A nurse is caring for a client who has ulcerative colitis and was admitted to the medical-surgical unit for management of diarrhea. Which of the following food items should the nurse select for the client's breakfast tray?
Poached egg
Fresh peaches
Whole grain toast.
Oatmeal
The Correct Answer is A
Rationale:
A. Poached egg: A poached egg is a good choice for a client with ulcerative colitis as it is easy to digest and does not irritate the gastrointestinal tract. Eggs provide protein without the fiber that could exacerbate diarrhea.
B. Fresh peaches: Fresh peaches are high in fiber, which can aggravate diarrhea in clients with ulcerative colitis. Clients should avoid high-fiber fruits, especially during flare-ups.
C. Whole grain toast: Whole grain toast contains a high amount of fiber, which may irritate the intestines and worsen diarrhea. A low-fiber diet is typically recommended during flare-ups of ulcerative colitis.
D. Oatmeal: Oatmeal is high in fiber, which can be problematic for clients with ulcerative colitis, especially during episodes of diarrhea. It can irritate the digestive system and increase discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. "Drink a glass of milk with each meal." While milk can be a good source of calcium and protein, it may increase mucus production, which can be uncomfortable for clients with COPD or increase the work of breathing.
B. "Plan to include high-protein foods in each of your meals. "High-protein foods are essential for clients with COPD, as they help maintain muscle mass, support immune function, and prevent weight loss. These benefits are important for COPD patients, who may experience increased energy expenditure due to labored breathing.
C. "Increase your intake of vegetables such as broccoli and brussels sprouts." While vegetables are important, certain cruciferous vegetables like broccoli and brussels sprouts can cause gas and bloating, which can lead to discomfort for clients with COPD.
D. "Consume three large meals throughout the day." Clients with COPD may have difficulty consuming large meals due to breathlessness or early satiety. It is better to recommend smaller, more frequent meals to ensure adequate caloric intake.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Rationale:
- 1320 mL in the first hour The provider has prescribed 15 mL/kg/hr of 0.9% sodium chloride for the first hour. The client weighs 88 kg, so the calculation is 88 kg × 15 mL/kg = 1320 mL to be administered in the first hour.
- 880 mL in the subsequent hour: After the first hour, the rate is reduced to 10 mL/kg/hr. Using the same weight of 88 kg, the calculation for the next hour is 88 kg × 10 mL/kg = 880 mL to be administered in the second hour.
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