While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

Avoid foods high in acid to avoid metabolic acidosis.

Include a serving of dairy in each meal to elevate calcium levels.

Drink plenty of fluids throughout the day to stay hydrated.

Reduce the quantity of carbohydrates ingested to lower blood sugar.

Answer and Explanation

The Correct Answer is C

A. While metabolic acidosis is a potential concern for some diabetic conditions, avoiding acidic foods is not a common dietary guideline for managing diabetes.
B. Including dairy can contribute to calcium intake but does not directly impact diabetes management.
C. Staying hydrated is essential for overall health and helps regulate blood sugar levels, making it an appropriate dietary recommendation for this patient.
D. Since the patient does not require insulin, strict carbohydrate reduction may not be necessary, making this option less relevant.

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Correct Answer is D

Explanation

A. Assessment has already been completed as the initial step, involving data collection.
B. Diagnosis is also completed, involving analysis and identification of the patient’s health problems.
C. Implementation occurs after planning, when nursing interventions are executed.
D. Planning is the appropriate next step, involving the creation of specific, measurable goals and interventions based on the identified nursing diagnoses.

A. Contact the health care provider to discontinue pain medication. B. Massage the patient's abdomen. C. Use a laxative. D. Administer enemas twice daily for 7 days.

Correct Answer is C

Explanation

A. Discontinuing pain medication may not be appropriate, as it can lead to inadequate pain management for the patient. Pain management is crucial for terminally ill patients.
B. While abdominal massage may help relieve mild constipation, it is not a reliable primary intervention for more severe constipation caused by medication.
C. Laxatives are commonly prescribed for constipation related to pain medication and are an effective method to promote bowel movements, making this the best choice.
D. Administering enemas twice daily can be excessive and may cause discomfort or lead to dependency, making this option less favorable than using laxatives.

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While the nurse is taking a patient history, the nurse discovers the patient has a type of diabetes that results from a head injury and does not require insulin. Which dietary change should the nurse share with the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing diagnoses. Which step will the nurse take next in the nursing process?

Correct Answer is D

Explanation

A terminally ill patient is experiencing constipation secondary to pain medication. Which is the best method for the nurse to improve the patient's constipation problem?

Correct Answer is C

Explanation

A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?

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Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?

Which determination is the nurse trying to achieve by monitoring a patient's cardiac output?

A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?

A patient's heart rate increased from 94 to 164 beats/min. What will the nurse expect as a result?

A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?