A nurse is planning a meal for a patient who has diverticulitis. Which menu selection should the nurse include in the plan?

Sliced ham with green salad.

Grilled chicken breast with white rice.

Turkey sandwich with celery sticks.

Pork tenderloin with green peas.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Sliced ham with green salad might not be the best choice for a patient with diverticulitis. Ham is a processed meat, which is generally high in fat and can be difficult to digest, potentially irritating the digestive tract. Moreover, a green salad, while generally healthy, can be high in fiber, especially if it includes raw vegetables. During a diverticulitis flare-up, a low-fiber diet is recommended.

Choice B rationale

Grilled chicken breast with white rice is an excellent choice for a patient with diverticulitis. Chicken is a lean protein that is easy to digest. White rice is a low-fiber carbohydrate that is

also easy on the digestive system. This meal is consistent with the dietary recommendations for diverticulitis during the recovery phase, which includes low-fiber foods.

Choice C rationale

A turkey sandwich with celery sticks might not be suitable for a patient with diverticulitis. While turkey is a lean protein, celery sticks are high in fiber and can be difficult to digest, potentially irritating the digestive tract.

Choice D rationale

Pork tenderloin with green peas might not be the best choice for a patient with diverticulitis. Although pork tenderloin is a lean meat, green peas are high in fiber and can be difficult to digest, potentially irritating the digestive tract.

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Correct Answer is D

Explanation

Choice A rationale

Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.

Choice B rationale

Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.

Choice C rationale

Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.

Choice D rationale

Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.

A. Monitor vital signs every 5 min. B. Place the patient in a lateral position. C. Elevate the patient’s legs. D. Notify the provider.

Correct Answer is B

Explanation

The priority nursing action for a patient in labor with an epidural anesthesia block and a blood pressure of 80/40 mm Hg is to place the patient in a lateral position. This can help improve maternal blood flow and fetal oxygenation.

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A nurse is planning a meal for a patient who has diverticulitis. Which menu selection should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.Which historical finding should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a patient who is in labor and has an epidural anesthesia block. The patient’s blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?

Correct Answer is B

Explanation

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