A client is being taught about which foods to include in a low fiber diet. Which statement indicates understanding?

Correct Answer: C

Rationale: In this scenario, option C, "Selecting white rice as a side dish is a good choice," indicates an understanding of foods to include in a low-fiber diet. White rice is a low-fiber food that is gentle on the digestive system, making it suitable for individuals following a low-fiber diet. Option A, choosing a fresh pear, is high in fiber and would not be appropriate for a low-fiber diet. Option B, refried beans, is also high in fiber and should be avoided in a low-fiber diet. Option D, bran cereal, is a high-fiber food and not suitable for a low-fiber diet. Educationally, understanding the principles of a low-fiber diet is crucial for individuals with specific health conditions such as gastrointestinal disorders or after certain types of surgeries. Teaching patients about appropriate food choices empowers them to manage their health effectively and prevent complications. It is essential for healthcare providers to provide clear and accurate information to support patients in making informed dietary decisions.

Correct Answer: A

Rationale: The correct answer is to store the current bottle of insulin at room temperature. Insulin should be stored this way to maintain its potency and effectiveness. Choice B is incorrect because massaging the injection site after removing the needle is not recommended practice and can cause bruising. Choice C is incorrect as pulling back on the plunger after injecting insulin can lead to injecting air bubbles into the tissue. Choice D is incorrect as syringes should not be reused multiple times due to the risk of contamination and inaccurate dosing.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Dysrhythmias. Straining while defecating can lead to an increase in intra-abdominal pressure, which can stimulate the vagus nerve. Stimulation of the vagus nerve can result in a vasovagal response, potentially leading to bradycardia and dysrhythmias in vulnerable individuals, such as older adults. Option A) Diarrhea is incorrect because straining during defecation is more likely to cause constipation rather than diarrhea. Option B) Gastric ulcer is unrelated to straining during defecation. Option C) Dilated pupils are not a direct consequence of straining during defecation. Educationally, it is crucial for nurses to understand the physiological responses that can occur in older adult clients to provide safe and effective care. By knowing the potential risks associated with straining during defecation, nurses can educate clients on proper bowel habits to prevent complications like dysrhythmias. This knowledge enhances the nurse's ability to promote optimal health outcomes in older adult populations.

Correct Answer: C

Rationale: The correct instruction the nurse should include is to advise the client to drink four to five glasses of water daily. Increasing water intake helps alleviate constipation by softening stool and increasing bowel movements. Choice A, increasing dietary intake of raw vegetables, can be helpful in preventing constipation but may not be sufficient as the sole intervention for someone already experiencing constipation. Choice B, limiting activity, can worsen constipation as physical activity helps stimulate bowel movements. Choice D, bearing down hard when defecating, can lead to other issues like hemorrhoids and should be avoided.

Correct Answer: C

Rationale: The correct action for the nurse to take is to withdraw 3 to 5 ml of urine from the port for an accurate culture and sensitivity test. Wiping the area around the needleless port with sterile water (Choice A) is not necessary when obtaining a urine specimen. Inserting the syringe into the needleless port at a 60-degree angle (Choice B) is incorrect as it does not align with the correct procedure for obtaining a urine specimen. Donning sterile gloves (Choice D) is a good practice but not the immediate action required for obtaining a urine specimen.