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 C

Explanation

Choice A reason: Droplet precautions need a mask, not always gown and gloves, unless contact is likely. Scientifically, this overstates requirements, as droplet spread (e.g., flu) prioritizes respiratory protection, indicating partial misunderstanding of PPE specifics.

Choice B reason: Bleach at 1:20 is too dilute; 1:10 is standard for blood spills. Scientifically, this weakens disinfection, as higher chlorine concentration kills pathogens like hepatitis, showing incorrect grasp of spill management protocols.

Choice C reason: Biohazard disposal for soiled dressings prevents pathogen spread, aligning with infection control. Scientifically, this ensures safe waste handling, as dressings may harbor bacteria or viruses, reflecting accurate understanding of standard precautions.

Choice D reason: Alcohol doesn’t kill C. difficile spores; soap and water are required. Scientifically, this misapplies hand hygiene, as spore-forming bacteria resist alcohol, indicating a key error in infection control knowledge for this pathogen.

A. Don gloves prior to assisting the client with brushing their teeth. B. Have the client wear a mask when they are out of their room. C. Ensure that the negative air pressure is active for the client's room. D. Place the client in a room with a high-efficiency particulate air (HEPA) filter.

Correct Answer is A

Explanation

Choice A reason: Gloves prevent MRSA spread via contact during oral care, a high-risk task. This adheres to contact precautions for infection control.

Choice B reason: Masks aren’t needed for MRSA patients; it’s not airborne. Contact precautions suffice, so this is unnecessary outside specific contexts.

Choice C reason: Negative pressure suits airborne pathogens, not MRSA, which spreads by contact. This overcomplicates room requirements for this infection.

Choice D reason: HEPA filters address air quality, irrelevant to MRSA’s contact transmission. Standard isolation, not filtration, controls this bacterial spread.

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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

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