A nurse is planning care for a client who practices Seventh-day Adventism. Which of the following dietary provisions should the nurse include in the plan of care?
Provide the client with a snack between lunch and dinner.
Offer the client hot tea at bedtime.
Ensure the client has a cup of coffee with every meal.
Offer the client water before and after meals.
The Correct Answer is A
A. Provide the client with a snack between lunch and dinner. Many Seventh-day Adventists follow a diet that emphasizes healthy eating and may include snacks between meals. It's important to accommodate their dietary habits, which often include vegetarianism and abstaining from caffeine.
B. Offer the client hot tea at bedtime. Many Seventh-day Adventists avoid caffeine, which includes most teas.
C. Ensure the client has a cup of coffee with every meal. Coffee contains caffeine, which is often avoided by Seventh-day Adventists.
D. Offer the client water before and after meals. While offering water is generally good practice, this option does not specifically address the dietary practices of Seventh-day Adventists.
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Correct Answer is B
Explanation
A. Potassium chloride 20 mEq oral every other day This statement does not contain any error-prone abbreviations.
B. Regular insulin 2U SQ before meals The abbreviation "U" for units can be mistaken for "0" or "4", leading to dosing errors. The correct term is "units".
C. Vancomycin 1 g IV piggyback every 8 hr This statement does not contain any error-prone abbreviations.
D. Ativan 0.5 mg IV every 2 hr as needed for anxiety This statement does not contain any error-prone abbreviations.
Correct Answer is C
Explanation
A. Increase dietary intake of fats. While fats can help lubricate the intestines, increasing fat intake is not a primary recommendation for managing constipation. Focusing on fiber and fluid intake is more effective.
B. Reduce intake of fluids. Reducing fluid intake can worsen constipation. Adequate hydration is essential to soften stool and promote regular bowel movements.
C. Increase fiber gradually each day. Increasing fiber intake gradually helps prevent constipation. Fiber adds bulk to the stool and helps it move more easily through the digestive tract. A gradual increase prevents gas and bloating that can occur with a sudden high intake of fiber.
D. Reduce dietary intake of probiotics. Probiotics can actually aid in maintaining a healthy digestive system and can help with bowel regularity. Reducing them is not recommended for managing constipation.
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