A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
Dried fruits
Dried peas
Eggs
Pasta
None
None
The Correct Answer is C
Choice A reason: Dried fruits
Dried fruits are generally high in fiber, which can be problematic for individuals with a colostomy, especially in the initial weeks following surgery. High-fiber foods can increase stool bulk and may cause blockages or discomfort. It is recommended to avoid high-fiber foods until the digestive system has adjusted and the healthcare provider gives the go-ahead to reintroduce them gradually.
Choice B reason: Dried peas
Dried peas, like other legumes, are also high in fiber and can cause gas and bloating. These symptoms can be particularly uncomfortable for individuals with a colostomy. Additionally, legumes can increase the risk of blockages in the stoma. Therefore, it is advisable to avoid dried peas and other high-fiber legumes until the digestive system has fully adjusted.
Choice C reason: Eggs
Eggs are an excellent food choice for individuals with a colostomy. They are high in protein, which is essential for wound healing and overall recovery. Eggs are also easy to digest and do not typically cause gas or bloating. Including eggs in the diet can help ensure that the client receives adequate nutrition without causing digestive discomfort.
Choice D reason: Pasta
Pasta, particularly refined pasta, is generally low in fiber and easy to digest, making it a suitable food choice for individuals with a colostomy. It provides a good source of carbohydrates, which are important for energy. However, it is essential to monitor portion sizes and avoid adding high-fat or high-fiber ingredients that could cause digestive issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason:
Clean clothing is necessary for maintaining hygiene and comfort in disaster situations. Limited access to laundry facilities makes having extra clothing essential for preventing infections and staying dry in extreme weather.
Choice B reason:
Personal identification is crucial during emergencies to access aid, medical services, and shelters. Important documents such as passports or insurance cards help verify identity and facilitate assistance.
Choice C reason:
Three quarts of water per person is not the recommended amount. The standard guideline advises one gallon of water per person per day to meet hydration and sanitation needs, ensuring sufficient supply in prolonged emergencies.
Choice D reason:
Matches are useful for starting fires needed for cooking, warmth, and signaling for help. Waterproof matches or lighters should be included to ensure functionality in wet conditions.
Choice E reason:
Prescription medications are vital for those with chronic health conditions. Having a sufficient supply ensures continuity of treatment, especially when pharmacies may be inaccessible during disasters.
Correct Answer is D
Explanation
Choice A reason:
A client who has Guillain-Barré syndrome: Guillain-Barré syndrome (GBS) can cause significant muscle weakness and paralysis, including the muscles involved in swallowing. Clients with GBS are at high risk for aspiration and may require specialized feeding techniques or assistance from a nurse rather than an AP.
Choice B reason:
A client who has systemic sclerosis: Systemic sclerosis, also known as scleroderma, can affect the esophagus and cause difficulty swallowing. These clients may need careful monitoring and assistance with meals to prevent choking and ensure adequate nutrition.
Choice C reason:
A client who has amyotrophic lateral sclerosis (ALS): ALS affects the motor neurons and can lead to progressive muscle weakness, including the muscles involved in swallowing. Clients with ALS often require specialized feeding techniques and close monitoring during meals to prevent aspiration.
Choice D reason:
A client who has a lumbosacral spinal tumor: A lumbosacral spinal tumor primarily affects the lower back and may cause pain or mobility issues, but it does not typically impair swallowing. Therefore, this client is the most appropriate for the AP to assist with meals, as they are less likely to have complications related to eating.
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