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 C
Explanation
Choice A reason: Facial erythema is not a hallmark of pertussis, caused by Bordetella pertussis. It may occur in scarlet fever from Streptococcus, but pertussis features paroxysmal coughing and whooping, not facial redness, making this uncharacteristic of the respiratory infection’s typical presentation.
Choice B reason: Peeling of hands and feet is typical of Kawasaki disease or scarlet fever post-streptococcal infection, not pertussis. Pertussis affects the respiratory tract, causing mucus buildup and coughing, not dermatologic desquamation, which is unrelated to its bacterial pathogenesis.
Choice C reason: Fever is expected in pertussis as the body mounts an immune response to Bordetella pertussis, elevating temperature to fight infection. Though not always high, it accompanies the catarrhal phase, reflecting systemic inflammation, a common sign in respiratory bacterial infections.
Choice D reason: Beefy, red tongue is a feature of scarlet fever or vitamin deficiencies, not pertussis. Pertussis targets the respiratory system, causing coughing and whooping, not oral mucosal changes, making this unrelated to its pathophysiology, focusing on airway irritation.
Correct Answer is C
Explanation
Choice A reason: Autonomy empowers client decision-making, not truth-telling directly. The nurse’s honesty supports it indirectly, but the act itself aligns more with ethical transparency principles.
Choice B reason: Justice ensures fair treatment, unrelated to disclosing medication effects. Truthful communication addresses individual care, not equitable resource distribution in this scenario.
Choice C reason: Veracity is truthfulness, exemplified by explaining adverse effects accurately. This builds trust and informed consent, a core ethical duty in mental health nursing.
Choice D reason: Beneficence promotes well-being, but truth-telling isn’t inherently beneficent. It’s about honesty, not just benefit, aligning with veracity over doing good in this context.
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