A nurse is reinforcing teaching with an older adult client who is on bed rest about foods high in dietary fiber. Which of the following food items should the nurse indicate is the best source of fiber?

Celery

Pears with skin

Canned pineapple

Mashed potatoes

Answer and Explanation

The Correct Answer is B

A.   Celery is a low-calorie vegetable that contains some fiber (about 1.6 grams per 100 grams). While it provides some fiber, there are other options with higher fiber content.

B.   Pears with their skin are an excellent source of dietary fiber. A medium-sized pear with skin provides about 5.5 grams of fiber. The skin of the pear is particularly rich in insoluble fiber, which aids in digestion and helps prevent constipation.
C.   Canned pineapple generally has lower fiber content compared to fresh fruits. Most of the fiber in pineapple comes from the fruit itself, and processing can reduce the fiber content. Therefore, canned pineapple is not as high in fiber compared to other options.
D.   Mashed potatoes, especially if they are peeled, are relatively low in fiber. They are primarily a starchy vegetable and do not provide significant amounts of dietary fiber unless consumed with the skin.

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Correct Answer is B

Explanation

A. Urinary frequency refers to the need to urinate more often than usual. It does not typically cause changes in the color, clarity, or odor of urine. It may be associated with conditions like urinary tract infections (UTIs) or other urinary issues but does not directly cause dark amber, cloudy, or foul-smelling urine.
B. A UTI is a common cause of changes in urine characteristics. Dark amber color can indicate concentrated urine due to dehydration or the presence of blood. Cloudiness suggests the presence of pus or bacteria, while an unpleasant odor can be due to bacterial growth. UTIs often cause these symptoms due to inflammation and infection of the urinary tract.
C. Urinary incontinence refers to involuntary loss of urine. It does not typically cause changes in the appearance or odor of urine unless it leads to urine pooling and subsequent bacterial growth, which could potentially cause odor. However, incontinence itself is not a direct cause of dark amber, cloudy urine with an unpleasant odor.
D. Urinary retention occurs when the bladder does not empty completely or at all. It can lead to concentrated urine (dark amber color) due to prolonged storage in the bladder. Cloudiness and an unpleasant odor can occur if there is bacterial growth in stagnant urine. Therefore, urinary retention can contribute to the observed urine characteristics.

A. "I will be certain to take enteric-coated medications." B. "I will empty my pouch when it becomes one third full." C. "I will change my entire pouch system at least weekly." D. "I will use caution when eating high fiber foods."

Correct Answer is A

Explanation

A. Enteric-coated medications are designed to dissolve in the small intestine rather than the stomach. This is important for ileostomy patients because medications that dissolve in the stomach may be poorly absorbed or can cause irritation to the stoma or the small intestine.
B. It's recommended to empty the ostomy pouch when it's about one-third to half full to prevent leakage or discomfort.
C. How often the pouch system needs to be changed can vary depending on individual factors such as skin sensitivity, output consistency, and the type of pouch system used. Generally, changing the pouch system every 3-7 days is recommended.
D. High fiber foods can increase stool output and gas production, which can be challenging for individuals with an ileostomy. However, fiber is important for overall digestive health, so moderation rather than avoidance is typically recommended.

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A nurse is reinforcing teaching with an older adult client who is on bed rest about foods high in dietary fiber. Which of the following food items should the nurse indicate is the best source of fiber?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about ileostomy care with a client. The nurse should recognize which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

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