A nurse is teaching a young adult client who has a family history of colon cancer about dietary guidelines to help prevent the disease. Which of the following instructions should the nurse include in the teaching?

"Increase your intake of dietary calcium."

"Follow a low-residue diet."

"Limit fruit intake to 8 oz a day."

"Increase your intake of dietary fiber."

Answer and Explanation

The Correct Answer is D

A. "Increase your intake of dietary calcium." Increasing dietary calcium is recommended for overall health, including potential benefits for colon health. However, it is not the primary recommendation for preventing colon cancer.
B. "Follow a low-residue diet." A low-residue diet is not typically recommended for cancer prevention. It is used in specific situations, like managing inflammatory bowel disease or preparing for certain diagnostic tests.
C. "Limit fruit intake to 8 oz a day." Limiting fruit intake is not advised for cancer prevention. In fact, a diet rich in fruits and vegetables is generally recommended for reducing cancer risk.
D. "Increase your intake of dietary fiber." is a well-established recommendation for reducing the risk of colon cancer. Fiber helps to promote regular bowel movements and can aid in the prevention of cancerous lesions in the colon.

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Correct Answer is C

Explanation

A. Increase dietary intake of fats. While fats can help lubricate the intestines, increasing fat intake is not a primary recommendation for managing constipation. Focusing on fiber and fluid intake is more effective.
B. Reduce intake of fluids. Reducing fluid intake can worsen constipation. Adequate hydration is essential to soften stool and promote regular bowel movements.
C. Increase fiber gradually each day. Increasing fiber intake gradually helps prevent constipation. Fiber adds bulk to the stool and helps it move more easily through the digestive tract. A gradual increase prevents gas and bloating that can occur with a sudden high intake of fiber.
D. Reduce dietary intake of probiotics. Probiotics can actually aid in maintaining a healthy digestive system and can help with bowel regularity. Reducing them is not recommended for managing constipation.

A. "The client's postoperative antibiotic was administered." B. "The client's partner came to visit today." C. "At 2200, the client's IV fluid bag and tubing will need replacing." D. "Colonoscopy was performed 48 hours ago."

Correct Answer is C

Explanation

A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.

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A nurse is teaching a young adult client who has a family history of colon cancer about dietary guidelines to help prevent the disease. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who reports constipation. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

Correct Answer is C

Explanation

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