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 D
Explanation
Choice A rationale:
The statement "Meal replacement shakes can cause weight gain" is incorrect. Meal replacement shakes are designed to provide controlled portions of nutrients and can be helpful for weight management when used appropriately.
Choice B rationale:
While having a substantial breakfast can be beneficial for weight management, there's no hard and fast rule that it should be the biggest meal of the day. The timing and distribution of meals can vary based on individual preferences and lifestyles.
Choice C rationale:
Setting a weight loss goal of 2.5 pounds per week might be too aggressive for most individuals. A safe and sustainable rate of weight loss is generally around 1-2 pounds per week. Rapid weight loss can lead to muscle loss and other health issues.
Choice D rationale:
"Make sure to drink water with your meals" is a valid statement. Drinking water with meals can help promote satiety and control portion sizes. Additionally, staying hydrated is essential for overall health and can support weight loss efforts by reducing the likelihood of mistaking thirst for hunger.
Correct Answer is C
Explanation
Choice A rationale:
Cucumbers Cucumbers are not relevant to the client's medication regimen. There is no specific interaction between cucumbers and digoxin or furosemide that would require their consumption or avoidance.
Choice B rationale:
Blueberries Similarly, blueberries do not have any specific interaction with digoxin or furosemide. They are not a necessary or contraindicated food item for this client.
Choice C rationale:
Bananas The nurse should instruct the client to consume bananas. Bananas are a good dietary source of potassium. Furosemide is a loop diuretic that can cause potassium depletion, so it's important for the client to maintain adequate potassium levels. Digoxin can also affect potassium levels, potentially leading to an increased risk of digoxin toxicity if potassium is too low. Including potassium-rich foods like bananas can help mitigate these risks and maintain proper electrolyte balance.
Choice D rationale:
Green beans While green beans are a nutritious vegetable, they do not have a direct relevance to the client's medication regimen. They are not specifically indicated or contraindicated in the context of digoxin and furosemide use.
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