A nurse is providing teaching to a postoperative client regarding diet. Which nutrient is responsible for maintaining healthy bowel elimination?

Fiber

Fat

Protein

Minerals

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Fiber is correct. Fiber is essential for maintaining healthy bowel elimination. It helps to add bulk to the stool and promotes regular bowel movements. There are two types of fiber: soluble and insoluble. Soluble fiber absorbs water and forms a gel-like substance, which helps soften the stool and make it easier to pass. Insoluble fiber adds bulk to the stool and helps it move through the digestive tract more quickly.

Choice B Reason:

Fat is incorrect. While fats are an important part of a balanced diet, they do not play a primary role in maintaining healthy bowel elimination. Fats are essential for energy and the absorption of fat-soluble vitamins, but they do not have the same effect on bowel movements as fiber.

Choice C Reason:

Protein is incorrect. Protein is crucial for building and repairing tissues, but it does not directly influence bowel elimination. A diet high in protein without adequate fiber can sometimes lead to constipation.

Choice D Reason:

Minerals are incorrect. Minerals are vital for various bodily functions, including bone health, fluid balance, and muscle function. However, they do not directly impact bowel elimination in the same way that fiber does.

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Correct Answer is D

Explanation

Choice A: To provide a means for medication administration

A Jackson-Pratt (JP) drain is not used for medication administration. Its primary function is to remove fluids that accumulate in a surgical site, which helps to prevent infection and promote healing. Medication administration is typically done through other means such as intravenous (IV) lines or oral medications.

Choice B: To eliminate the need for wound dressings

The JP drain does not eliminate the need for wound dressings. Dressings are still required to protect the wound site, absorb any additional drainage, and prevent infection. The JP drain works in conjunction with dressings to manage wound care effectively.

Choice C: To limit the amount of bleeding from the surgical site

While the JP drain can help manage bleeding by removing accumulated blood, its primary purpose is not to limit bleeding. Instead, it is designed to prevent the buildup of fluids, including blood, which can lead to complications such as hematomas or infections.

Choice D: To prevent fluid from accumulating in the wound

The primary purpose of a Jackson-Pratt (JP) drain is to prevent fluid from accumulating in the wound. This includes blood, lymphatic fluid, and other bodily fluids that can collect at the surgical site. By removing these fluids, the JP drain helps to reduce the risk of infection, promote healing, and decrease the likelihood of complications.

A. Position the collection device below the level of the chest. B. Clamp the tube when providing care activities. C. Apply an occlusive dressing over the chest tube site. D. Empty the chest tube collection chamber every shift.

Correct Answer is A

Explanation

Choice A reason: Positioning the collection device below the level of the chest is crucial to ensure proper drainage of air or fluid from the pleural space. This positioning uses gravity to facilitate drainage and prevent backflow into the pleural cavity, which could lead to complications such as pneumothorax or pleural effusion. The collection device should always be kept below the chest level to maintain effective drainage.

Choice B reason: Clamping the chest tube is generally not recommended unless specifically ordered by a physician or during certain procedures. Clamping can lead to a buildup of air or fluid in the pleural space, increasing the risk of tension pneumothorax. It is essential to keep the chest tube unclamped to allow continuous drainage and prevent complications.

Choice C reason: Applying an occlusive dressing over the chest tube site is necessary to prevent air from entering the pleural space and to secure the tube. However, this is not the primary action related to the positioning of the collection device. The occlusive dressing helps maintain the integrity of the chest tube insertion site and prevents infection.

Choice D reason: Emptying the chest tube collection chamber every shift is not a standard practice. The collection chamber should be monitored and emptied as needed based on the volume of drainage and the specific protocols of the healthcare facility. Regular monitoring is essential, but unnecessary emptying can disrupt the closed system and increase the risk of infection.

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A nurse is providing teaching to a postoperative client regarding diet. Which nutrient is responsible for maintaining healthy bowel elimination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an abdominal wound. The nurse should understand that the JP drain was placed for which purpose?

Correct Answer is D

Explanation

A nurse is caring for a client with a chest tube. Which action should the nurse take?

Correct Answer is A

Explanation

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