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
None
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Calcium-fortified juice binds doxycycline, reducing absorption via chelation in the gut. Scientifically, tetracyclines like doxycycline lose efficacy with divalent cations, worsening nausea without treating chlamydia, making this counterproductive to therapeutic goals and pharmacokinetics.
Choice B reason: Taking doxycycline with crackers minimizes gastric irritation, reducing nausea while maintaining absorption. Scientifically, light food buffers the stomach without significantly impairing tetracycline bioavailability, aligning with evidence-based advice to improve tolerability and adherence in chlamydia treatment.
Choice C reason: Lying down after doxycycline risks esophageal irritation or reflux, worsening nausea. Scientifically, upright posture post-dose prevents drug stasis, which can cause ulcers, making this contrary to safe administration practices for tetracyclines per clinical guidelines.
Choice D reason: Antacids with magnesium or aluminum bind doxycycline, decreasing absorption and efficacy. Scientifically, this interaction undermines chlamydia treatment, as tetracyclines require an acidic environment for uptake, rendering this incompatible with therapeutic success and worsening outcomes.
Correct Answer is D
Explanation
Choice A reason: Decreased blood pressure is not a direct sign of fluid overload; it may indicate hypovolemia or shock. Fluid overload increases intravascular volume, typically raising pressure initially. This finding contradicts the excess fluid state in enteral feeding complications, where the body retains too much water, affecting other systems first.
Choice B reason: Decreased skin turgor suggests dehydration, not fluid overload. In overload, excess fluid accumulates in tissues, potentially causing edema, not poor elasticity. Enteral feeding can lead to overhydration if mismanaged, making turgor an unreliable indicator here, as it reflects fluid deficit rather than the excess seen in this scenario.
Choice C reason: Weight loss occurs with fluid loss or malnutrition, not overload. Fluid overload from enteral feedings causes rapid weight gain due to water retention. This finding opposes the expected physiology of excess fluid, where the body holds onto water, increasing mass, not shedding it as in dehydration.
Choice D reason: Crackles in the lungs indicate fluid overload, as excess fluid from enteral feedings backs up into pulmonary circulation, causing pulmonary edema. This audible sign reflects fluid escaping into alveoli, impairing gas exchange, a common complication when intake exceeds the body’s ability to excrete water effectively.
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