A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?

Fiber

Monounsaturated fats

Protein

Polyunsaturated fats

Answer and Explanation

The Correct Answer is A

A. Fiber

For a client with hypothyroidism, the nurse should reinforce the importance of increasing daily intake of fiber. Hypothyroidism can sometimes lead to constipation, and a diet rich in fiber can help alleviate this symptom.

B. Monounsaturated fats

While monounsaturated fats are considered heart-healthy and can be included in a balanced diet, they are not particularly emphasized or increased for clients with hypothyroidism.

C. Protein

Adequate protein intake is important for overall health, but there is no specific recommendation to increase protein intake solely because of hypothyroidism.

D. Polyunsaturated fats

Similar to monounsaturated fats, polyunsaturated fats are part of a healthy diet, but there is no specific emphasis on increasing their intake for clients with hypothyroidism.

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Correct Answer is B

Explanation

A. Offer to request a prescription for an indwelling urinary catheter.

Indwelling urinary catheters carry risks, including the risk of infection, and should not be used solely for the purpose of addressing the fear of falling. Catheter use should be based on medical necessity.

B. Keep a night light on in the client’s room.

This is the most appropriate action. Keeping a night light on can help the client navigate the new surroundings more safely and reduce the risk of falls due to disorientation.

C. Limit the client’s fluid intake in the evening.

Limiting fluid intake, especially in the absence of a medical indication, may lead to dehydration and is not the best solution for addressing the fear of falling.

D. Put the side rails up and tell the client to call for assistance to the bathroom.

While encouraging the client to call for assistance is important, putting all four side rails up can be considered a restraint. Restraints should be avoided whenever possible to promote mobility and independence. It's important to balance safety with maintaining the client's autonomy.

A. Instruct the client to tilt her head back when she swallows. B. Place food on the left side of the client’s mouth. C. Add thickener to fluids. D. Serve food at room temperature.

Correct Answer is C

Explanation

A. Instruct the client to tilt her head back when she swallows.

Tipping the head back during swallowing is not recommended, especially for individuals with dysphagia. It can increase the risk of aspiration, as it may interfere with the normal swallowing mechanism. The head should be kept in a neutral position during swallowing.

B. Place food on the left side of the client’s mouth.

Placing food on the side with weakness may lead to difficulty in chewing and increased risk of aspiration. The placement of food should be based on the individual's ability and preference, and it's important to consider the safety of swallowing.

C. Add thickener to fluids.

This is the correct choice. Adding thickener to fluids can help modify their consistency, making them easier to swallow and reducing the risk of aspiration. The appropriate thickness should be determined based on the individual's ability to swallow safely.

D. Serve food at room temperature.

While serving food at room temperature may be a preference for some individuals, it is not specifically addressing the safety concerns related to dysphagia and left-sided weakness. The focus should be on modifying food textures and consistencies to ensure safe swallowing.

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A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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