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Module 7A nurse is providing dietary instructions to a client with tuberculosis. Which of the following foods would the nurse specifically instruct the client to include more of in the daily diet? Rice and fish Incorrect Eggs and bacon Cereals and broccoli Meats and citrus fruits Correct Rationale:The nurse teaches the client with tuberculosis to increase intake of protein, iron, and vitamin C. Foods rich in vitamin C include citrus fruits, berries, melons, pineapple, broccoli, cabbage, green peppers, tomatoes, potatoes, chard, kale, asparagus, and turnip greens. Liver and other meats, from which 10% to 30% of available iron is absorbed, are good choices. Less than 10% of iron is absorbed from eggs and less than 5% from grains and vegetables.Test-Taking Strategy:Recalling that the diet for the client with tuberculosis should be high in protein, vitamin C, and iron will assist you in answering this question. It is also necessary to knowwhich foods contain these various nutrients. If you had difficulty with this question, review nutrition for the client with tuberculosis.Level of Cognitive Ability:ApplyingClient Needs:Physiological Integrity Integrated Process:Teaching and LearningContent Area:Adult Health/RespiratoryReference:Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care(6th ed., p. 670). St. Louis: Saunders. Awarded 0.0 points out of 1.0 possible points. 2.2.ID: 283583026
A nurse administers a tap water enema (1000 mL) to an adult client who is constipated. The client defecates a scant amount of brown fecal matter, which the nurse interprets as a poor result. The nurse should: Document the results Correct Administer a second tap water enema Add soap suds to the enema bag and repeat the enema Administer a Fleet enema, then a tap water irrigation Incorrect Rationale:Tap water is hypotonic, exerting a lower osmotic pressure than fluid in the interstitial space. After infusion into the colon, tap water escapes from the bowel lumen into the interstitial space. The net movement of water is low. The infused volume stimulates defecation before large amounts of water leave the bowel. Tap water enemas should not be repeated, because water toxicity or circulatory overload may occur if a large amount of water is absorbed. Therefore the other options are incorrect. Also, the nurse would not administer an additional enema, a soap suds enema, or a Fleet enema without a specific prescription to do so.Test-Taking Strategy:Use the process of elimination. Eliminate the incorrect options because they are comparable or alike in that they involve administering another enema to the client. Review the procedures for administering enemas if you had difficulty with this question. Level of Cognitive Ability:Applying Client Needs:Physiological Integrity Integrated Process:Nursing Process/Implementation Content Area:EliminationReference:Potter, P., & Perry, A. (2009). Fundamentals of nursing(7th ed., p. 1202). St. Louis: Mosby.