A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Suggest that the client also avoid fruit skins.

Confirm that these foods should be avoided.

Encourage soft foods such as yogurt.

Explain the benefits of a high fiber diet.

Answer and Explanation

The Correct Answer is B

A.   Suggesting that the client also avoid fruit skins may not directly address the concern about nuts and seeds, potentially causing confusion.
B.   Confirming that these foods should be avoided validates the client's understanding and reinforces the importance of dietary modifications to prevent inflammation associated with hemorrhoids.
C.   Encouraging soft foods such as yogurt is beneficial for easing bowel movements, but it does not specifically address the need to avoid nuts and seeds.
D.   Explaining the benefits of a high fiber diet is important for overall bowel health, but it does not directly address the client's concern about avoiding specific foods that may aggravate
hemorrhoids.

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Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

A. "Be sure to drink sugar-free cranberry juice." B. "Excess cranberry juice can be constipating." C. "Drinking cranberry juice does not prevent infection." D. "Cranberries may increase the effect of insulin."

Correct Answer is A

Explanation

A. "Be sure to drink sugar-free cranberry juice." This is important advice for a client with diabetes because regular cranberry juice often contains high levels of added sugars, which can cause blood sugar levels to spike. Choosing sugar-free options helps manage blood glucose
levels more effectively.

B. "Excess cranberry juice can be constipating." Cranberry juice is not typically associated with causing constipation. This statement is less relevant to the client's concern about preventing urinary tract infections.
C. "Drinking cranberry juice does not prevent infection." While cranberry juice is not a guaranteed method to prevent UTIs, it is believed to help reduce the risk of infections by preventing bacteria from adhering to the urinary tract. Thus, this statement is partially incorrect.
D. "Cranberries may increase the effect of insulin." There is no substantial evidence to suggest that cranberries significantly alter the effect of insulin. This statement is not a typical concern associated with cranberry juice consumption.

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A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

Correct Answer is D

Explanation

A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

Correct Answer is A

Explanation

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

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The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

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