A nurse is reinforcing teaching about measures to control odor with a client who has a new colostomy.
Which of the following foods should the nurse recommend the client include in their diet?
Eggs.
Asparagus.
Potatoes.
Dried beans.
The Correct Answer is C
Choice A rationale
Eggs are high in sulfur-containing amino acids such as methionine, which bacteria in the gut break down to produce hydrogen sulfide gas. This gas significantly contributes to odor in individuals with colostomies. Thus, eggs are not recommended for controlling odor.
Choice B rationale
Asparagus contains a compound known as asparagusic acid, which breaks down into sulfur-containing byproducts during digestion. These compounds are excreted and can lead to malodorous output in colostomy patients, making asparagus less suitable for controlling odor.
Choice C rationale
Potatoes are low in sulfur-containing compounds and high in fiber, which promotes healthy digestion and decreases gas formation. They are considered a low-odor food, making them ideal for inclusion in the diet of colostomy patients aiming to minimize odor.
Choice D rationale
Dried beans are rich in complex carbohydrates such as raffinose and stachyose that ferment in the large intestine. This fermentation process generates excessive gas, leading to increased odor in colostomy patients. Therefore, dried beans are not advisable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Scheduled bathroom trips promote bladder retraining by establishing a pattern, enhancing control in clients with urinary incontinence. Bladder retraining encourages the bladder to hold more urine over time by following a structured toileting schedule, reducing incontinence frequency.
Choice B rationale
Limiting fluids before bedtime minimally affects urinary incontinence and can lead to insufficient hydration, resulting in more concentrated urine, which may irritate the bladder and increase urgency sensations.
Choice C rationale
Coffee contains caffeine, a diuretic, and bladder irritant that exacerbates incontinence symptoms by stimulating bladder contractions and increasing urinary frequency. Limiting caffeine is recommended for such clients.
Choice D rationale
Indwelling catheters are not generally recommended for bladder management due to their risks, including urinary tract infections and mechanical irritation. Non-invasive approaches are preferred for long-term urinary incontinence management.
Correct Answer is C
Explanation
Choice A rationale
Setting the indoor temperature at 17°C (64°F) is too low for older adults, increasing their risk for hypothermia. A higher indoor temperature is recommended for safety.
Choice B rationale
Low-carbohydrate diets are not ideal in preventing hypothermia. Carbohydrates are essential for energy production and thermoregulation, especially in colder weather.
Choice C rationale
Covering the head is critical as significant heat loss occurs through the head. This practice helps conserve body heat during colder temperatures.
Choice D rationale
Wearing a single layer is insufficient for retaining body heat in winter. Layering clothing provides insulation by trapping warm air, which helps prevent hypothermia. .
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