A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
Dried fruits
Dried peas
Eggs
Pasta
The Correct Answer is C
Choice A reason: Dried fruits
Dried fruits are generally high in fiber, which can be problematic for individuals with a colostomy, especially in the initial weeks following surgery. High-fiber foods can increase stool bulk and may cause blockages or discomfort. It is recommended to avoid high-fiber foods until the digestive system has adjusted and the healthcare provider gives the go-ahead to reintroduce them gradually.
Choice B reason: Dried peas
Dried peas, like other legumes, are also high in fiber and can cause gas and bloating. These symptoms can be particularly uncomfortable for individuals with a colostomy. Additionally, legumes can increase the risk of blockages in the stoma. Therefore, it is advisable to avoid dried peas and other high-fiber legumes until the digestive system has fully adjusted.
Choice C reason: Eggs
Eggs are an excellent food choice for individuals with a colostomy. They are high in protein, which is essential for wound healing and overall recovery. Eggs are also easy to digest and do not typically cause gas or bloating. Including eggs in the diet can help ensure that the client receives adequate nutrition without causing digestive discomfort.
Choice D reason: Pasta
Pasta, particularly refined pasta, is generally low in fiber and easy to digest, making it a suitable food choice for individuals with a colostomy. It provides a good source of carbohydrates, which are important for energy. However, it is essential to monitor portion sizes and avoid adding high-fat or high-fiber ingredients that could cause digestive issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Airborne
Airborne precautions are used for diseases that are transmitted through tiny airborne particles that can remain suspended in the air and be inhaled by others. Examples of diseases requiring airborne precautions include tuberculosis, measles, and chickenpox. These diseases can spread over long distances and through ventilation systems. Pertussis, however, is not transmitted via airborne particles but rather through larger respiratory droplets.
Choice B reason: Contact
Contact precautions are used for infections that are spread by direct or indirect contact with the patient or the patient’s environment. This includes infections like methicillin-resistant Staphylococcus aureus (MRSA) and Clostridioides difficile (C. diff). While contact precautions are important for preventing the spread of certain infections, pertussis is primarily spread through respiratory droplets, making droplet precautions more appropriate.
Choice C reason: Protective
Protective precautions, also known as reverse isolation, are used to protect immunocompromised patients from potential infections. This type of precaution is not intended to prevent the spread of infections from the patient to others but rather to protect the patient from external sources of infection. Examples include patients undergoing chemotherapy or those with severe immunodeficiency. Pertussis does not require protective precautions as it is not about protecting the patient from others.
Choice D reason: Droplet
Droplet precautions are the appropriate transmission-based precautions for pertussis. Pertussis, also known as whooping cough, is spread through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. These droplets can travel short distances and can infect others who are in close proximity. Droplet precautions include wearing a mask when within 3 feet of the patient, placing the patient in a private room if possible, and ensuring that the patient wears a mask if they need to be transported.
Correct Answer is A
Explanation
Choice A reason:
A sudden decrease in abdominal pain can indicate that the appendix has perforated. When the appendix bursts, the pressure is relieved, leading to a temporary reduction in pain. However, this is quickly followed by severe pain and signs of peritonitis, such as a rigid abdomen and high fever.
Choice B reason:
The absence of Rovsing’s sign is not a specific indicator of a perforated appendix. Rovsing’s sign is a clinical test used to diagnose appendicitis, where pain is elicited in the right lower quadrant when the left lower quadrant is palpated. Its absence does not necessarily indicate perforation.
Choice C reason:
A low-grade fever is a common symptom of appendicitis but does not specifically indicate perforation. A perforated appendix typically leads to a high fever due to the spread of infection within the abdomen.
Choice D reason:
A rigid abdomen is a sign of peritonitis, which can occur after the appendix has perforated. While this is an important symptom, the sudden decrease in pain followed by severe symptoms is more indicative of perforation.
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