A nurse is caring for a client who received radiation therapy to the pelvic area. The client is experiencing chronic diarrhea. Which of the following actions should the nurse take?
"Provide sugar-free candy for the client between meals."
"Recommend that the client eliminate the intake of carbonated beverages."
"Instruct the client to increase consumption of beans."
"Encourage the client to drink 4 oz of milk after each loose stool."
The Correct Answer is B
Choice A rationale:
Providing sugar-free candy is not an appropriate action for managing chronic diarrhea. Sugar-free candy may contain artificial sweeteners, which could worsen diarrhea or have other gastrointestinal effects. Additionally, candy doesn't address the underlying cause of chronic diarrhea.
Choice B rationale:
Recommending that the client eliminate the intake of carbonated beverages is the correct choice. Carbonated beverages, especially those with added sugars or artificial sweeteners, can contribute to gastrointestinal irritation and exacerbate diarrhea. Avoiding these drinks can help reduce symptoms and promote better digestion.
Choice C rationale:
Instructing the client to increase the consumption of beans is not advisable. Beans are known to cause gas and bloating in some individuals, which could further worsen the client's symptoms of chronic diarrhea. Increasing bean consumption might aggravate gastrointestinal distress.
Choice D rationale:
Encouraging the client to drink 4 oz of milk after each loose stool is not a suitable approach. Milk, particularly in larger quantities, can have a laxative effect in some individuals, potentially worsening the diarrhea. This suggestion could lead to increased discomfort for the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Diluting juice with 50 percent water to supplement between feedings is not recommended for newborns. Newborns should primarily be receiving breast milk or formula to ensure proper nutrition. Offering diluted juice can lead to inadequate intake of essential nutrients and unnecessary exposure to sugar. It's important for the newborn's diet to be appropriate for their stage of development.
Choice B rationale:
Beginning and ending with the same breast during feeding sessions promotes effective breastfeeding and adequate milk supply. This approach ensures that the baby receives both the foremilk (low-fat milk that comes at the beginning of a feeding) and hindmilk (higher-fat milk that comes later in a feeding), which is important for proper nutrition and growth. This choice demonstrates an understanding of the principles of breastfeeding.
Choice C rationale:
Feeding the baby on demand at least eight times each day is a suitable recommendation. Newborns have small stomachs and need frequent feedings to meet their nutritional needs and support healthy growth. Feeding on demand helps establish a good milk supply and ensures that the baby gets enough milk to thrive.
Choice D rationale:
Using pumped breast milk within 72 hours of refrigeration is a correct statement. Breast milk can be refrigerated for a limited time while maintaining its nutritional quality. Using pumped milk within 72 hours helps minimize the risk of bacterial growth and ensures that the baby receives milk that's still rich in nutrients and antibodies.
Correct Answer is D
Explanation
Choice A rationale:
1 cup cooked green peppers. Green peppers are a good source of vitamin C but do not contain a significant amount of folate. Folate is important for preventing neural tube defects in a developing fetus.
Choice B rationale:
1 cup mashed potatoes. While potatoes contain some folate, especially in their skins, they do not have as high an amount as other options. Additionally, mashed potatoes may not retain all of their folate content after cooking and preparation.
Choice C rationale:
1 cup cooked carrots. Carrots are not a substantial source of folate. They are more known for their beta-carotene content, which is converted into vitamin A in the body.
Choice D rationale:
1 cup cooked lentils. Lentils are an excellent source of folate, providing a substantial amount per serving. Folate is essential for preventing neural tube defects in the early stages of pregnancy. Including folate-rich foods like lentils in the diet can be highly beneficial for individuals planning to become pregnant.
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