The nurse teaches the client that fiber provides the bulk in the stools to allow for easier defecation. The nurse recognizes that teaching is effective when the client's menu choices include more:

white meats and breads.

red meats and milk.

fats and bran.

fruits and vegetables.

Answer and Explanation

The Correct Answer is D

A. White meats and breads: While white meats and breads may be part of a balanced diet, they do not contribute significant amounts of dietary fiber. White bread, in particular, is often lower in fiber compared to whole grain varieties.

B. Red meats and milk: Red meats and milk are good sources of protein and calcium but do not provide significant amounts of dietary fiber. While milk products contain some lactose, a type of sugar that may have a mild laxative effect in some individuals, they are not considered primary sources of fiber.

C. Fats and bran: While bran is a good source of dietary fiber, consuming excessive amounts of fats is not recommended for promoting regular bowel movements. While some fats may be necessary in the diet, they should be consumed in moderation.

D. Fruits and vegetables: This is the correct answer. Fruits and vegetables are rich sources of dietary fiber, including both soluble and insoluble fiber. Soluble fiber helps soften stools, while insoluble fiber adds bulk to the stool, facilitating easier defecation. Including a variety of fruits and vegetables in the diet can significantly increase fiber intake and promote regular bowel movements.

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Correct Answer is A

Explanation

A. Offer toileting reminders every 2 hours: This is the best nursing action because it helps prevent urinary incontinence by prompting the client to use the bathroom regularly. Clients with cognitive impairment may have difficulty recognizing the need to void or remembering when to do so. Providing frequent reminders helps maintain bladder continence and reduces the risk of accidents.

B. Provide clothing that is easy to manipulate: While providing clothing that is easy to manipulate can be helpful for clients with cognitive impairment to independently manage toileting, it does not directly address the issue of facilitating bladder continence. Easy-to-manipulate clothing may assist with toileting independence but does not address the need for regular voiding to prevent urinary incontinence.

C. Explain the need to call for the nurse to help with toileting: While educating the client about when to seek assistance for toileting needs is important, it may not be sufficient for facilitating bladder continence in a client with cognitive impairment. Clients may still have difficulty recognizing the need to void or remembering to call for assistance, making frequent reminders more effective in promoting continence.

D. Encourage avoidance of fluids between meals: Encouraging avoidance of fluids between meals is not an appropriate strategy for promoting bladder continence. Restricting fluids can lead to dehydration and other health complications. Maintaining adequate hydration is essential for overall health, and clients should be encouraged to drink fluids regularly throughout the day. Additionally, restricting fluids does not address the underlying issue of cognitive impairment affecting toileting behaviors.

A. conveying respect for the client's belief. B. further assessing the client's knowledge of cancer. C. notifying the physician immediately. D. calling the chaplain for a consultation.

Correct Answer is A

Explanation

A. Conveying respect for the client's belief: This response acknowledges and respects the client's faith and belief system. It demonstrates empathy and supports the client's coping mechanisms during a challenging time. It fosters a therapeutic relationship by validating the client's feelings and beliefs, which can be essential for providing holistic care.

B. Further assessing the client's knowledge of cancer: While assessing the client's understanding of cancer is important, in this context, the client's statement reflects their coping mechanism and reliance on faith. Addressing the client's belief system and providing support in alignment with their spiritual beliefs should be the initial focus.

C. Notifying the physician immediately: There is no indication in the scenario that immediate medical intervention is necessary. The client's statement reflects their coping strategy and does not suggest an urgent medical concern.

D. Calling the chaplain for a consultation: While spiritual support is valuable, the client's statement does not indicate an immediate need for chaplaincy services. The nurse should first acknowledge and respect the client's belief before considering further spiritual support options, based on the client's preferences and needs.

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The nurse teaches the client that fiber provides the bulk in the stools to allow for easier defecation. The nurse recognizes that teaching is effective when the client's menu choices include more:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What would be the best nursing action to facilitate bladder continence for the client who is cognitively impaired?

Correct Answer is A

Explanation

When learning of a new cancer diagnosis, the client states, "If it is God's will, I will survive this." The nurse who is providing spiritually competent care would respond by:

Correct Answer is A

Explanation

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

The nurse understands that examples of sensible fluid loss in a client are: (SELECT ALL THAT APPLY)

The client tells the nurse. "The need to urinate comes on me all of a sudden, and it feels as though I have to go immediately-that I can't wait." The nurse charts that the client is experiencing:

The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

An older adult client experiences a change in mental status. Which assessment finding represents a critical thinking approach?

The nurse is caring for a client who has kidney disease. The client has urinated 250 mL over the past 24 hours. The nurse describes this urine output as:

What is the best description for the professional value of social justice? The nurse…

The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?