’s lips with lemon glycerin swabs is not recommended. While it’s important to keep the patient’s lips moist to prevent dryness and cracking due to the nasogastric tube, lemon glycerin swabs can potentially dry out the lips more and cause irritation.
Choice D rationale
Using sterile water to irrigate the nasogastric tube is a standard practice in managing patients with a nasogastric tube. This helps ensure the patency of the tube and prevent blockages, allowing for effective gastrointestinal decompression.
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