A nurse is providing dietary education about general nutritional guidelines to a group of older adult patients. Which of the following statements, if made by a patient, would indicate an understanding of the teaching?
“I will choose fortified foods containing vitamin B2.”.
“I will decrease my fluid intake.”.
“I will limit my intake of plant-based foods.”.
“I will decrease my daily intake of protein.”.
The Correct Answer is A
Choice A rationale
Choosing fortified foods containing vitamin B2 is a good practice. Vitamin B2, also known as riboflavin, is important for energy production and cellular function, and older adults may need more of this nutrient.
Choice B rationale
Decreasing fluid intake is not generally recommended for older adults. Adequate hydration is important for many body functions, including maintaining blood volume and preventing constipation.
Choice C rationale
Limiting intake of plant-based foods is not a healthy practice. Plant-based foods are rich in fiber, vitamins, and minerals, and they can help reduce the risk of chronic diseases.
Choice D rationale
Decreasing daily intake of protein is not generally recommended for older adults. Protein is essential for maintaining muscle mass, which tends to decrease with age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Bulging skin around the stoma can be a sign of a hernia, but it’s not uncommon in the early postoperative period. It should be monitored, but it’s not typically a cause for immediate concern.
Choice B rationale
A stoma that protrudes 2 cm (0.8 in) above the abdominal wall is considered normal. The stoma should protrude above the skin to prevent stool from coming into contact with the skin, which can cause irritation and breakdown.
Choice C rationale
A stoma that is moist and beefy red is a sign of a healthy stoma. This indicates that the stoma has a good blood supply and is not ischemic or necrotic.
Choice D rationale
No fecal output from the stoma 24 hours after surgery could indicate a blockage or other complication and should be reported to the provider immediately.
Correct Answer is B
Explanation
Choice A rationale
While an antiemetic might help with the vomiting, it would not address the underlying issue of not having a bowel movement for 4 days. Therefore, this choice is incorrect.
Choice B rationale
If the client has a nasogastric tube, checking its position would be a good first step. If the tube is not in the correct position, it could be causing or contributing to the client’s symptoms.
Therefore, this choice is correct.
Choice C rationale
Increasing the suction on a nasogastric tube might help if the tube is functioning correctly and the problem is related to stomach contents not being properly evacuated. However, it would not be the first step before checking the position of the tube. Therefore, this choice is incorrect.
Choice D rationale
Repositioning the nasogastric tube might be necessary if it’s not in the correct position, but this would not be the first step before checking its position. Therefore, this choice is incorrect.
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