The nurse teaches the client that fiber provides the bulk in the stools to allow for easier defecation. The nurse recognizes that teaching is effective when the client's menu choices include more:

white meats and breads.

red meats and milk.

fats and bran.

fruits and vegetables.

Answer and Explanation

The Correct Answer is D

A. White meats and breads: While white meats and breads may be part of a balanced diet, they do not contribute significant amounts of dietary fiber. White bread, in particular, is often lower in fiber compared to whole grain varieties.

B. Red meats and milk: Red meats and milk are good sources of protein and calcium but do not provide significant amounts of dietary fiber. While milk products contain some lactose, a type of sugar that may have a mild laxative effect in some individuals, they are not considered primary sources of fiber.

C. Fats and bran: While bran is a good source of dietary fiber, consuming excessive amounts of fats is not recommended for promoting regular bowel movements. While some fats may be necessary in the diet, they should be consumed in moderation.

D. Fruits and vegetables: This is the correct answer. Fruits and vegetables are rich sources of dietary fiber, including both soluble and insoluble fiber. Soluble fiber helps soften stools, while insoluble fiber adds bulk to the stool, facilitating easier defecation. Including a variety of fruits and vegetables in the diet can significantly increase fiber intake and promote regular bowel movements.

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Correct Answer is A

Explanation

A. Poor time management: This option is the correct answer. Poor time management occurs when a nurse fails to allocate sufficient time to complete essential nursing tasks, such as assessments and medication administration, due to excessive focus on non-priority activities, such as providing emotional and spiritual support. In this scenario, Nurse Z's inability to plan and allocate adequate time for essential nursing duties indicates poor time management skills.

B. Neglect: Neglect involves the failure to provide necessary care or attention to a client's needs, resulting in harm or potential harm. While Nurse Z's excessive focus on emotional and spiritual support may lead to neglect of other essential nursing responsibilities, the primary issue in this scenario is poor time management rather than deliberate neglect.

C. Fraud: Fraud involves intentional deception or misrepresentation for personal gain. There is no indication in the scenario that Nurse Z's actions involve deceit or manipulation for personal benefit, so fraud is not applicable in this context.

D. Intentional tort: Intentional torts involve deliberate actions that result in harm to another person. Nurse Z's failure to plan enough time for assessments and medication administration appears to stem from poor time management rather than intentional harm, so an intentional tort is not applicable in this scenario.

A. Daily weights, vital signs and fluid intake and output B. Monitoring temperature, fluid intake and output and administering IV fluids C. Auscultation of lung sounds. Monitoring urine color and placing an indwelling urinary catheter in the client D. Daily weights, diuretics and waist measurement

Correct Answer is A

Explanation

A. Daily weights, vital signs, and fluid intake and output: These are essential nursing assessments and interventions that can be implemented without a physician's order to monitor the client's fluid volume deficit and hypovolemia. Daily weights help assess changes in fluid status, vital signs provide information on the client's hemodynamic stability, and monitoring fluid intake and output helps track fluid balance.

B. Monitoring temperature, fluid intake and output, and administering IV fluids: While monitoring temperature and fluid intake and output are important aspects of nursing care, administering IV fluids typically requires a physician's order, especially in the context of hypovolemia. The nurse should collaborate with the healthcare team to determine the need for IV fluid therapy.

C. Auscultation of lung sounds, monitoring urine color, and placing an indwelling urinary catheter in the client: Auscultation of lung sounds and monitoring urine color are relevant assessments for fluid volume status, but placing an indwelling urinary catheter typically requires a physician's order unless there is a specific nursing protocol in place allowing nurses to insert catheters under certain circumstances.

D. Daily weights, diuretics, and waist measurement: While daily weights are appropriate for assessing fluid status, administering diuretics should be based on a physician's order and assessment findings. Waist measurement is not typically used to assess fluid volume deficit and hypovolemia.

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The nurse teaches the client that fiber provides the bulk in the stools to allow for easier defecation. The nurse recognizes that teaching is effective when the client's menu choices include more:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Nurse Z is extremely attentive to their client's emotional & spiritual needs. The nurse spends up to 45 minutes each day providing the psychosocial support. As a result, the nurse does not plan enough time to perform assessments or give medications on time. This nurse is liable for:

Correct Answer is A

Explanation

The nurse is caring for a client with a fluid volume deficit and hypovolemia. What actions can the nurse take without a physician's order?

Correct Answer is A

Explanation

A client is prescribed isotonic IV hydration for their current fluid balance problem. Which property of isotonic fluid replacement is essential for the nurse to understand?

A client who has a terminal illness asks the nurse, "Why is God punishing me?" Which would be the most appropriate action for the nurse to take?

The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

The nurse is concerned about a client's ability to withstand exposure to pathogens. What blood component should the nurse monitor?

The nurse assesses a client admitted with a history of vomiting and diarrhea for 5 days. Which laboratory value validates the symptoms of the client?

The nurse is caring for a client who has kidney disease. The client has urinated 250 mL over the past 24 hours. The nurse describes this urine output as:

The nurse makes an error while documenting in the client's chart. The nurse should:

Which position would be appropriate for the nurse to perform an abdominal assessment?