The nurse is teaching a client strategies to manage ulcerative colitis. Which of the following would be included in the client's teaching plan? (Select all that apply.)
a. Eat three large meals a day
b. Encourage client to keep food diary and avoid foods that increase symptoms
c. Exercise regularly
d. Practice stress relieving measures
e. Enjoy caffeinated beverages in large quantities
B, C, D
The client is instructed to eliminate from the diet those foods that aggravate the symptoms and discomfort. Foods often associated with making IBS symptoms worse include wheat, rye, barley, chocolate, milk products, alcohol, coffee, and caffeinated drinks. Foods high in fiber such as bran, cereal, beans, fruits, and vegetables may reduce symptoms. Large meals cause cramping and diarrhea.Encourage the client to write down what is eaten, what symptoms are present and when they occur, and which foods always make the client feel bad. Then eliminate those foods causing symptoms or making the client feel bad. Suggest that the client eat five or six small meals instead of three large meals each day. Encourage the client to exercise regularly and practice stress-relieving measures such as progressive relaxation or guided imagery.
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The evaluation of a family pedigree reveals numerous cases of an autosomal dominant disorder. The client does not have the disorder. What does the nurse teach the client about her children's chances of having the disorder?
1. "Your children have a 50% chance of developing the disorder." 2. "If your children's father does not have the disease, they will not have the disease." 3. "Your children cannot develop the disease." 4. "These disorders tend to skip a generation, so there is a good chance your children will develop it." 5.
The nurse can best demonstrate caring behavior by:
1. Updates the family about the client's condition 2. Asks to address the client by the client's first name 3. Closes the door and covers the client during morning care 4. Shares with the client's roommate that she is scheduled for tests
The third stage of the grieving process is
A) shock. B) bargaining. C) anger. D) depression.
The nurse is preparing a patient for a thyroid scan. Which explanation by the nurse is appropriate?
a. "Sound waves will be used to create a picture of your thyroid gland." b. "A thyroid scan is simply an x-ray of your thyroid gland." c. "You will be given radioactive iodine, and a special camera will take pictures of your thyroid gland." d. "You will be placed in a large instrument that uses magnetic energy to create an image of your thyroid gland."