A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
"You should limit your intake of calcium-fortified orange juice."
"You should drink rice milk instead of cow's milk."
"You should gradually increase lactose products in your diet."
"You should eat flavored yogurt instead of plain yogurt."
The Correct Answer is B
A. Calcium-fortified orange juice can be a good alternative source of calcium for those with lactose intolerance.
B. Rice milk is a suitable alternative to cow's milk for individuals with lactose intolerance as it does not contain lactose.
C. Gradually increasing lactose products in the diet is not typically recommended for those with lactose intolerance as it can lead to symptoms.
D. Yogurt, particularly flavored types, may still contain lactose and can cause symptoms in those with lactose intolerance. Lactose-free or dairy-free alternatives are better options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Giving the infant a bottle immediately before bedtime is not recommended as it can increase the likelihood of reflux symptoms during sleep. It is better to have some time between feeding and sleeping to allow for digestion.
B. Keeping the infant at a 30° angle for 1 hr following each feeding helps to reduce the risk of reflux by using gravity to keep the stomach contents down. This position can aid in preventing the backflow of stomach contents into the esophagus.
C. Changing to a soy-based formula is not universally recommended for gastroesophageal reflux without a specific indication, such as a confirmed cow's milk protein allergy. It is important to follow a healthcare provider's specific recommendations regarding formula.
D. Limiting feedings to every 6 hours is not appropriate for a 2-month-old infant, who typically requires more frequent feedings to meet nutritional needs and maintain growth.
Correct Answer is C
Explanation
A. Instilling 2 mL of 0.9% sodium chloride is not recommended as it can cause discomfort and does not improve the effectiveness of suctioning.
B. Sterile technique, not clean technique, should be used when suctioning a tracheostomy to prevent infection.
C. Applying suction in 3 to 4 second increments is appropriate to clear the occlusion effectively without causing trauma to the trachea.
D. The catheter should not fit snugly into the tracheostomy tube; it should be small enough to fit comfortably to avoid trauma and ensure effective suctioning.
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