After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client’s understanding. Which menu selection indicates that the client correctly understands the dietary teaching?

Ham sandwich on white bread, cup of applesauce, carbonated beverage.

Broiled chicken with brown rice, steamed broccoli, glass of apple juice.

Grilled cheese sandwich, small banana, cup of hot tea with lemon.

Baked tilapia, fresh green beans, cup of coffee with low-fat milk.

Answer and Explanation

The Correct Answer is B

Choice A reason: White bread and carbonated beverages may trigger IBS symptoms like bloating. Chicken, rice, and broccoli are low-irritant, making this incorrect, as it includes potential IBS triggers compared to the nurse’s teaching on a suitable diet for symptom management.

Choice B reason: Broiled chicken, brown rice, and steamed broccoli are low-irritant, high-fiber foods, with apple juice being IBS-friendly. This aligns with dietary recommendations for IBS, making it the correct menu selection showing the client’s understanding of the nurse’s teaching.

Choice C reason: Grilled cheese’s dairy and hot tea’s caffeine may exacerbate IBS symptoms. Chicken and rice are safer, making this incorrect, as it includes potential irritants compared to the nurse’s teaching on a diet that minimizes IBS symptom triggers for the client.

Choice D reason: Coffee, even with low-fat milk, is a known IBS trigger due to caffeine. Chicken, rice, and broccoli are better choices, making this incorrect, as it includes a stimulant that contradicts the nurse’s dietary teaching for managing irritable bowel syndrome effectively.

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Correct Answer is D

Explanation

Choice A reason: Hyperparathyroidism causes hypercalcemia, not hypocalcemia, by increasing calcium levels. Malnutrition in alcoholism depletes calcium, making this incorrect, as it’s the opposite condition compared to the nurse’s recognition of hypocalcemia risk in the client.

Choice B reason: NSAIDs don’t significantly affect calcium levels, unlike malnutrition, which depletes calcium stores. Alcoholism increases hypocalcemia risk, making this incorrect, as it’s not a primary risk factor compared to the nurse’s evaluation of the malnourished client.

Choice C reason: Tetracycline may bind calcium but is less likely to cause hypocalcemia than chronic malnutrition. Alcoholism is a stronger risk, making this incorrect, as it’s a minor factor compared to the nurse’s recognition of hypocalcemia risk in the elderly client.

Choice D reason: A 70-year-old with alcoholism and malnutrition has the greatest hypocalcemia risk due to poor dietary calcium and vitamin D absorption. This aligns with nutritional risk factors, making it the correct client the nurse would recognize as most at risk for hypocalcemia.

A. Serum glucose 120 mg/dL. B. White cell count 15,000/mm³. C. Skin is warm, dry, and flushed. D. Bleeding noted around venipuncture site.

Correct Answer is D

Explanation

Choice A reason: Serum glucose of 120 mg/dL is normal and not concerning in septic shock, where coagulopathy is critical. Bleeding at the venipuncture site suggests DIC, making this incorrect, as it’s less urgent than the nurse’s priority of addressing potential bleeding complications.

Choice B reason: A white cell count of 15,000/mm³ is expected in septic shock due to infection. Bleeding indicates coagulopathy, a severe complication, making this incorrect, as it’s a typical finding compared to the nurse’s concern for life-threatening bleeding in the client.

Choice C reason: Warm, dry, flushed skin is common in early septic shock’s hyperdynamic phase. Bleeding suggests disseminated intravascular coagulation, making this incorrect, as it’s less concerning than the nurse’s priority of addressing a potential coagulopathy in the septic shock client.

Choice D reason: Bleeding around the venipuncture site in septic shock suggests disseminated intravascular coagulation, a life-threatening complication. This aligns with critical care priorities, making it the correct observation most concerning to the nurse, requiring immediate intervention to address coagulopathy.

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After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client’s understanding. Which menu selection indicates that the client correctly understands the dietary teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client will the nurse recognize as having the greatest risk for development of hypocalcemia?

Correct Answer is D

Explanation

The critical care nurse cares for a client diagnosed with septic shock. Which observation MOST concerns the nurse?

Correct Answer is D

Explanation

Which actions are considered best practices for the nurse to use during the administration of parenteral potassium to a client with a serum potassium level of 1.9 mEq/L (mmol/L)? (Select all that apply)

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The nurse in the emergency department (ED) is assessing a client with anaphylactic shock. Which of the following findings would support a diagnosis of anaphylactic shock? (Select all that apply)

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A client returns to the unit immediately following a cardiac catheterization. Which action by the nurse is MOST important?