Nokea
Which of the following most impacts a client's food preferences?
- A. Culture and cultural background
- B. The frequency of grocery shopping
- C. The availability of foods locally
- D. The costs associated with food
Correct Answer: A
Rationale: Culture and cultural background (A) most significantly influence food preferences due to traditions, beliefs, and dietary practices.
You may also like to solve these questions
The following scenario applies to the next 1 items
The nurse in the physician's office cares for a client looking to establish care
Item 1 of 1
Nurses' Notes
1709: 58-year-old African American male presents to the office looking to establish primary care. The client has not had a primary healthcare provider in over eleven years. The client requests a physical examination. The client reports that two months ago, he started noticing changes in his bowel habits, which alternate between diarrhea and constipation. The symptoms are accompanied by occasional dark, tarry stools. This past week, he has had constant abdominal pain that has ranged from a 5/10 to a 7/10 on the Numerical Rating Scale. He describes the pain as 'dull.' He reports that his diet has not changed, and he primarily eats red meat and sandwiches made with luncheon meats and occasionally vegetables. Currently, the client takes a daily aspirin and a multivitamin. He reports a medical history of oral herpes simplex and high blood pressure. He is overweight. He smokes cigarettes daily. On assessment, the client is alert and fully oriented, skin is warm and dry. Lung sounds are clear; the apical pulse is regular. Bowel sounds are active in all quadrants, with no abdominal distention. Capillary refill less than 3 seconds. Peripheral pulses palpable, 2+. Vital signs: T 97.5° F (36.4° C), P 97, RR 18, BP 161/92, pulse oximetry reading 96% on room air.
Orders
1719:
• Point of care (POC) hemoglobin and hematocrit
• Guaiac-based fecal occult blood test (gFOBT)
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two (2) actions the nurse should take to address that condition, and two (2) parameters the nurse should monitor to assess the client's progress.
- A. Obtain an order for serum type and screen, obtain an order for a colonoscopy, educate the client on adopting a high fiber diet, request a prescription for an oral corticosteroid.
- B. Bowel obstruction, ulcerative colitis, colon cancer, peptic ulcer disease.
- C. Pain level, serum glucose level, bowel elimination pattern or habits, white blood cell (WBC) count.
Correct Answer: B: Colon cancer; A: Obtain an order for a colonoscopy, educate the client on adopting a high fiber diet; C: Pain level, bowel elimination pattern or habits
Rationale: Dark, tarry stools, changing bowel habits, and abdominal pain suggest colon cancer (B). Ordering a colonoscopy and promoting a high-fiber diet (A) aid diagnosis and management. Monitoring pain and bowel patterns (C) tracks progress.
The nurse is caring for a client who is receiving prescribed dicyclomine. Which of the following client findings would indicate a therapeutic response?
- A. Decreased abdominal cramping
- B. Absence of nausea and vomiting
- C. Decreased urinary retention
- D. Less burning with urination
Correct Answer: A
Rationale: Dicyclomine, an anticholinergic, reduces intestinal spasms, so decreased abdominal cramping indicates a therapeutic response. It is not primarily for nausea, urinary retention, or dysuria.
Which of the following interventions is helpful in reducing the effects of Gastroesophageal Reflux Disease (GERD)?
- A. Lie down after eating.
- B. Wear a girdle.
- C. Elevate the head of the bed on 4-6 inch blocks.
- D. Increase fluid intake just before bedtime.
Correct Answer: C
Rationale: Elevating the head of the bed (C) reduces GERD symptoms by preventing acid reflux during sleep. Lying down (A), wearing a girdle (B), or increasing fluids at bedtime (D) worsen reflux.
The nurse has just finished assisting the physician in performing a paracentesis. What should be the priority nursing intervention following the procedure?
- A. Administer analgesics to control pain
- B. Monitor for signs of infection
- C. Monitor for signs of hypovolemia
- D. Ensure that the ascitic fluid is sent to the lab for analysis
Correct Answer: C
Rationale: Monitoring for hypovolemia (C) is critical after paracentesis due to the risk of fluid shifts from removing large volumes of ascitic fluid.
The nurse is caring for a client admitted with an exacerbation of Crohn's disease
Item 1 of 1
• History and Physical
A 25-year-old male has had Crohn's disease for over six years. He is admitted to the hospital for severe diarrhea, abdominal pain, and fatigue. The client will be admitted for fluid replacement, antibiotics, steroids, and pain control.
• Physician Orders
• Admit to the medical-surgical unit
• Nothing by mouth (NPO)
• Gastroenterology consultation
• Lactated Ringers at 80 mL/hr
• Metronidazole 500 mg intravenous piggyback q 8 hours
• Methylprednisolone 125 mg intravenously q 12 hours
Drag the words from the word choices below to fill in each blank of the following sentences: The prescribed------------------------------puts the client at risk for complications such as hyperglycemia. To recognize this complication the nurse should monitor the client’s------------------
- A. metronidazole
- B. lactated ringers
- C. methylprednisolone
- D. nothing by mouth status
- E. capillary blood glucose
- F. hemoglobin A1C
Correct Answer: C,E
Rationale: Methylprednisolone is a corticosteroid that may cause elevated blood glucose and even hyperglycemia (blood glucose 250 mg/dL or greater). This is a common treatment for exacerbations of inflammatory bowel disorders. Hyperglycemia may complicate outcomes by delaying wound healing and increasing the client’s risk for infection. Thus, the nurse should monitor the capillary blood glucose and collaborate with the primary healthcare provider.
Monitoring the hemoglobin A1C is useful for monitoring the clinical progress of a client with chronic diabetes. This value is collected every 90-120 days and would not be useful during this acute course of steroids.
During an exacerbation of Crohn’s disease, it is likely that the client will be prescribed antibiotics such as metronidazole. The client will also have fluid repletion, and isotonic solutions such as lactated ringers may be given to rehydrate the client.