A nurse is teaching a client who has Irritable bowel syndrome about dietary management. Which of the following menu choices by the client indicates an understanding of foods to select?
Whole wheat pasta
Strawberries
Rye toast
Brussels sprouts
The Correct Answer is B
A. Whole wheat pasta: Whole wheat products are high in insoluble fiber, which can exacerbate symptoms of irritable bowel syndrome (IBS) like bloating and cramping. Clients with IBS often tolerate soluble fiber better than insoluble fiber.
B. Strawberries: Strawberries are a low- (Fermentable Oligo-, Di-, Mono-saccharides And Polyols) FODMAP fruit and generally well tolerated in IBS. They contain soluble fiber, which can help regulate bowel movements without worsening gas or bloating, making them a suitable choice.
C. Rye toast: Rye contains high levels of fructans, a type of fermentable carbohydrate that can trigger IBS symptoms such as gas, bloating, and discomfort, especially in clients sensitive to FODMAPs.
D. Brussels sprouts: These are known to cause gas and bloating due to their high content of fermentable carbohydrates. They are often poorly tolerated by individuals with IBS and should be limited or avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Assess the client for hypoglycemia: The client is receiving dextrose-containing fluids, which help maintain blood glucose levels. Hypoglycemia is not likely the cause of decreased urine output in this context and is not the priority assessment.
B. Administer a bolus of the IV fluid: Providing a fluid bolus without first assessing fluid status may lead to fluid overload, especially if the client is already retaining fluids. This action should only follow appropriate clinical assessment.
C. Assess the client's lung sounds: Decreased urine output may signal fluid retention or early fluid overload. Assessing lung sounds is critical to detect crackles or other signs of pulmonary congestion, which can indicate complications from IV fluid administration.
D. Administer furosemide 10 mg PO: Administering a diuretic without evaluating the client's fluid balance and lung sounds can be unsafe. This decision requires a provider's orderand should follow a thorough assessment of the client’s volume status.
Correct Answer is C
Explanation
A. “They will remove a small piece of my placenta during this test." This describes chorionic villus sampling (CVS), which involves obtaining placental tissue to test for genetic conditions. It is an invasive procedure and is not part of a quadruple marker screen.
B. "I may have cramping after they remove a small amount of amniotic fluid." This refers to amniocentesis, a separate diagnostic procedure used to detect chromosomal abnormalities or fetal infections. It is not how a quadruple marker screen is performed.
C. “I will need to go to the laboratory to have blood drawn for this test." The quadruple marker screen is a noninvasive blood test that analyzes four substances in the maternal serum to assess risk for fetal chromosomal abnormalities and neural tube defects.
D. “They will take a sample of my baby's blood from the umbilical cord." This refers to percutaneous umbilical blood sampling (PUBS), a diagnostic test used later in pregnancy. It is invasive and unrelated to the routine quadruple marker screen.
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