A nurse is completing discharge teaching with a patient who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include?
Limit fluid intake to 1L each day.
Keep a food diary to identify triggers.
Plan three moderate to large meals per day.
Consume 12 to 20g of fiber daily.
The Correct Answer is B
Choice A rationale
Limiting fluid intake to 1L each day is generally not recommended for individuals with irritable bowel syndrome (IBS) unless specifically indicated due to other co-existing conditions. Adequate hydration is important for overall health and can help prevent constipation, a common symptom of IBS. General recommendations for fluid intake are around 2-3 liters per day, depending on individual needs and activity levels.
Choice B rationale
Keeping a food diary is a valuable strategy for individuals with irritable bowel syndrome (IBS) to identify specific food triggers that exacerbate their symptoms such as abdominal pain, bloating, diarrhea, or constipation. By meticulously recording food intake and associated symptoms, patients can often discern patterns and work with healthcare providers to develop an individualized dietary management plan.
Choice C rationale
Planning three moderate to large meals per day might not be suitable for all individuals with irritable bowel syndrome (IBS). Some people with IBS find that smaller, more frequent meals are better tolerated as large meals can distend the bowel and trigger symptoms. Individual responses to meal size and frequency can vary significantly.
Choice D rationale
While fiber is generally beneficial for bowel regularity, a blanket recommendation of 12 to 20g of fiber daily might not be appropriate for all individuals with irritable bowel syndrome (IBS). For some individuals, particularly those with diarrhea-predominant IBS, increasing fiber intake too quickly or consuming certain types of high-fiber foods can worsen their symptoms. Fiber intake should be individualized and often increased gradually.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Bending at the waist increases intraocular pressure, which can disrupt the healing process after cataract extraction and potentially lead to complications such as wound dehiscence or bleeding. Clients are typically advised to keep their head straight and bend at the knees to pick up objects.
Choice B rationale
Avoiding lifting heavy objects is crucial to prevent increased intraocular pressure after cataract surgery. Lifting anything heavier than 4.5 kg (10 lb) can strain the eye and interfere with healing. This restriction typically lasts for several weeks to allow the surgical site to heal properly.
Choice C rationale
White drainage from the eyelids after cataract surgery is an abnormal finding that could indicate an infection, such as endophthalmitis. Prompt notification of the surgeon is essential for timely diagnosis and treatment to prevent potentially serious vision-threatening complications.
Choice D rationale
Sleeping on the abdomen puts direct pressure on the operated eye, which can disrupt the surgical site and impede healing. Clients are usually advised to sleep on their back or on the non-operative side to avoid any pressure on the healing eye. .
Correct Answer is D
Explanation
Choice A rationale
Stretching exercises primarily improve flexibility and range of motion by elongating muscles and connective tissues. While beneficial for overall fitness, they do not directly address bone density loss, which is the primary concern in osteoporosis. Osteoporosis requires weight-bearing activities to stimulate bone formation.
Choice B rationale
Riding a bicycle is a low-impact aerobic exercise that improves cardiovascular health and muscle strength. However, because it is non-weight-bearing, it does not provide the mechanical stress necessary to promote bone density and is therefore not the most effective exercise for osteoporosis management.
Choice C rationale
High-impact aerobics, such as jumping and running, can increase the risk of fractures in individuals with osteoporosis due to the stress placed on weakened bones. These types of exercises should generally be avoided to prevent injury.
Choice D rationale
Walking briskly is a weight-bearing exercise that applies moderate stress to the bones, stimulating osteoblast activity and promoting bone density. Regular brisk walking can help slow bone loss and reduce the risk of fractures in older adults with osteoporosis.
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