What nutritional intervention is beneficial for older adults experiencing constipation?
Ensure adequate hydration and fiber intake
Increase intake of refined grains
Reduce dietary fiber intake
Consume more dairy products
The Correct Answer is A
A. Ensure adequate hydration and fiber intake: Adequate fluid intake softens stool, while dietary fiber increases stool bulk and promotes peristalsis. Together, they are first-line nutritional strategies for preventing and managing constipation in older adults.
B. Increase intake of refined grains: Refined grains lack fiber, which slows bowel transit and worsens constipation. Whole grains are preferred because they provide insoluble fiber that supports regular bowel movements.
C. Reduce dietary fiber intake: Lowering fiber intake would further impair bowel motility and stool formation, increasing the risk of constipation rather than alleviating it. Older adults typically require higher fiber intake unless contraindicated.
D. Consume more dairy products: Excess dairy, particularly cheese and whole milk, can contribute to constipation due to low fiber and high fat content. While dairy provides calcium and protein, it is not recommended as a constipation management strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Conjunctivitis: Conjunctivitis typically presents with redness, itching, tearing, and discharge. It does not cause sudden severe eye pain, halos around lights, or rapid vision loss, making it unlikely in this emergency scenario.
B. Acute angle-closure glaucoma: This is a medical emergency characterized by sudden severe eye pain, blurred vision, halos around lights, headache, nausea, and vomiting. It results from a rapid increase in intraocular pressure due to blocked aqueous humor drainage.
C. Dry eye syndrome: Dry eye causes burning, irritation, and a gritty sensation but does not lead to acute, severe pain or halos around lights. It is a chronic, uncomfortable condition rather than an acute emergency.
D. Cataract: Cataracts cause gradual, painless clouding of the lens that leads to blurry vision and glare. They do not present with sudden eye pain or acute onset of symptoms as seen in this case.
Correct Answer is C
Explanation
A. Providing the client with aggressive medical interventions: Aggressive interventions are not always appropriate in end-stage illness, as they may not improve quality of life. The nurse’s role focuses more on comfort, dignity, and supporting the client’s wellness.
B. Educating the client that wellness is dependent upon the absence of disease: Wellness does not mean the absence of disease, especially in terminal illness. Older and palliative care models emphasize wellness as the ability to maintain quality of life, comfort, and emotional well-being despite disease.
C. Providing nursing interventions that can help empower a client to achieve his highest level of wellness: This is correct because the nurse can support wellness through pain management, emotional support, spiritual care, and facilitating autonomy. Wellness in this context means maximizing comfort, meaning, and dignity even in the face of terminal illness.
D. It is not a real option for this client because he is terminally ill: Even in terminal illness, wellness is possible when the focus is shifted from cure to comfort and quality of life. To deny this possibility overlooks the holistic role of nursing in palliative care.
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