A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?

Puffed rice cereal

Tomato juice

Bran muffin

Cottage cheese

None

Answer and Explanation

The Correct Answer is C

Choice A reason: Puffed rice cereal lacks significant fiber, offering minimal bulk to stimulate peristalsis. It’s a poor choice for constipation relief, as it doesn’t soften stool or aid movement.

Choice B reason: Tomato juice provides hydration and some nutrients, but its low fiber content doesn’t effectively combat constipation. High-fiber foods are needed to increase stool bulk instead.

Choice C reason: Bran muffins are high in insoluble fiber, adding bulk and water to stool, promoting bowel movements. This choice reflects understanding of constipation management through diet.

Choice D reason: Cottage cheese is low in fiber, offering protein but no relief for constipation. It doesn’t enhance intestinal motility or stool consistency, making it an ineffective option.

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Correct Answer is B

Explanation

Choice A reason: Explaining pros and cons informs but may pressure the client. Supporting autonomy respects their choice, aligning with lung cancer end-of-life preferences better.

Choice B reason: Supporting the client’s DNR decision upholds autonomy and aids communication. In lung cancer, respecting end-of-life wishes is critical, making this the best response.

Choice C reason: Involving a social worker delegates support, not directly honoring the client’s wish. Nurses should first affirm autonomy in such terminal cancer scenarios.

Choice D reason: Suggesting family discussion undermines autonomy, adding burden. The client’s decision in advanced cancer should be respected without implying external validation needs.

A. "I should leave my steri-strips on until they fall off." B. "I should expect to have nausea for several days." C. "I should eat a high-fat diet for several weeks." D. "I should expect to have diarrhea until my diet changes."

Correct Answer is A

Explanation

Choice A reason: Steri-strips support incision healing post-laparoscopy, falling off naturally in 7-10 days. This shows correct understanding of wound care instructions.

Choice B reason: Prolonged nausea isn’t expected post-cholecystectomy; it’s minimal with laparoscopy. Persistent symptoms suggest complications, not normal recovery understanding.

Choice C reason: High-fat diets strain digestion post-gallbladder removal, causing discomfort. Low-fat is advised, so this reflects a recovery misconception.

Choice D reason: Diarrhea may occur briefly, but not until diet shifts. Expecting it long-term misinterprets bile adjustment, needing dietary clarification.

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A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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