A patient is being discharged on psyllium (Metamucil). Which explanation(s) by the nurse would be accurate regarding fiber intake? (Select all that apply.)
a. It adds bulk to fecal content.
b. It enhances gastric emptying.
c. It decreases blood cholesterol concentration.
d. It decreases postprandial blood glucose concentration.
e. It stimulates the appetite.
ANS: A, C, D
Functional fibers such as psyllium add bulk to fecal contents. Fibers can reduce the absorption of dietary fat and cholesterol as well as enterohepatic recirculation of cholesterol and bile acids. This may reduce blood cholesterol concentration. In addition, functional fibers delay gastric emptying, which reduces postprandial blood concentration, potentially preventing excessive insulin secretion and insulin sensitivity. Fibers delay gastric emptying. Functional fibers assist with weight control because they provide a sense of fullness and satiety.
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The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?
a. Use aspirin instead of acetaminophen for children with viral illness. b. Advise parents to have their children immunized against Reye's syndrome. c. Avoid giving salicylate-containing medications to a child who has viral symptoms. d. Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.
A major concern among members of lower socioeconomic groups is to:
a. Maintain group health insurance on their families. b. Meet health needs as they occur. c. Practice preventive health care. d. Maintain an optimistic view of life.
During an assertiveness training group, a client admits to aggressive behaviors. The client asks for suggestions for how to become more assertive and less aggressive. Which is the most appropriate nursing reply?
A. "Several techniques, including meditation and progressive muscle relaxation, appear helpful." B. "There's not much that can be done about aggressive behavior because of biological responses." C. "Certain types of medications have been proven effective in promoting assertive communication." D. "There are several techniques, including ‘I statements,' role playing, and thought stopping, that can help promote assertive behaviors and decrease aggressive behaviors."
A patient is brought to the emergency department by paramedics. The patient is a farmer who was exposed to large quantities of organophosphate insecticides. Which assessment finding would the nurse anticipate to see in this patient?
a. Urinary retention b. Increased gastrointestinal motility c. Mydriasis d. Vasoconstriction