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 stool less watery?

Correct Answer: C

Rationale: Rationale: C: Bran is a high-fiber food known to add bulk to stool, thus making it less watery in individuals with ileostomy. A: Pasta and B: Boiled rice are low-fiber foods that may not help thicken stool. D: Low-fat cheese is not specifically known to thicken stool. In summary, choosing high-fiber foods like bran can help thicken stool, while low-fiber foods like pasta, boiled rice, and low-fat cheese may not have the same effect.

Correct Answer: B

Rationale: The correct answer is B: Oil-soluble lubricant. The rationale is that oil-based lubricants should not be used for nasogastric tube insertion due to the risk of aspiration pneumonia. The other options are appropriate for the procedure: A) Tape is used to secure the tube, C) Water with a straw is used to check tube placement, and D) A syringe is used for verification of tube placement and administration of medications. Therefore, selecting B indicates a lack of understanding of proper supplies for nasogastric tube insertion.

Correct Answer: A

Rationale: The correct answer is A: verbalize absence of epigastric pain. This outcome is most appropriate as it directly relates to the client's condition of peptic ulcer disease. Verbalizing the absence of epigastric pain indicates that the client's ulcer is healing and symptoms are improving. It is a measurable and specific goal that reflects the client's progress in managing the disease. Choice B is incorrect as vitamin B12 injections are not typically necessary for peptic ulcer disease. Choice C is incorrect as exercise may not directly impact the ulcer and may even exacerbate symptoms. Choice D is incorrect as eliminating stress completely is unrealistic and may not directly impact the ulcer.

Correct Answer: A

Rationale: The correct answer is A. For a client with viral hepatitis, limiting activity helps prevent fatigue and aids in recovery. Excessive activity can worsen symptoms. Choice B is incorrect because a low-calorie diet may not provide enough nutrients for the body to fight the infection. Choice C is incorrect as large meals can strain the liver and worsen symptoms. Choice D is incorrect as any alcohol intake can further damage the liver in viral hepatitis. In summary, choice A is correct as it promotes rest and aids recovery, while the other choices can potentially worsen the condition.

Correct Answer: A

Rationale: Rationale for choice A: Pain, fever, and abdominal rigidity are classic signs of a leaking anastomosis after gastric resection surgery. Pain indicates inflammation, fever suggests infection, and abdominal rigidity points to peritonitis. These symptoms are indicative of a surgical complication that requires immediate attention to prevent further complications like sepsis. Summary of other choices: B: Diarrhea with fat in the stool is more indicative of malabsorption issues, such as pancreatic insufficiency, rather than a leaking anastomosis. C: Palpitations, pallor, and diaphoresis after eating are more suggestive of cardiovascular issues or anxiety rather than a leaking anastomosis. D: Feelings of fullness and nausea after eating are common postoperative symptoms and do not specifically indicate a leaking anastomosis.