The nurse plans to provide diet instructions to a client who was recently diagnosed with diverticulosis. Which dietary modification should the nurse include in the teaching plan?
Increase intake of insoluble fiber.
Augment intake of dairy products.
Eliminate caffeine and chocolate.
Decrease foods high in fat or trans fats.
The Correct Answer is A
Choice A reason:
The correct answer is a) because increasing the intake of insoluble fiber can help prevent constipation and reduce the risk of diverticulitis by promoting regular bowel movements.
Choice B reason: Augmenting intake of dairy products is not specific to managing diverticulosis.
Choice C reason: Eliminating caffeine and chocolate is not necessary unless these foods cause symptoms.
Choice D reason: While reducing high-fat foods is good dietary advice, it is not specific to diverticulosis management.
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and reports a dry mouth. Which intervention should the nurse implement?
a) Encourage the client to drink water.
b) Administer a prescribed sedative.
c) Apply a high-flow Venturi mask.
d) Assist the client to an upright position.
The correct answer is: d) Assist the client to an upright position.
Choice A reason: Encouraging the client to drink water is beneficial but does not address the immediate need to ease breathing.
Choice B reason: Administering a sedative may help with anxiety but does not directly address the respiratory issue.
Choice C reason: Applying a high-flow Venturi mask may be necessary if oxygen saturation is low, but the first step should be to position the client for optimal breathing.
Choice D reason:
The correct answer is d) because assisting the client to an upright position can help ease breathing by allowing for better lung expansion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The correct answer is a) because medications like colchicine and indomethacin can affect liver function, and periodic liver function studies are necessary to monitor for potential side effects.
Choice B reason: Massaging inflamed joints is not recommended as it can worsen inflammation.
Choice C reason: Substituting fruit juices for carbonated drinks is good dietary advice but not the most critical instruction.
Choice D reason: Limiting the use of mobility equipment is not relevant to managing gout and preventing complications.
Correct Answer is D
Explanation
Choice A reason: Placing an indwelling urinary catheter is not immediately relevant to the client's symptoms.
Choice B reason: Giving an analgesic for a fever does not address the underlying issue of bowel obstruction.
Choice C reason: Sending the client to x-ray can help diagnose the issue but is not the first action to relieve symptoms.
Choice D reason:
The correct answer is d) because inserting a nasogastric tube and attaching it to low intermittent suction helps decompress the stomach and relieve symptoms of bowel obstruction.
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