A nurse is providing teaching to a client who has the inflammatory bowel disorder gastroenteritis. Which of the following information should the nurse include in the teaching?

Limit fluids that contain electrolytes.

Eliminate sources of probiotics from the diet.

Take docusate sodium twice daily.

Avoid foods high in simple sugars.

Answer and Explanation

The Correct Answer is D

A) "Limit fluids that contain electrolytes":
For a client with gastroenteritis, it is crucial to maintain hydration due to the risk of dehydration from diarrhea and vomiting. However, fluids containing electrolytes can help replenish lost electrolytes and are beneficial. The instruction to "limit" these fluids might be misunderstood as a need to avoid them, which is not appropriate. The aim should be to encourage adequate hydration with fluids that contain electrolytes.

B) "Eliminate sources of probiotics from the diet":
Probiotics can help restore the balance of gut bacteria and may be beneficial in managing gastroenteritis. Eliminating probiotics from the diet is not typically recommended and may not support the recovery process.

C) "Take docusate sodium twice daily":
Docusate sodium is a stool softener, generally used to relieve constipation. In the context of gastroenteritis, which typically involves diarrhea, this medication is not appropriate and could worsen the condition.

D) "Avoid foods high in simple sugars":
Foods high in simple sugars can exacerbate diarrhea by increasing osmotic load in the intestines, leading to more water being drawn into the gut. Avoiding these foods can help manage and reduce symptoms of gastroenteritis.

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Correct Answer is B

Explanation

A) Staying current on scheduled immunizations: While important for overall child health, staying current on immunizations is not a direct risk factor for sudden infant death syndrome (SIDS). Immunizations help prevent infections but do not specifically impact the likelihood of SIDS.

B) Maternal smoking during pregnancy: Maternal smoking during pregnancy is a significant risk factor for SIDS. Tobacco smoke exposure can negatively impact the baby's respiratory system and increase the risk of SIDS, making it crucial to address this risk factor.

C) Newborn who is large for gestational age: Being large for gestational age is not a recognized risk factor for SIDS. Risk factors for SIDS are more associated with environmental and prenatal conditions rather than birth weight alone.

D) Meconium staining of amniotic fluid: Meconium staining indicates potential fetal distress and complications during labor but is not a direct risk factor for SIDS. It is more related to the conditions surrounding birth rather than the risk of SIDS.

A. "Tilt the spirometer toward yourself so you can see the balls rise." B. "Inhale deeply and hold each breath for a minimum of 10 seconds." C. "Exhale before sealing your lips around the mouthpiece." D. "Use your incentive spirometer every 4 hours while you are awake."

Correct Answer is D

Explanation

A) "Tilt the spirometer toward yourself so you can see the balls rise": Tilting the spirometer is not necessary and may affect its accuracy. The spirometer should be held in an upright position to ensure correct measurement of inhalation.

B) "Inhale deeply and hold each breath for a minimum of 10 seconds": Inhaling deeply is important, but holding each breath for 10 seconds is not a typical recommendation for using an incentive spirometer. The goal is to inhale deeply and slowly, without necessarily holding the breath for an extended period.

C) "Exhale before sealing your lips around the mouthpiece": Exhaling before using the spirometer is not recommended. The correct procedure involves inhaling deeply and slowly after sealing your lips around the mouthpiece to ensure accurate measurement and effective lung expansion.

D) "Use your incentive spirometer every 4 hours while you are awake": Frequent use of the incentive spirometer, often every hour while awake, is recommended to improve lung function and prevent complications such as atelectasis. Using it every 4 hours may not be sufficient for effective respiratory therapy.

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A nurse is providing teaching to a client who has the inflammatory bowel disorder gastroenteritis. Which of the following information should the nurse include in the teaching?

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