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 client who has undergone creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:
- A. Watches the nurse empty the colostomy bag
- B. Looks at the ostomy site
- C. Reads the ostomy product literature
- D. Practices cutting the ostomy appliance
Correct Answer: D
Rationale: The correct answer is D: Practices cutting the ostomy appliance. This choice indicates that the client is actively involved in self-care and adapting to the colostomy. By practicing cutting the ostomy appliance, the client is demonstrating independence and self-management skills, showing significant progress towards overcoming the disturbed body image. Choices A, B, and C do not involve active participation in self-care tasks related to the colostomy, which are essential for the client's adaptation and acceptance.
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client stated to eat which of the following foods to make the stools less watery?
- A. Pasta
- B. Boiled rice
- C. Bran
- D. Low-fat cheese
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?
- A. Bloody diarrhea
- B. Hypotension
- C. A hemoglobin of 12 mg/dL
- D. Rebound tenderness
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The client with Crohn's disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
- A. Lying supine with the legs straight
- B. Massaging the abdomen
- C. Using antispasmodic medication
- D. Using relaxation techniques
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following aspects is the priority focus of nursing management for a client with peritonitis?
- A. Fluid and electrolyte balance
- B. Gastric irrigation
- C. Pain management
- D. Psychosocial issues
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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