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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. EMAR (Electronic Medication Administration Record) is a documentation tool, not a communication method.
B. SOAP (Subjective, Objective, Assessment, Plan) is a documentation format, not specifically for verbal communication.
C. ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is a standardized communication technique designed to convey critical information clearly and efficiently, especially during telephone reporting.
D. CBE (Charting by Exception) is a documentation method focusing on deviations from norms, not a communication strategy.
Correct Answer is A
Explanation
A. Diuretics increase urine output, which can lead to decreased fluid volume (dehydration) and electrolyte imbalances. Teaching the client to monitor fluid intake and signs of dehydration is important.
B. Diuretics do not cause altered urinary elimination in the sense of retention; they actually increase elimination.
C. Altered skin integrity is not a direct concern related to diuretic use.
D. Urinary retention is unlikely with diuretic therapy, which promotes increased urine output.
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