A nurse is assisting with menu selections for a client who has recovered from the acute phase of diverticulitis. Which of the following foods should the nurse recommend?

Roast chicken with white rice

A poached egg with sliced tomatoes

Bean soup with steamed broccoli

Ham sandwich on white bread

Answer and Explanation

The Correct Answer is A

Choice A reason: Roast chicken with white rice is a low-fiber, easy-to-digest meal that is suitable for a client who has recovered from the acute phase of diverticulitis. A low-fiber diet can help reduce the stress on the colon and allow it to heal. White rice is a refined grain that has less fiber than whole grains, such as brown rice or quinoa12.

Choice B reason: A poached egg with sliced tomatoes is not a good choice for a client who has recovered from the acute phase of diverticulitis. Although eggs are a good source of protein and do not contain fiber, tomatoes are high in fiber and may irritate the colon. Tomatoes also have seeds, which were previously thought to cause problems for people with diverticular disease, but there is no evidence to support this. However, some people may still find them uncomfortable to eat13.

Choice C reason: Bean soup with steamed broccoli is not a good choice for a client who has recovered from the acute phase of diverticulitis. Beans and broccoli are both high in fiber and may cause gas, bloating, and cramping in the colon. A high-fiber diet is recommended for people with diverticulosis (the presence of pouches without inﬂammation) to prevent constipation and diverticulitis, but it should be avoided during or shortly after an episode of diverticulitis12.

Choice D reason: Ham sandwich on white bread is not a good choice for a client who has recovered from the acute phase of diverticulitis. Although white bread is low in fiber, ham is a processed meat that may increase the risk of developing diverticular disease. Research suggests that a diet high in red meat and processed meat may contribute to inﬂammation and infection of the pouches in the colon.

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Correct Answer is A

Explanation

Choice A: “I will feel shaky.” This is a correct statement, as shakiness is a common manifestation of hypoglycemia, which is a low blood glucose level. Hypoglycemia can cause the sympathetic nervous system to release adrenaline, which can cause tremors, nervousness, and anxiety.

Choice B: “My skin will be warm and moist.” This is an incorrect statement, as warm and moist skin is not a typical manifestation of hypoglycemia. Warm and moist skin can be a sign of hyperglycemia, which is a high blood glucose level. Hyperglycemia can cause dehydration, which can lead to sweating and ﬂushing.

Choice C: “I will be more thirsty than usual.” This is an incorrect statement, as thirst is not a typical manifestation of hypoglycemia. Thirst can be a sign of hyperglycemia, which can cause dehydration, as the body tries to ﬂush out excess glucose through urine.

Choice D: “My appetite will be decreased.” This is an incorrect statement, as decreased appetite is not a typical manifestation of hypoglycemia. Decreased appetite can be a sign of other conditions, such as nausea, infection, or depression. Hypoglycemia can cause increased hunger, as the body needs more glucose to function properly.

A. “My breath may have a fruity odor.” B. “My appetite will be decreased.” C. “I will be more thirsty than usual.” D. “I might experience blurry vision at times.”

Correct Answer is A

Explanation

Choice A reason: A fruity odor in the breath is a symptom of hyperglycemia, especially when it is severe and causes ketoacidosis. Ketoacidosis is a condition where the body produces ketones, which are acidic substances that result from the breakdown of fat for energy when there is not enough insulin or glucose available. Ketones can make the breath smell fruity or like nail polish remover.

Choice B reason: A decreased appetite is not a symptom of hyperglycemia. On the contrary, an increased appetite or hunger is a symptom of hyperglycemia, as the body tries to compensate for the lack of glucose in the cells by stimulating the hunger center in the brain.

Choice C reason: An increased thirst is a symptom of hyperglycemia, as the body tries to ﬂush out the excess glucose and ketones in the blood through urine. This leads to dehydration and thirst signals in the brain.

Choice D reason: A blurry vision at times is a symptom of hyperglycemia, as high blood glucose levels can cause swelling and damage to the lens of the eye, aﬀecting its ability to focus light properly. This can lead to temporary or permanent vision problems.

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A nurse is assisting with menu selections for a client who has recovered from the acute phase of diverticulitis. Which of the following foods should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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