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. Clean gloves should be worn when entering the room of a client with MRSA to prevent contact transmission of the bacteria. Gloves should be put on before any contact with the client or potentially contaminated surfaces and should be removed and disposed of properly after leaving the room.
B. A surgical mask is generally not necessary for routine care of a client with MRSA unless there is a risk of splashes or sprays of bodily fluids. The main mode of transmission for MRSA is contact, so gloves are the primary protective measure.
C. Sterile gloves are typically not required unless performing sterile procedures directly involving the wound or handling sterile equipment. For routine assessment of the client's pulse, clean gloves are sufficient.
D. Protective eyewear is not necessary for routine care such as checking a client's pulse. It is primarily used when there is a risk of splashes or sprays that could potentially reach the eyes.

A. Administer glucagon IM. B. Check the client for a positive Chvostek's sign. C. Request a potassium replacement. D. Discontinue the TPN infusion.

Correct Answer is C

Explanation

A. Glucagon is administered to increase blood glucose levels in hypoglycemic states. However, the client's glucose level is within the normal range (72 mg/dL), so administering glucagon is not appropriate.

B. Chvostek's sign is assessed to detect hypocalcemia, not hypokalemia. It involves tapping the facial nerve anterior to the earlobe and observing for facial muscle contraction. This action is not relevant to the potassium level and is not indicated based on the laboratory findings provided.
C. The client's potassium level of 3.0 mEq/L is below the normal range, indicating hypokalemia. Potassium replacement is essential to prevent complications such as cardiac arrhythmias. The nurse should follow the facility's protocol for administering potassium replacement, which may include adjusting the TPN solution or administering intravenous potassium supplements.
D. Discontinuing the TPN infusion is not warranted based solely on the potassium level. The TPN infusion provides essential nutrition and should not be stopped without addressing the electrolyte imbalance separately.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following items should the nurse wear?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L. sodium 138 mEq/L and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

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