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: A chaplain offers spiritual support, but it’s not the nurse’s primary role. Autonomy in end-stage kidney disease takes precedence over initiating such visits.
Choice B reason: Alternatives don’t apply post-decision in end-stage disease; dialysis cessation reflects prognosis acceptance. Discussing them now dismisses the client’s informed choice.
Choice C reason: Supporting the decision respects autonomy in end-stage kidney disease. It aligns with palliative care, honoring the client’s right to refuse treatment.
Choice D reason: Suggesting family discussion undermines autonomy, adding pressure. In terminal illness, the client’s choice to stop dialysis should be respected directly.
Correct Answer is B
Explanation
Choice A reason: Hand tremors are not a primary symptom of anaphylaxis, which epinephrine treats. Tremors may occur from anxiety or other conditions, but epinephrine’s beta-adrenergic effects target airway dilation and vasoconstriction, not neurologic stabilization, making this unrelated to its acute therapeutic purpose.
Choice B reason: Shortness of breath, common in anaphylaxis, results from bronchoconstriction and airway swelling. Epinephrine acts on beta-2 receptors to relax bronchial smooth muscle, reversing dyspnea. This aligns with its primary use in allergic reactions, restoring oxygenation by counteracting histamine-induced distress.
Choice C reason: Nausea may accompany anaphylaxis due to systemic histamine release, but epinephrine does not directly treat it. Its focus is on reversing airway and vascular collapse, not gastrointestinal symptoms, which are secondary, making this an incidental, not primary, target of action.
Choice D reason: Hyperglycemia is not an anaphylactic symptom; epinephrine may raise blood sugar as a side effect via glycogenolysis, but this is irrelevant to its emergency use. It targets airway obstruction, not metabolic states, making this a misaligned choice for its therapeutic intent.
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