A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?
Grapes and walnut chicken salad sandwich on whole wheat bread. A healthy diet for the bowel should include foods high in bulk-forming fiber.
Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing
Broccoli and cheese soup with potato bread
Turkey and mashed potatoes with brown gravy
The Correct Answer is A
A. Grapes and walnut chicken salad sandwich on whole wheat bread. Whole wheat bread and grapes are rich in fiber, which promotes regular bowel movements and prevents constipation.
B. Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing. This meal lacks sufficient fiber. Cheese and eggs can contribute to constipation.
C. Broccoli and cheese soup with potato bread. While broccoli has fiber, the cheese and potato bread are low in fiber and may contribute to constipation.
D. Turkey and mashed potatoes with brown gravy. This meal is low in fiber, and gravy can be high in fat, which may slow digestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Take the medication with a full glass of water." Docusate is a stool softener that works best when taken with plenty of fluids.
B. "Expect abdominal pain with this medication." Docusate should not cause abdominal pain; if it does, it should be discontinued.
C. "Take this medication on an empty stomach." Docusate can be taken with or without food.
D. "Do not take this medication before bedtime." It is often recommended before bedtime to work overnight.
Correct Answer is A
Explanation
A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.
B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.
C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.
D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.
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