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 B
Explanation
Choice A reason: Teaching the client to use pursed lip breathing is helpful for managing breathing difficulties, but it is not the first action to address exercise-induced bronchoconstriction.
Choice B reason:
The correct answer is b) because determining if the client is using an inhaler before exercising is crucial to prevent bronchoconstriction and manage asthma symptoms effectively.
Choice C reason: Assessing for signs and symptoms of upper airway infection is important but is not directly related to exercise-induced bronchoconstriction.
Choice D reason: Reviewing the client's routine asthma management prescriptions is important but should come after addressing the immediate concern of exercise-induced symptoms.
Correct Answer is D
Explanation
Choice A reason: Warm, soft, moist, salmon-colored skin is not typical of Cushing's syndrome.
Choice B reason: Visible swelling of the neck, with no pain, is not specific to Cushing's syndrome.
Choice C reason: A husky voice and trouble with hoarseness are not typical of Cushing's syndrome.
Choice D reason:
The correct answer is d) because central-type obesity with thin extremities is a characteristic feature of Cushing's syndrome.
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