In collaboration with the registered dietitian nutritionist (RDN), which foods will the nurse teach a client who is taking a potassium-sparing diuretic to avoid or use cautiously? (Select all that apply)

Red meat.

Bread.

Citrus fruit.

Cereal.

Eggs.

Salt substitutes.

Answer and Explanation

Correct Answer : C,F

Choice A reason: Red meat is not high in potassium, so it’s safe with potassium-sparing diuretics. Citrus fruits, high in potassium, risk hyperkalemia, making this incorrect, as it’s not a food the nurse would teach the client to avoid or use cautiously.

Choice B reason: Bread has low potassium content and is safe with potassium-sparing diuretics. Salt substitutes containing potassium are riskier, making this incorrect, as it’s not a food the nurse would include in teaching for cautious use with the diuretic.

Choice C reason: Citrus fruits, like oranges, are high in potassium, risking hyperkalemia with potassium-sparing diuretics. This aligns with dietary teaching, making it a correct food the nurse would teach the client to avoid or use cautiously to prevent electrolyte imbalance.

Choice D reason: Cereal is generally low in potassium unless fortified, not requiring caution with potassium-sparing diuretics. Citrus fruits are a concern, making this incorrect, as it’s not a primary food the nurse would teach the client to limit in the diet.

Choice E reason: Eggs are low in potassium and safe with potassium-sparing diuretics. Salt substitutes pose a hyperkalemia risk, making this incorrect, as it’s not a food the nurse would include in teaching for cautious use in the client’s dietary plan.

Choice F reason: Salt substitutes often contain potassium chloride, increasing hyperkalemia risk with potassium-sparing diuretics. This aligns with dietary education, making it a correct item the nurse would teach the client to avoid or use cautiously to prevent complications.

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Correct Answer is B

Explanation

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.

A. Fever. B. Positive Cullen’s sign. C. Complaints of indigestion. D. Palpable mass in the left upper quadrant. E. Pain in the upper right quadrant after a fatty meal. F. Vague lower right quadrant abdominal discomfort. G. Pain in left upper abdominal quadrant.

Correct Answer is ["A","C","E"]

Explanation

Choice A reason: Fever is common in acute cholecystitis due to gallbladder inflammation or infection. This aligns with clinical assessment findings, making it a correct manifestation the nurse would expect in a client experiencing an acute episode of cholecystitis during evaluation.

Choice B reason: Positive Cullen’s sign indicates intra-abdominal bleeding, not cholecystitis, which causes right quadrant pain. Indigestion is typical, making this incorrect, as it’s unrelated to the nurse’s expected findings in a client with acute gallbladder inflammation.

Choice C reason: Indigestion, often with bloating or nausea, supports cholecystitis, as gallstones impair bile flow. This aligns with gastrointestinal assessment, making it a correct manifestation the nurse would identify in a client with an acute cholecystitis episode.

Choice D reason: A palpable mass in the left upper quadrant suggests spleen or gastric issues, not cholecystitis, which affects the right side. Right quadrant pain is correct, making this incorrect, as it doesn’t support the nurse’s diagnosis of acute cholecystitis.

Choice E reason: Pain in the upper right quadrant, especially after fatty meals, is classic in cholecystitis due to gallbladder contraction against obstruction. This aligns with clinical findings, making it a correct manifestation the nurse would expect in acute cholecystitis assessment.

Choice F reason: Vague lower right quadrant discomfort is more typical of appendicitis, not cholecystitis, which causes upper right pain. Fatty meal-related pain is correct, making this incorrect, as it doesn’t align with the nurse’s expected findings in cholecystitis.

Choice G reason: Left upper quadrant pain suggests pancreatic or gastric issues, not cholecystitis, which is right-sided. Right quadrant pain is typical, making this incorrect, as it doesn’t support the nurse’s assessment of acute cholecystitis in the client’s presentation.

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In collaboration with the registered dietitian nutritionist (RDN), which foods will the nurse teach a client who is taking a potassium-sparing diuretic to avoid or use cautiously? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations supports this diagnosis? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

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