A nurse is providing information about maintaining a special diet with a client who has irritable bowel syndrome. Which of the following information should the nurse include?
Increase intake of dairy products.
Drink ten glasses of water each day.
Decrease daily fiber intake to 20 grams.
Encourage intake of clear carbonated fluids.
The Correct Answer is B
Choice A rationale:
Increasing the intake of dairy products is not recommended for a client with irritable bowel syndrome (IBS) as dairy can exacerbate symptoms in some individuals, particularly if they are lactose intolerant.
Choice B rationale:
Drinking ten glasses of water each day is a helpful recommendation for clients with IBS. Staying hydrated can aid in digestion and help alleviate symptoms like constipation.
Choice C rationale:
Decreasing daily fiber intake to 20 grams is not advisable for IBS management. Adequate fiber intake is essential for maintaining bowel regularity and overall gut health. Instead, it is recommended to focus on soluble fiber and gradually increase fiber intake to avoid exacerbating symptoms.
Choice D rationale:
Encouraging the intake of clear carbonated fluids is not ideal for clients with IBS. Carbonated beverages can cause bloating and gas, potentially worsening symptoms in individuals with sensitive digestive systems. It is better to recommend non-carbonated, non-caffeinated fluids for hydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer: C. The nurse declines to inform a client's neighbor about the client's prognosis.
Rationale:
A) The nurse files an incident report regarding a medication error:
Filing an incident report is crucial for patient safety and quality improvement but primarily serves organizational processes. It helps identify and address systemic issues to prevent future errors, but it is not a direct act of advocacy for the individual client.
B) The nurse provides wound care to a client at the time promised to the client:
Providing timely care demonstrates reliability and respect for the client's needs, which is an important aspect of nursing care. However, this action alone does not constitute advocacy, as it is more about fulfilling professional responsibilities and maintaining trust.
C) The nurse declines to inform a client's neighbor about the client's prognosis:
Declining to share confidential information with a neighbor is a direct act of advocacy. It protects the client's right to privacy and confidentiality, ensuring that sensitive health information is disclosed only to authorized individuals. Upholding these ethical standards is a fundamental aspect of advocating for the client's rights and dignity.
D) The nurse refers a client who has chronic obstructive pulmonary disease for palliative care services:
Referring a client to palliative care is an important aspect of providing holistic and compassionate care, but it is a broader action related to care coordination rather than a specific advocacy action in the context of maintaining client confidentiality and rights.
Correct Answer is B
Explanation
Choice A rationale:
Administering furosemide may be appropriate for managing ascites, but it is not directly related to preventing complications. Furosemide is a diuretic that helps reduce fluid retention but does not address other potential complications of liver cirrhosis.
Choice B rationale:
Weighing the client weekly is essential to monitor changes in body weight and fluid status, which is crucial in detecting worsening ascites or fluid retention. Sudden weight gain could indicate an exacerbation of ascites or other complications, warranting timely intervention.
Choice C rationale:
Offering the client a high-sodium diet is contraindicated in managing ascites. A high-sodium diet would lead to increased fluid retention and worsen the ascites, potentially exacerbating the client's condition and increasing the risk of complications.
Choice D rationale:
Administering heparin is not relevant to preventing complications in a client with liver cirrhosis and abdominal ascites. Heparin is an anticoagulant, and its use is not indicated for this particular condition.
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