A nurse is providing information about maintaining a special diet with a client who has irritable bowel syndrome. Which of the following information should the nurse include?

Increase intake of dairy products.

Drink ten glasses of water each day.

Decrease daily fiber intake to 20 grams.

Encourage intake of clear carbonated fluids.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Increasing the intake of dairy products is not recommended for a client with irritable bowel syndrome (IBS) as dairy can exacerbate symptoms in some individuals, particularly if they are lactose intolerant.

Choice B rationale:

Drinking ten glasses of water each day is a helpful recommendation for clients with IBS. Staying hydrated can aid in digestion and help alleviate symptoms like constipation.

Choice C rationale:

Decreasing daily fiber intake to 20 grams is not advisable for IBS management. Adequate fiber intake is essential for maintaining bowel regularity and overall gut health. Instead, it is recommended to focus on soluble fiber and gradually increase fiber intake to avoid exacerbating symptoms.

Choice D rationale:

Encouraging the intake of clear carbonated fluids is not ideal for clients with IBS. Carbonated beverages can cause bloating and gas, potentially worsening symptoms in individuals with sensitive digestive systems. It is better to recommend non-carbonated, non-caffeinated fluids for hydration.

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Correct Answer is A

Explanation

Choice A rationale:

Administering phenytoin IV no faster than 100 mg/min is crucial to prevent adverse effects such as cardiovascular collapse or severe hypotension. Rapid administration of phenytoin can cause cardiac arrhythmias and should be avoided.

Choice B rationale:

Monitoring plasma phenytoin levels to establish the therapeutic range is a necessary action in managing the client's seizure disorder, but it does not pertain to the specific administration of phenytoin via intermittent bolus.

Choice C rationale:

Adding the medication to the existing IV solution is not appropriate for phenytoin administration. Phenytoin should be administered separately and not mixed with other IV solutions to maintain its stability and prevent interactions.

Choice D rationale:

Monitoring the client for hypertension is not directly related to the administration of phenytoin via intermittent bolus. Hypertension is not a common adverse effect of this medication. However, blood pressure should be monitored as part of routine care for any client on antiepileptic therapy.

A. Dispose of the client's feces and urine in a special container. B. Instruct visitors to limit the visit to 60 min each day. C. Keep the client's linens in the room until after removal of the radiation source. D. Keep one dosimeter badge available for the staff to share while caring for the client.

Correct Answer is A

Explanation

Dispose of the client's feces and urine in a special container.

Choice A rationale:

This is the correct choice. Brachytherapy involves the placement of a radiation source in or near the tumor. To minimize radiation exposure to others, the client's bodily fluids (feces and urine) should be considered radioactive and disposed of properly in a designated container.

Choice B rationale:

While limiting the time of visitors can be a good measure to reduce radiation exposure, it is not the priority intervention. The primary concern is proper handling and disposal of radioactive bodily fluids.

Choice C rationale:

Keeping the client's linens in the room until after removal of the radiation source is not the correct choice. Radioactive linens should be handled and laundered separately, following appropriate safety protocols.

Choice D rationale:

Providing one dosimeter badge for staff to share while caring for the client is not adequate. Each staff member involved in direct care should have their dosimeter badge to monitor their individual radiation exposure levels.

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A nurse is providing information about maintaining a special diet with a client who has irritable bowel syndrome. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is planning to administer phenytoin IV via intermittent bolus to a client who has a seizure disorder and is receiving a continuous IV infusion of dextrose 5% in water (D5W). Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is planning care for a client who is receiving brachytherapy. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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A nurse is providing information about maintaining a special diet with a client who has irritable bowel syndrome. Which of the following information should the nurse include?

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