The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses (2,500 mL) of fluids. What would the nurse tell the client to change?

Decrease amount of fluids.

Omit fruits if eating vegetables.

Decrease high-fiber foods.

Nothing: this is a good diet.

Answer and Explanation

The Correct Answer is D

A. Decreasing the amount of fluids is not appropriate. Adequate fluid intake (2,000–3,000 mL/day) is essential to help fiber work effectively in promoting bowel regularity.
B. Both fruits and vegetables provide important sources of fiber and nutrients; omitting one would reduce the nutritional value of the diet.
C. High-fiber foods are beneficial for digestive health, especially when paired with adequate fluid intake, as in this case.
D. Nothing needs to be changed — the client’s diet is well-balanced with high-fiber foods, fruits, vegetables, and sufficient fluid intake, all of which help maintain healthy bowel function.

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Correct Answer is C

Explanation

A. Notifying the provider only after surgery misses the opportunity to clarify and honor the client’s wishes beforehand.
B. Administering preoperative medications without addressing the client’s wishes could lead to ethical and legal issues.
C.The nurse should discuss and clarify the client’s wishes regarding resuscitation, document them clearly, and ensure the healthcare team is informed so that the client’s autonomy and advance directives are respected.
D. Verbally reporting to the OR supervisor is important but insufficient without proper documentation and discussion with the healthcare team and client.

A. When preparing to discharge the client home B. When documenting the care that was provided to a client whose condition recently deteriorated C. When transferring a client from the emergency department to the acute care unit D. When reporting to a client's family member or significant other

Correct Answer is C

Explanation

A. Discharge preparation involves teaching and planning, but ISBARR is not typically used.
B. Documentation uses standard medical record formats, not ISBARR.
C. ISBARR is designed for clear, structured communication between healthcare providers, especially during client handoffs like transferring from the emergency department to acute care.
D. Reporting to family uses a different communication style focused on support and explanation.

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The following foods are a part of a client's daily diet: high-fiber cereals, fruits, vegetables, ten 8-oz glasses (2,500 mL) of fluids. What would the nurse tell the client to change?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?

Correct Answer is C

Explanation

The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

Correct Answer is C

Explanation

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