A nurse is assisting a patient with hypothyroidism in meal planning. Which foods should the nurse suggest the patient add to their diet?

Whole grains

Poached eggs

Baked chicken

Fresh fruits .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Whole grains are a good source of energy and fiber, which can help regulate bowel movements and maintain a healthy weight. They also contain important nutrients like B vitamins, iron, folate, selenium, potassium, and magnesium, which are beneficial for overall health.
Choice B rationale

While poached eggs are a good source of protein, they do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice C rationale
Baked chicken is a good source of lean protein, but it does not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.
Choice D rationale
Fresh fruits are a good source of vitamins, minerals, and fiber. They are part of a healthy diet but do not have a specific benefit for hypothyroidism. It’s important for individuals with hypothyroidism to consume a balanced diet that includes a variety of foods.

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Correct Answer is B

Explanation

Choice A rationale
While a hiatal hernia can cause discomfort and other symptoms, it does not directly increase the risk for stomach cancer.
Choice B rationale
A hiatal hernia might increase your risk for Gastroesophageal Reflux Disease (GERD). This is because the hernia can cause the lower esophageal sphincter to malfunction, allowing stomach acid to flow back into the esophagus, which is the main cause of GERD1.
Choice C rationale

A hiatal hernia does not directly increase the risk for lung disease. However, if the hernia is large, it could potentially cause breathing difficulties or exacerbate existing respiratory conditions.
Choice D rationale
A hiatal hernia does not increase the risk for intestinal cancer. The hernia occurs in the diaphragm, which is separate from the intestines.

A. Document the bowel sounds as hypoactive B. Administer prescribed drugs for constipation C. Review dietary intake for the past 24 hours D. Continue to listen for at least another 60 seconds

Correct Answer is D

Explanation

Choice A rationale
Documenting the bowel sounds as hypoactive is not the most appropriate action. Hypoactive bowel sounds are fewer than three bowel sound events in a minute or none at all. However, the absence of bowel sounds does not necessarily mean they are hypoactive. It could be due to other reasons such as ileus.
Choice B rationale
Administering prescribed drugs for constipation is not the immediate course of action when the nurse doesn’t hear any gurgling while listening to bowel sounds. Constipation is a condition that can cause hypoactive bowel sounds, but it’s not the only reason for the absence of bowel sounds. The nurse should first confirm the absence of bowel sounds before considering this action.
Choice C rationale

Reviewing dietary intake for the past 24 hours is not the immediate course of action. While diet can affect bowel sounds, it’s not the first step when bowel sounds are not heard. The nurse should first confirm the absence of bowel sounds before considering this action.
Choice D rationale
The correct action when the nurse doesn’t hear any gurgling while listening to bowel sounds is to continue to listen for at least another 60 seconds. Bowel sounds are produced by the movement of fluid, gas, and contents through the intestines. An absence of bowel sounds for greater than two minutes may indicate that there is no peristalsis—which implies an ileus.
Therefore, the nurse should continue to listen for at least another 60 seconds to confirm the absence of bowel sounds.

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A nurse is assisting a patient with hypothyroidism in meal planning. Which foods should the nurse suggest the patient add to their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient in the primary care office who has a recent diagnosis of a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the patient?

Correct Answer is B

Explanation

The nurse doesn’t hear any gurgling while listening to bowel sounds. What should be the nurse’s next course of action?

Correct Answer is D

Explanation

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