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 C

Explanation

A. The consumption of fruit and/or vegetables should total between 4 to 6 servings. The DASH diet actually recommends 4 to 5 servings each of fruits and vegetables per day, not combined. This statement indicates an incomplete understanding.
B. The consumption of dairy-based products should be eliminated from the diet. The DASH diet does not eliminate dairy products; instead, it recommends 2 to 3 servings of low-fat or fat-free dairy products daily.
C. The consumption of protein products should come from lean meats, nuts, and dried beans.

This is correct. The DASH diet emphasizes lean protein sources such as poultry, fish, nuts, and legumes, and limits red meat.
D. The consumption of bread products should be gluten-free. The DASH diet does not

specifically recommend gluten-free products unless the individual has a gluten intolerance or celiac disease. The focus is on whole grains rather than gluten-free.

A. The urine meter attached to the urinary drainage bag is completely full. B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. C. There is a large dependent loop in the client's urinary drainage tubing. D. Purulent drainage is present around the insertion site of the feeding tube.

Correct Answer is C

Explanation

A. The urine meter attached to the urinary drainage bag is completely full. While this observation requires attention, it does not pose an immediate risk to the client's safety. The nurse should
empty the urine meter promptly to prevent overflow.

B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. This rate of infusion is within the typical range for enteral feedings and does not indicate an immediate safety concern. However, the nurse should assess the client's tolerance to the feeding.
C. There is a large dependent loop in the client's urinary drainage tubing. A large dependent loop in the urinary drainage tubing can lead to urinary stasis and increase the risk of urinary tract
infections or catheter-associated complications. It requires immediate intervention to prevent complications.
D. Purulent drainage is present around the insertion site of the feeding tube. While purulent drainage indicates a potential infection at the insertion site, it may not require immediate
intervention unless the client exhibits signs of systemic infection such as fever or increased white blood cell count.

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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

The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?

Correct Answer is C

Explanation

When entering a client's room, the nurse observes that the unlicensed assistive personnel (UAP) has lowered the head of the bed to change the linens for a client who is bedfast. Which observation requires the most immediate intervention by the nurse?

Correct Answer is C

Explanation

The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client's gastric residual volume as 325 mL during each of two consecutive hourly measurements. Which assessment should the nurse complete before contacting the healthcare provider?

The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

The nurse is administering a client's medications through a feeding tube. One of the medications is an enteric-coated tablet. Which action would be best for the nurse to take?

The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

The nurse is conducting a nutritional class on foods that have been linked to help decrease the development of some forms of cancer. Which meal selection is the best choice to help reduce the risk of some cancers?

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