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 B
Explanation
Choice A rationale
Oatmeal is not rich in vitamin C, which is needed to enhance the absorption of ferrous sulfate. While it provides fiber, its role in iron therapy is limited compared to vitamin C-rich options, which significantly improve iron solubility and uptake.
Choice B rationale
Raw oranges are an excellent source of vitamin C, which significantly enhances the absorption of non-heme iron like ferrous sulfate. Vitamin C reduces ferric iron to ferrous iron, promoting absorption in the duodenum, a critical factor in anemia management.
Choice C rationale
Baked potatoes contain minimal vitamin C compared to other food options like citrus fruits. While they have nutritional benefits, they do not significantly enhance iron absorption, making them less effective for optimizing ferrous sulfate therapy.
Choice D rationale
Cheese is calcium-rich, and calcium competes with iron for absorption in the gastrointestinal tract. Consuming calcium alongside ferrous sulfate can decrease its bioavailability, making cheese an unsuitable choice for improving iron absorption. .
Correct Answer is D
Explanation
Choice A rationale
Cottage cheese is a dairy product that is high in protein and calcium, but it can be difficult to digest when the gastrointestinal tract is recovering from diarrhea. Its lactose content can worsen diarrhea symptoms, especially in individuals with lactose intolerance. Including low-lactose or lactose-free foods is preferable during this phase of recovery to avoid irritation of the gastrointestinal lining.
Choice B rationale
Orange slices are acidic and contain high levels of vitamin C and citric acid, which can irritate the gastrointestinal mucosa in clients recovering from diarrhea. Additionally, the fructose content can exacerbate diarrhea in some individuals by promoting osmotic effects in the gut. It is important to focus on low-acid, easily digestible foods during recovery.
Choice C rationale
Bran cereal is rich in insoluble fiber, which increases stool bulk and can accelerate intestinal transit time. This property is beneficial for constipation but contraindicated in diarrhea recovery. High-fiber foods can irritate the bowel, hindering mucosal healing and prolonging symptoms, making this a poor dietary choice in this context.
Choice D rationale
Applesauce is low in insoluble fiber and high in soluble fiber, specifically pectin, which has binding properties that help to firm stools. It is gentle on the gastrointestinal tract and promotes healing by forming a protective barrier over the mucosa. The potassium content can also help replenish electrolytes lost during diarrhea, making it a suitable choice for recovery.
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