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 C

Explanation

A. "Cervical cancer screenings should begin at age 40.": Screenings start at age 21, not 40.
B. "Plan to continue cervical cancer screenings for the rest of your life.": Screenings can stop after age 65 if the client has had adequate prior screening and no high-risk factors.
C. "You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years.": Current guidelines recommend Pap and HPV co-testing every 5 years for women aged 30–65.
D. "If you are immunized against human papillomavirus, you don't need cervical cancer screenings.": HPV vaccination reduces risk but does not eliminate the need for routine screening.

A. Empty the pouch when it is 1/3 to 1/2 full. B. Use a standard enema set to irrigate the colostomy. C. Cleanse the skin surrounding the stoma with moisturizing soap. D. Cut the opening in the skin barrier 1/4 inch larger than the stoma.

Correct Answer is A

Explanation

A. Empty the pouch when it is 1/3 to 1/2 full: This prevents the weight of the pouch from causing leaks or pulling on the stoma.
B. Use a standard enema set to irrigate the colostomy: This is incorrect as a standard enema set is not typically used. Colostomy irrigation requires specific equipment and is not performed routinely.
C. Cleanse the skin surrounding the stoma with moisturizing soap: Moisturizing soap can leave a residue that interferes with adhesive barriers. Mild, non-moisturizing soap or just water should be used.
D. Cut the opening in the skin barrier 1/4 inch larger than the stoma: The opening should fit closely to the stoma to protect the surrounding skin from irritation and leakage.

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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

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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