A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?
Increased proteins rich in iron.
Potassium-rich fruits.
Reduced cholesterol and fats.
Foods rich in Vitamin K.
The Correct Answer is D
Choice D reason:
Foods rich in Vitamin K are essential for blood clotting and can help address the issue of bruising. Antibiotics can sometimes interfere with the gut bacteria that produce Vitamin K, leading to deficiencies. By recommending foods high in Vitamin K, such as leafy greens, the nurse can help improve the client’s clotting ability and reduce bruising.
Choice A reason:
Increased proteins rich in iron are beneficial for overall health and can help with anemia, but they do not directly address the issue of bruising. The primary concern here is the client’s clotting ability, which is more directly impacted by Vitamin K levels.
Choice B reason:
Potassium-rich fruits are important for maintaining electrolyte balance, especially if the client has experienced diarrhea. However, they do not directly address the issue of bruising and clotting. The focus should be on replenishing Vitamin K to improve clotting.
Choice C reason:
Reduced cholesterol and fats can be part of a healthy diet, but they do not address the immediate concern of bruising. The nurse’s priority should be to recommend dietary changes that directly impact the client’s clotting ability, such as increasing Vitamin K intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C reason:
Oatmeal with raisins and nuts, with skim milk and 1/2 grapefruit, is the best choice for reducing the risk of some cancers. Oatmeal is high in fiber, which has been linked to a lower risk of colorectal cancer. Raisins and nuts provide antioxidants and healthy fats, which can help protect cells from damage. Skim milk offers calcium, which is beneficial for bone health, and grapefruit is rich in vitamin C and other antioxidants that support the immune system and may help prevent cancer.
Choice A reason:
Pancakes with blueberries and maple syrup, and a turkey sausage patty, while containing some beneficial elements like blueberries, which are high in antioxidants, also include processed meats like turkey sausage. Processed meats have been linked to an increased risk of certain cancers, such as colorectal cancer. The high sugar content in maple syrup can also contribute to inflammation, which is not ideal for cancer prevention.
Choice B reason:
Scrambled eggs with roasted peppers and onions, lean ham, and toast provide a balanced meal with protein and vegetables. However, lean ham is a processed meat, which has been associated with an increased risk of cancer. While the vegetables offer beneficial nutrients, the presence of processed meat makes this option less ideal compared to the oatmeal choice.
Choice D reason:
Poached egg, bacon, biscuit, and canned peaches in light syrup include processed meats like bacon, which are linked to a higher risk of cancer. The biscuit is likely made from refined flour, which lacks the beneficial fiber found in whole grains. Canned peaches in light syrup contain added sugars, which can contribute to inflammation and are not recommended for cancer prevention.
Correct Answer is A
Explanation
Choice A reason:
Informing the client that oatmeal contains gluten is crucial because individuals with celiac disease must avoid gluten to prevent damage to their intestines. Oats are often contaminated with gluten during processing, making them unsafe for those with celiac disease unless they are specifically labeled gluten-free. This information is vital for the client to make safe dietary choices and avoid potential health complications.
Choice B reason:
Encouraging the client to choose decaffeinated coffee is beneficial but not the most critical action. While decaffeinated coffee can reduce caffeine intake, which might be helpful for some individuals, it does not address the immediate concern of gluten consumption. The primary focus should be on ensuring the client avoids gluten-containing foods to manage their celiac disease effectively.
Choice C reason:
Commending the client for selecting fat-free milk is positive reinforcement but not the most important action. Fat-free milk can be a healthy choice, but it does not directly impact the management of celiac disease. The nurse’s priority should be to inform the client about the potential gluten content in their meal to prevent any adverse reactions.
Choice D reason:
Advising the client that too much fruit can irritate the colon is relevant for individuals with certain digestive conditions, but it is not the primary concern for someone with celiac disease. The immediate priority is to ensure the client avoids gluten, which poses a direct risk to their health. Once gluten avoidance is addressed, other dietary considerations can be discussed.
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