A nurse is reinforcing teaching with an older adult client who is on bed rest about foods high in dietary fiber. Which of the following food items should the nurse indicate is the best source of fiber?

Celery

Pears with skin

Canned pineapple

Mashed potatoes

Answer and Explanation

The Correct Answer is B

A.   Celery is a low-calorie vegetable that contains some fiber (about 1.6 grams per 100 grams). While it provides some fiber, there are other options with higher fiber content.

B.   Pears with their skin are an excellent source of dietary fiber. A medium-sized pear with skin provides about 5.5 grams of fiber. The skin of the pear is particularly rich in insoluble fiber, which aids in digestion and helps prevent constipation.
C.   Canned pineapple generally has lower fiber content compared to fresh fruits. Most of the fiber in pineapple comes from the fruit itself, and processing can reduce the fiber content. Therefore, canned pineapple is not as high in fiber compared to other options.
D.   Mashed potatoes, especially if they are peeled, are relatively low in fiber. They are primarily a starchy vegetable and do not provide significant amounts of dietary fiber unless consumed with the skin.

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Correct Answer is A

Explanation

A. This position, where the client is seated in a semi-upright sitting position, helps to reduce the risk of aspiration and facilitates breathing. It is also conducive to the proper functioning of the nasogastric tube for decompression.
B. Moistening the client's lips is also important for comfort, but it does not directly relate to the management of the nasogastric tube.
C. Sterile water should be used for irrigation only if the tube becomes clogged.
D. Measuring abdominal girth is important but not specific to nasogastric tube care.

A. Activate the device immediately after injection. B. Remove the safety device before disposal. C. Make sure the needle retracts into the barrel of the syringe. D. Pull the plastic sheath over the needle.

Correct Answer is A

Explanation

A. After administering the injection, activating the passive needle-safety device involves a mechanism where the safety feature automatically engages. This can include a shield that covers the needle or a mechanism that retracts the needle into the syringe or device. It's crucial to activate this immediately after injection to prevent accidental needlestick injuries.
B. The safety device, once activated, should remain in place and intact on the needle until it is safely disposed of in an appropriate sharps container. Removing the safety device before disposal would expose healthcare workers to potential needlestick injuries.
C. There is no need to make sure the needle retracts into the barrel of the syringe, as the safety device is designed to cover the needle after use.
D. While some devices have a plastic sheath or shield that covers the needle before and after use, the primary action for a passive device is to activate the safety feature that automatically covers or retracts the needle post-injection. Pulling a sheath over the needle manually is more typical for active safety devices or conventional needles with manual sheath covers.

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A nurse is reinforcing teaching with an older adult client who is on bed rest about foods high in dietary fiber. Which of the following food items should the nurse indicate is the best source of fiber?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is administering an IM injection using a passive needle-safety device. After injection, which of the following actions should the nurse take?

Correct Answer is A

Explanation

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