A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?

Puffed rice cereal

Tomato juice

Bran muffin

Cottage cheese

None

Answer and Explanation

The Correct Answer is C

Choice A reason: Puffed rice cereal lacks significant fiber, offering minimal bulk to stimulate peristalsis. It’s a poor choice for constipation relief, as it doesn’t soften stool or aid movement.

Choice B reason: Tomato juice provides hydration and some nutrients, but its low fiber content doesn’t effectively combat constipation. High-fiber foods are needed to increase stool bulk instead.

Choice C reason: Bran muffins are high in insoluble fiber, adding bulk and water to stool, promoting bowel movements. This choice reflects understanding of constipation management through diet.

Choice D reason: Cottage cheese is low in fiber, offering protein but no relief for constipation. It doesn’t enhance intestinal motility or stool consistency, making it an ineffective option.

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Correct Answer is C

Explanation

Choice A reason: Brewed green tea has 25-40 mg caffeine per 8 oz, from tea leaves’ natural stimulants. It exceeds cocoa, making it a higher-caffeine choice.

Choice B reason: Cola soft drinks contain 30-50 mg caffeine per 8 oz, added artificially. This surpasses cocoa’s level, placing it higher in caffeine content.

Choice C reason: Hot cocoa has 5-15 mg caffeine per 8 oz, naturally low from cocoa beans. It’s the least caffeinated option among these beverages.

Choice D reason: Instant coffee delivers 60-100 mg caffeine per 8 oz, concentrated from coffee grounds. It’s far higher than cocoa, unsuitable for reduction.

A. Ask the facility chaplain to visit the client. B. Discuss alternative treatment methods with the client. C. Support the client's decision to stop the treatment. D. Tell the client she should discuss this decision with her family.

Correct Answer is C

Explanation

Choice A reason: A chaplain offers spiritual support, but it’s not the nurse’s primary role. Autonomy in end-stage kidney disease takes precedence over initiating such visits.

Choice B reason: Alternatives don’t apply post-decision in end-stage disease; dialysis cessation reflects prognosis acceptance. Discussing them now dismisses the client’s informed choice.

Choice C reason: Supporting the decision respects autonomy in end-stage kidney disease. It aligns with palliative care, honoring the client’s right to refuse treatment.

Choice D reason: Suggesting family discussion undermines autonomy, adding pressure. In terminal illness, the client’s choice to stop dialysis should be respected directly.

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A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client that 240 mL (8 oz) of which of the following beverages contains the least amount of caffeine?

Correct Answer is C

Explanation

A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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