Nokea
When teaching an elderly client how to prevent constipation, which of the following instructions should the nurse include?
- A. Drink 6 glasses of fluid each day.
- B. Avoid grain products and nuts.
- C. Add at least 4 grams of brain to your cereal each morning.
- D. Be sure to get regular exercise.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is reviewing the physician's orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client's chart?
- A. NPO status
- B. Insert a nasogastric tube
- C. An anticholinergic medication
- D. Morphine for pain
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following types of diets is implicated in the development of diverticulosis?
- A. Low-fiber diet
- B. High-fiber diet
- C. High-protein diet
- D. Low-carbohydrate diet
Correct Answer: A
Rationale: A low-fiber diet is implicated in the development of diverticulosis because it leads to harder stools and increased pressure in the colon. The lack of fiber results in decreased bulk and slower transit time, predisposing individuals to constipation and the formation of diverticula. High-fiber diets, on the other hand, promote regular bowel movements and help prevent diverticular disease. High-protein and low-carbohydrate diets do not have a direct association with diverticulosis.
Which of the following substances is most likely to cause gastritis?
- A. Milk
- B. Bicarbonate of soda or baking soda
- C. Enteric-coated aspirin
- D. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answer: D
Rationale: The correct answer is D, Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to cause gastritis by irritating the stomach lining. Choice A, Milk, is unlikely to cause gastritis and is actually a common remedy for mild gastritis symptoms. Choice B, Bicarbonate of soda or baking soda, is often used to relieve heartburn and indigestion, not cause gastritis. Choice C, Enteric-coated aspirin, is less likely to cause gastritis compared to NSAIDs because the enteric coating helps protect the stomach lining from irritation.
A client presents to the emergency room, reporting that he has been vomiting every 30 to 40 minutes for the past 8 hours. Frequent vomiting puts him at risk for which of the following?
- A. Metabolic acidosis with hyperkalemia
- B. Metabolic acidosis with hypokalemia
- C. Metabolic alkalosis with hyperkalemia
- D. Metabolic alkalosis with hypokalemia
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following diets is most commonly associated with colon cancer?
- A. Low-fiber, high fat
- B. Low-fat, high-fiber
- C. Low-protein, high-carbohydrate
- D. Low carbohydrate, high protein
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.