Nokea
A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommend to minimize heartburn?
- A. Orange juice
- B. Decaffeinated coffee
- C. Peppermint
- D. Potatoes
Correct Answer: D
Rationale: Potatoes are bland and less likely to relax the lower esophageal sphincter, making them a suitable choice to minimize heartburn in clients with gastroesophageal reflux disease. Orange juice and peppermint are acidic and can exacerbate GERD symptoms, while coffee, even decaffeinated, can stimulate acid production and worsen heartburn.
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A nurse is caring for a 30-month-old toddler and is preparing a nutritional snack. Which of the following foods is appropriate for the nurse to offer the toddler?
- A. Plain popcorn
- B. Grapes
- C. Raw carrots
- D. Cheese
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess?
- A. Fever
- B. Blood in stools
- C. Cramping
- D. Steatorrhea
Correct Answer: C
Rationale: The correct answer is C: Cramping. Cramping is a common clinical manifestation of lactose intolerance due to the inability to digest lactose properly. Fever (choice A) is not typically associated with lactose intolerance. Blood in stools (choice B) is more indicative of other gastrointestinal issues like inflammatory bowel disease. Steatorrhea (choice D) is the presence of excess fat in the stool and is not a typical symptom of lactose intolerance.
A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?
- A. A client who is postoperative following a laminectomy and is receiving IV PCA
- B. A client who has dysphagia and does not recognize his family
- C. A client who has COPD and is going home with oxygen
- D. A client who has colon cancer and will undergo a hemicolectomy
Correct Answer: D
Rationale: Total parenteral nutrition (TPN) is essential for clients undergoing significant surgical procedures like a hemicolectomy to ensure they receive adequate nutrition when oral intake is not possible. Choices A, B, and C do not typically require TPN. Choice A is managing postoperative pain with IV PCA, choice B is likely to need alternative feeding methods due to dysphagia, and choice C is going home with oxygen for COPD management, which does not directly relate to the need for TPN.
A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?
- A. Phosphorus
- B. Calcium
- C. Chloride
- D. Zinc
Correct Answer: B
Rationale: Corrected Question: A nurse is preparing to teach a group of clients about vitamins and minerals. The nurse should include in the teaching that which of the following minerals is necessary for the transmission of nerve impulses?
Correct Answer: Calcium
Rationale: Calcium is crucial for nerve transmission, muscle contraction, and blood clotting. It plays a vital role in the proper functioning of the nervous system. Phosphorus is important for bone health and energy metabolism, not nerve impulse transmission. Chloride is an electrolyte important for fluid balance but not directly involved in nerve impulse transmission. Zinc is essential for immune function and wound healing but not specifically required for nerve impulse transmission.
A nurse is teaching a group of clients about stress. Which of the following should the nurse include in the teaching?
- A. Protein requirements decrease in times of stress.
- B. Acute stress causes an increase in metabolism.
- C. Stress causes a positive nitrogen balance in the body.
- D. Glucose is broken down more slowly during times of stress.
Correct Answer: B
Rationale: The correct answer is B: Acute stress causes an increase in metabolism. During acute stress, the body's fight-or-flight response is activated, leading to an increase in metabolism to provide energy for the body to respond to the stressor. Choices A, C, and D are incorrect. Protein requirements actually increase during times of stress to support the body's needs. Stress typically leads to a negative nitrogen balance in the body, not a positive one. Glucose is broken down more rapidly, not slowly, during times of stress to provide immediate energy.