A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past 3 days and is now beginning solid foods. Which of the following foods should the nurse include in the plan of care?

Applesauce

Orange slices

Bran cereal

Cottage cheese

Answer and Explanation

The Correct Answer is A

A. "Applesauce.": Applesauce is part of the BRAT diet (bananas, rice, applesauce, toast), which is recommended for managing diarrhea due to its low fiber content and ease of digestion.
B. "Orange slices.": Oranges are acidic and high in fiber, which can irritate the gastrointestinal tract and worsen diarrhea.
C. "Bran cereal.": Bran is high in fiber and can increase bowel movements, exacerbating diarrhea.
D. "Cottage cheese.": Dairy products can worsen diarrhea, especially if lactose intolerance develops due to gastrointestinal irritation.

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Correct Answer is ["D","E","F"]

Explanation

A. Fluid intake: While fluid balance is important, there is no specific information indicating that changes in fluid intake are an indicator of the client’s condition improving in this context.
B. Temperature: The client's temperature has increased from 38.3°C (101°F) on Day 1 to 39.2°C (102.5°F) on Day 4. An increase in temperature indicates a possible infection or ongoing inflammation and does not suggest an improvement in the client’s condition.
C. Wound findings: There are no documented wound findings in the given notes. Thus, wound findings are not applicable in determining whether the client’s condition has improved in this scenario.
D. Pain level: The client's pain level has decreased from 7 to 3, indicating improvement.
E. Report of nausea: The client reports feeling less nauseous and has not vomited since yesterday, which is a sign of improvement.
F. Bowel sounds: The bowel sounds are more regular and less high-pitched, suggesting improvement in gastrointestinal function.

A. "Plan to hire a home care aid to perform all of your ADLs. B. "You will not become fatigued when you use assistive devices. C. "Install grab bars in your shower to assist with your balance. D. "Place a towel in the shower to prevent slipping.

Correct Answer is C

Explanation

A. "Plan to hire a home care aide to perform all of your ADLs.": Encouraging independence is vital for rehabilitation. Assistance should be provided only as needed.
B. "You will not become fatigued when you use assistive devices.": Using assistive devices can still be tiring; clients should be informed to take frequent breaks.
C. "Install grab bars in your shower to assist with your balance." Grab bars are essential for safety, as clients who have a CVA may have weakness or poor balance, increasing the risk of falls.
D. "Place a towel in the shower to prevent slipping.": Towels in the shower are not safe and can increase the risk of slipping. A non slip mat is a better alternative.

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A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past 3 days and is now beginning solid foods. Which of the following foods should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse continues to assist with the care of the client. Exhibits Which of the following findings indicates that the client's condition has improved? Select all that apply.

Correct Answer is ["D","E","F"]

Explanation

A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their ADLS. Which of the following statements should the nurse provide?

Correct Answer is C

Explanation

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