A nurse is caring for a client who is receiving total parenteral therapy and is reporting diarrhea. Which of the following statements should the nurse make?

"You are experiencing gastric retention due to total parenteral therapy."

"You are not consuming enough dietary fiber."

"Your total parenteral therapy solution was too cold during administration."

"You have had inadequate fluid intake."

Answer and Explanation

The Correct Answer is C

A. "You are experiencing gastric retention due to total parenteral therapy.": Gastric retention is not a typical effect of TPN, which bypasses the gastrointestinal tract. Since nutrients are delivered directly into the bloodstream, it is unrelated to gastric motility or retention issues.
B. "You are not consuming enough dietary fiber.": Clients receiving total parenteral nutrition are usually not consuming food orally, so fiber intake is not relevant. Diarrhea in these clients is more likely linked to the composition or administration of the TPN solution.
C. "Your total parenteral therapy solution was too cold during administration.": Administering a cold TPN solution can irritate the gastrointestinal system and stimulate peristalsis, leading to diarrhea. Warming the solution to room temperature prior to administration can help prevent this adverse effect.
D. "You have had inadequate fluid intake.": TPN solutions contain fluids and electrolytes, and clients receiving them typically have carefully regulated intake. Dehydration is unlikely to be the cause of diarrhea in this context, and other factors should be considered first.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Limits red meat intake to two servings a month: Limiting red meat intake is a protective dietary behavior when it comes to cancer prevention. High consumption of red and processed meats has been linked to colorectal and other cancers. Two servings a month is relatively low and does not place the client at increased risk, but rather may help reduce cancer risk.
B. Eats six servings of whole grains daily: Whole grains contain dietary fiber, antioxidants, and phytochemicals that support digestive health and reduce inflammation, which may protect against certain cancers, particularly colorectal cancer. Eating six servings of whole grains daily is consistent with cancer-preventive nutritional guidelines.
C. Eats at least five servings of fruits and vegetables daily: Fruits and vegetables provide essential vitamins, minerals, fiber, and phytonutrients that have cancer-fighting properties. A daily intake of at least five servings supports immune function, cellular repair, and may reduce the risk of various types of cancer, including stomach and lung cancers.
D. Limits alcohol consumption to two drinks per day: Consuming up to two alcoholic drinks daily may still increase cancer risk, especially for breast, liver, esophageal, and colorectal cancers. The safest approach in cancer prevention is to avoid alcohol or limit it to no more than one drink per day for women.

A. The client has a creatinine level of 1.0 mg/dL (0.6 to 1.3 mg/dL). B. The client has a urine output of 35 mL/hr. C. The force of the client's urinary stream has improved. D. The client passes soft, brown stool.

Correct Answer is C

Explanation

A. The client has a creatinine level of 1.0 mg/dL (0.6 to 1.3 mg/dL). A normal creatinine level suggests adequate kidney function but does not directly reflect improvement in urinary flow or lower urinary tract symptoms caused by BPH. It is not a specific indicator of treatment success for this condition.
B. The client has a urine output of 35 mL/hr. This value is at the low end of normal urine output, but it does not confirm improvement in urinary obstruction or symptom relief. Effectiveness of BPH treatment is better assessed through changes in urinary flow and symptom resolution.
C. The force of the client's urinary stream has improved. Improved urinary stream indicates reduced urethral obstruction, which is a primary treatment goal in managing BPH. This finding reflects direct symptom relief and is a clear sign that treatment is effective.
D. The client passes soft, brown stool. Bowel movements are unrelated to the treatment outcomes for benign prostatic hyperplasia. While regular bowel function is important, it does not reflect improvement in urinary symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is receiving total parenteral therapy and is reporting diarrhea. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a nutritional assessment of a female client. Which of the following findings should indicate to the nurse that the client is at an increased risk for developing cancer?

Correct Answer is D

Explanation

A nurse is caring for a client who has benign prostatic hyperplasia. Which of the following findings indicates that the client's treatment has been effective?

Correct Answer is C

Explanation

A nurse is conducting a pressure injury risk assessment on a client. Which of the following findings places the client at the highest risk for skin breakdown?

A nurse is reviewing the laboratory results of a client who is taking warfarin and notes a decrease in the INR. The nurse should ask the client if they have recently increased their intake of which of the following foods?

A nurse is planning to administer total parenteral nutrition (TPN) to a client who is malnourished. Which of the following actions should the nurse plan to take? (Select all that apply.)

A nurse is providing teaching to a client who recently had a hemoglobin A1c level obtained. Which of the following statements should the nurse include in the teaching?

A nurse is providing teaching to an adolescent client who has cystic fibrosis and reports increased fatigue and weight loss. Which of the following Instructions should the nurse include in the teaching?

A nurse is planning care for a client who is to have a mechanically altered diet following a stroke. Which of the following foods should the nurse recommend to include in the client's diet? (Select all that apply.)

A nurse is teaching a client about protein. Which of the following foods should the nurse include in the teaching as a complete protein? (Select all that apply.)