The nurse is teaching a client taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session? (Select all that apply.)
a. Advise taking a daily laxative for constipation.
b. Recommend a diet high in fruits and vegetables.
c. Encourage an increase in fluid consumption during the day.
d. Increase the intake of whole grains and whole grain products.
e. Suggest increasing the intake of dairy products, especially cheeses.
ANS: B, C, D
Common sources of dietary fiber include fruits and vegetables (with skins when possible—apples, strawberries, pears, carrots, corn, potatoes with skins, and broccoli), whole grains, and whole grain products—whole wheat bread, bran muffins, bran cereals, oatmeal, brown rice, and whole wheat pasta. Increased intake of fluids can help prevent constipation. A pregnant client should not take a daily laxative unless prescribed by her health care provider. Increased intake of dairy products, especially cheese, can increase constipation.
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To plan effective care for patients with somatoform disorders, the nurse must understand that the patients may have difficulty giving up the symptoms because they:
a. have impaired interpersonal skills. b. can be voluntarily controlled. c. provide relief of anxiety. d. have a physiological basis.
A newborn's birth weight is placed at the 8th percentile for week of gestation. According to the accepted classification range, the newborn would be classified in which of these categories?
a. appropriate for gestational age (AGA) c. premature b. large for gestational age (LGA) d. small for gestational age (SGA)
A client asks the nurse what it means when a vitamin is said to be an antioxidant. The nurse explains that an antioxidant:
1. Is synthesized in the skin and acts like a hormone. 2. Reduces elevated lipid levels. 3. Prevents damage to cells from free radicals, metabolic by-products . 4. Is a beneficial form of vitamins that promotes digestion and absorption of nutrients.
Which action is best for the nurse to take to ensure culturally competent care for an alert, terminally ill Filipino patient?
a. Ask the patient and family about their preferences for care during this time. b. Let the family decide whether to tell the patient about the terminal diagnosis. c. Obtain information from Filipino staff members about possible cultural needs. d. Remind family members that dying patients prefer to have someone at the bedside.