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. Delegation guidelines may be influenced by organizational policy but are often based on state nurse practice acts.
B. Medicare and Medicaid qualification criteria are defined at the federal level, not state.
C. Scope of practice differences between registered nurses and licensed practical nurses are established by state legislation, which regulates nursing practice within the state.
D. Medication administration processes can be guided by federal laws and facility policies but are also regulated by state laws; however, the clear differentiation of scope of practice is specifically legislated at the state level.

A. EMAR B. SOAP C. ISBAR D. CBE

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.

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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

Which aspect of nursing would most likely be defined by legislation at the state level?

Correct Answer is C

Explanation

The nurse notes that the blood glucose level of a client has increased and is planning to notify the health care provider by telephone. Which technique would be most appropriate for the nurse to use when communicating with the health care provider?

Correct Answer is C

Explanation

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