A female client with hemorrhoids tells the nurse that she understands the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Encourage soft foods such as yogurt.

Confirm that these foods should be avoided.

Explain the benefits of a high fiber diet.

Suggest that the client also avoid fruit skins.

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

A. Refer the client to a dietitian for nutrition education:
This is incorrect. While a dietitian can provide valuable information about nutrition, referring the client at this point may not be effective because the client has expressed resistance to changing eating habits. The priority is to first explore the client’s concerns and address barriers to compliance before involving other resources.

B. Provide pamphlets about heart-healthy diet selections:
This is incorrect. Providing educational materials may be helpful, but it does not address the client’s emotional or psychological resistance to dietary changes. Simply giving pamphlets without engaging in a meaningful conversation may fail to motivate the client or address his reluctance.

C. Suggest exercise as an alternative to increase HDL levels:
This is incorrect. Exercise can help improve HDL (good cholesterol) levels, but it does not replace the need for dietary changes in managing elevated cholesterol levels. Suggesting exercise alone does not address the underlying issue of the client’s refusal to change his diet.

D. Discuss the client’s concerns about the change in diet:
This is correct. Engaging the client in a discussion about his concerns allows the nurse to understand the reasons for his resistance, such as fear of failure, lack of knowledge, or cultural preferences. By addressing these concerns, the nurse can build trust, provide tailored education, and motivate the client to consider small, achievable changes

A. Eat a high protein diet three times a day. B. Restrict sodium rich foods and excessive oral fluids. C. Follow low carbohydrate diet with low glycemic index foods. D. Avoid foods high in potassium.

Correct Answer is B

Explanation

- A) High protein diets are not typically recommended for patients with glomerulonephritis because they can increase the burden on the kidneys, which are already compromised by the disease.
- B) Restricting sodium-rich foods and excessive oral fluids can help manage fluid balance and blood pressure, which is crucial for patients with kidney issues, as their kidneys may not be able to effectively remove excess fluid from the body.
- C) While a low carbohydrate diet with low glycemic index foods may be beneficial for overall health, it is not specifically related to the dietary needs of a patient with glomerulonephritis.
- D) Although avoiding foods high in potassium may be necessary for some patients with advanced kidney disease, it is not a general recommendation for all patients with glomerulonephritis and should be personalized based on individual blood test results.

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A female client with hemorrhoids tells the nurse that she understands the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

Correct Answer is B

Explanation

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