A client has irritable bowel syndrome. Which menu selections by this client indicate good understanding of dietary teaching?
a. Tuna salad on white bread, cup of apple-sauce, glass of diet cola
b. Broiled chicken with brown rice, steamed green beans, glass of apple juice
c. Grilled cheese sandwich, small ripe bana-na, cup of hot tea with lemon
d. Grilled steak, green beans, dinner roll with butter, cup of coffee with cream
B
Clients with irritable bowel syndrome are advised to eat a high-fiber diet (30 to 40 grams a day), with 8 to 10 cups of liquid daily. This selection has the highest fiber content. They should avoid alcohol, caffeine, and other gastric irritants.
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A patient is brought to the emergency department in the midst of an active clonic–tonic seizure. What is the most appropriate antiseizure drug for the nurse to administer intravenously to terminate acute convulsive seizures?
A) Diazepam (Valium) B) Phenytoin (Dilantin) C) Ethosuximide (Zarontin) D) Gabapentin (Neurontin)
The nurse is caring for a client who is brought to the emergency department following a motor vehicle crash. The nurse notes that the client has ecchymotic areas across the lower abdomen. Which is the priority action of the nurse?
a. Measure the client's abdominal girth. b. Assess for abdominal guarding or rigidity. c. Check the client's hemoglobin and hema-tocrit. d. Ask whether the client was riding in the front or back seat of the car.
Which is the most dangerous effect on the fetus of a client who smokes cigarettes while pregnant?
a. Intrauterine growth restriction b. Genetic changes and anomalies c. Extensive central nervous system damage d. Fetal addiction to the substance inhaled
Which legal document provides ethical decision-making guidelines for nurses?
A) Patient Bill of Rights B) Advance Directives C) American Nurses Association (ANA) Code for Nurses D) Against Medical Advice