A nurse is educating a patient about food and drinks that can trigger diarrhea.
Which items should the nurse include in the teaching?
Caffeinated beverages
Low-fiber cereal
White rice
Ripe bananas
The Correct Answer is A
Choice A rationale:
Caffeinated beverages are known to cause diarrhea. Caffeine naturally occurs in many foods and drinks, including coffee and chocolate. It speeds up the digestive system and can cause loose stools. In addition, caffeine can irritate the stomach lining during digestion. Therefore, it’s important for the nurse to educate the patient about the potential effects of caffeinated beverages on their digestive system.
Choice B rationale:
Low-fiber cereal is not typically associated with triggering diarrhea. In fact, foods that are low in fiber can actually help firm up stools and are often recommended for individuals experiencing diarrhea. Therefore, while it’s not harmful, it’s not a primary concern for patients with diarrhea.
Choice C rationale:
White rice is another food that does not typically cause diarrhea. Similar to low-fiber cereal, white rice can help firm up stools and is often recommended for individuals experiencing diarrhea. It’s not a primary concern for patients with diarrhea.
Choice D rationale:
Ripe bananas do not typically cause diarrhea. They are actually part of the BRAT diet (Bananas, Rice, Applesauce, Toast), which is often recommended for individuals experiencing diarrhea. Therefore, it’s not a primary concern for patients with diarrhea.
In conclusion, when educating a patient about food and drinks that can trigger diarrhea, the nurse should include caffeinated beverages as they can potentially cause diarrhea. However, low-fiber cereal, white rice, and ripe bananas are not typically associated with triggering diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Stripping the client’s chest tube every 2 hours is not recommended. Stripping can create high negative pressures in the tube that can cause damage to the lung tissue. It can also lead to increased pain for the patient and is generally not a standard practice in chest tube management.
Choice B rationale:
Looping the tubing of the chest tube on the client’s bed is not a recommended practice. The chest tube should be free of loops or kinks to allow for proper drainage of air and fluid from the pleural space. Any loops or kinks in the tube can lead to accumulation of fluid or air, which can cause complications such as tension pneumothorax.
The chest tube drainage system should not be placed above the level of the client’s heart. This can lead to the backflow of blood or fluid into the pleural space, which can cause complications such as hemothorax or pleural effusion. The drainage system should always be kept below the level of the client’s chest to allow for gravity-assisted drainage.
Choice D rationale:
Taping the connections on the client’s chest tube is a recommended practice. This is done to secure the connections and prevent accidental disconnection or dislodgement of the tube. An accidental disconnection or dislodgement can lead to complications such as pneumothorax or hemothorax. Therefore, all connections should be securely taped to prevent any accidental disconnections.
Correct Answer is B
Explanation
Choice A rationale:
Metabolic alkalosis Metabolic alkalosis is a condition that occurs when your body has too many bases. It can occur due to prolonged vomiting, use of diuretics, or an overuse of antacids. In the context of Chronic Obstructive Pulmonary Disease (COPD), metabolic alkalosis is not typically a direct result of the disease. COPD primarily affects the respiratory system and does not directly cause an imbalance of bases in the body.
Choice B rationale:
Respiratory acidosis Respiratory acidosis is a condition that occurs when the lungs can’t remove enough carbon dioxide (CO2). This leads to a buildup of CO2 in the body, causing the pH of the blood to decrease and become more acidic. This is the most common acid-base imbalance seen in patients with COPD1. COPD can cause an alteration in respiratory exchanges, leading to retention of CO21. The consequence of hypercapnia due to alteration of gas exchange in COPD patients mainly consists in an increase of H+ concentration and development of respiratory acidosis.
Respiratory alkalosis Respiratory alkalosis is a condition that occurs when there is too little carbon dioxide in the body, often due to hyperventilation. In the context of COPD, this is less likely because COPD patients often have difficulty expelling carbon dioxide, not an excess of it being expelled.
Choice D rationale:
Metabolic Acidosis Metabolic acidosis occurs when the body produces too much acid, or when the kidneys are not removing enough acid from the body. This can occur due to conditions such as kidney disease, lactic acidosis, or ketoacidosis. While COPD can have wide-ranging effects on the body, it does not typically cause metabolic acidosis directly.
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