Nokea
A low-residue diet is ordered for a client. Which food would be contraindicated for this person?
- A. Roast beef
- B. Fresh peas
- C. Mashed potatoes
- D. Baked chicken
Correct Answer: B
Rationale: Fresh peas are high in residue due to their fiber content, contraindicated for a low-residue diet. Roast beef, mashed potatoes, and baked chicken are low-residue.
You may also like to solve these questions
The clinic nurse is returning client calls. Which client should the nurse call first?
- A. The 39-year-old client complaining of headache pain with a 3 on the pain scale.
- B. The 45-year-old client who needs a prescription refill for warfarin.
- C. The 54-year-old client diagnosed with diabetes type 1 who has been vomiting.
- D. The 60-year-old client who cannot afford to buy food and needs assistance.
Correct Answer: C
Rationale: Vomiting in a type 1 diabetic risks diabetic ketoacidosis, a medical emergency, requiring immediate attention. Headache, warfarin refill, and food insecurity are less urgent.
The client developed a paralytic ileus after abdominal surgery. Which intervention should the nurse include in the plan of care?
- A. Administer a laxative of choice.
- B. Encourage the client to increase oral fluids.
- C. Encourage the client to take deep breaths.
- D. Maintain a patent nasogastric tube.
Correct Answer: D
Rationale: Maintaining a patent NG tube decompresses the bowel in paralytic ileus, preventing complications. Laxatives and oral fluids are contraindicated, and deep breathing is unrelated.
The nurse has administered an antibiotic, a proton pump inhibitor, and Pepto-Bismol for peptic ulcer disease secondary to H. pylori. Which data would indicate to the nurse the medications are effective?
- A. A decrease in alcohol intake.
- B. Maintaining a bland diet.
- C. A return to previous activities.
- D. A decrease in gastric distress.
Correct Answer: D
Rationale: A decrease in gastric distress (e.g., epigastric pain) indicates effective treatment of H. pylori and ulcer healing. Lifestyle changes like reduced alcohol or bland diets support treatment but are not direct indicators of medication efficacy.
The client with a newly created colostomy is concerned about having satisfying sexual relations. What should the nurse recommend?
- A. Participate in sexual activity only in a darkened room.
- B. Utilize self-gratification for the majority of sexual needs.
- C. Empty and clean the ostomy bag just before sexual activity.
- D. Utilize only the female superior position for sexual activity.
Correct Answer: C
Rationale: Emptying the pouch before sexual activity is recommended to decrease the concern of pouch breakage or leakage; cleaning it will reduce odor.
The nurse is irrigating the client's colostomy when the client complains of cramping. What is the most appropriate initial action by the nurse?
- A. Increase the flow of solution
- B. Ask the client to turn to the other side
- C. Pinch the tubing to interrupt the flow of the solution
- D. Remove the tube from the colostomy
Correct Answer: C
Rationale: Pinching the tubing stops the flow, relieving cramping caused by rapid fluid instillation during colostomy irrigation.