A nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective?
Client has soft, formed bowel movements.
The client's mucous membranes are pink.
The client reports the ability to complete ADLs.
The client's blood glucose level is within the expected reference range.
The Correct Answer is A
Choice A rationale:
Soft, formed bowel movements indicate effective probiotic therapy. Probiotics are live microorganisms that confer health benefits when consumed in adequate amounts. They can promote gut health and regular bowel movements by restoring the balance of intestinal flora. The presence of soft, formed stools suggests that the probiotics are aiding in digestion and maintaining a healthy gut environment.
Choice B rationale:
The pinkness of mucous membranes is not a direct indicator of the effectiveness of probiotic therapy. While probiotics can have systemic effects on the body, such as enhancing the immune system, mucous membrane color is more influenced by factors like oxygenation and hydration status.
Choice C rationale:
The ability to complete activities of daily living (ADLs) is not a specific marker of the effectiveness of probiotic therapy. Probiotics primarily impact gastrointestinal health and digestion. ADLs reflect a client's overall functional status, which can be influenced by various factors beyond probiotic use.
Choice D rationale:
Blood glucose level being within the expected reference range is not directly related to probiotic therapy. The question stem mentions that the client is receiving parenteral nutrition, which means they are likely not consuming food orally, reducing the impact of dietary factors on blood glucose levels. Blood glucose levels are more affected by factors like insulin administration and the body's glucose utilization.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Limiting protein intake (Choice A) is the correct recommendation for a client with a new diagnosis of chronic kidney disease. In chronic kidney disease, the kidneys have reduced filtration capacity, and excess protein intake can lead to the accumulation of waste products that the kidneys struggle to eliminate. Restricting protein intake helps reduce the strain on the kidneys and minimizes the buildup of waste.
Choice B rationale:
Increasing potassium intake (Choice B) is not a suitable recommendation for a client with chronic kidney disease. In fact, individuals with kidney disease often need to closely monitor and restrict their potassium intake because impaired kidney function can lead to hyperkalemia, a condition characterized by elevated levels of potassium in the blood.
Choice Drationale:
Increasing phosphorus intake (Choice D) is not a proper recommendation for a client with chronic kidney disease. Similar to potassium, individuals with kidney disease typically need to limit phosphorus intake because the kidneys play a role in regulating phosphorus levels in the body. Elevated phosphorus levels can lead to bone and cardiovascular complications.
Choice Crationale:
Limiting calcium intake (Choice C) might be relevant in specific cases, such as if a client has hypercalcemia, but it is not a common recommendation for all clients with chronic kidney disease. Calcium and phosphorus metabolism are closely linked, and imbalances in these minerals can have negative effects on bone health. Therefore, it's important to manage calcium and phosphorus intake together.
Correct Answer is B
Explanation
The correct answer is Choice B: Eggs.
Choice B rationale: Most influenza vaccines are manufactured using egg-based technology and contain trace amounts of egg proteins, such as ovalbumin. Individuals with egg allergies may potentially experience allergic reactions to these proteins. While current guidelines recommend that individuals with egg allergies can still receive the inactivated influenza vaccine under the supervision of a healthcare provider, it is crucial to screen for egg allergies to ensure appropriate precautions are taken during vaccine administration.
Choice A rationale: Although shellfish allergies can cause severe reactions in some individuals, they are not specifically associated with the production or components of the inactivated influenza vaccine. Therefore, inquiring about shellfish allergies would not directly help determine the risk of an adverse reaction to the influenza vaccine.
Choice C rationale: Citrus fruit allergies are not directly related to the components or production methods of the inactivated influenza vaccine. While it is essential to be aware of a patient's allergy history, asking about citrus fruit allergies would not be the most relevant question in this context.
Choice D rationale: Gelatin allergies may be relevant in the administration of certain vaccines, as some contain gelatin as a stabilizer. However, the primary allergenic component of concern in the inactivated influenza vaccine is egg protein, not gelatin. Therefore, asking about gelatin allergies would not be the priority when assessing potential allergic reactions to the influenza vaccine.
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