Awarded 0.0 points out of 1.0 possible points.
3.
3.ID: 283583430
A nurse is developing a plan of care for a client who reports difficulty sleeping. Which initial intervention does the nurse include in the plan of care?
4.
4.ID: 283581972
A client is found to have ulcerative colitis, and the nurse provides instructions to the client about
the diet that he should follow while the disease is in remission. Which menu selection by the
client indicates to the nurse that the client understands the instructions?
Milk Incorrect
Cabbage
Boiled potatoes Correct
Coffee with cream
Rationale:
During remission, the client must avoid intestinal stimulants such as alcohol,
caffeinated beverages, high-fat foods, gas-forming foods, milk products, and foods, such as raw
fruits and some vegetables, that are very high in fiber. Vitamins and iron supplements may be
prescribed.
Test-Taking Strategy:
Use the process of elimination. First eliminate coffee with cream and milk,
knowing that coffee is a stimulant and milk may aggravate diarrhea. Remember, as you select
from the remaining options, that a diet with low fiber minimizes irritation of ulcerated bowel
tissue. Review dietary measures for the client with ulcerative colitis if you had difficulty with this
question.
Level of Cognitive Ability:
Evaluating
Client Needs:
Physiological Integrity
Integrated Process:
Nursing Process/Evaluation
Content Area:
Adult Health/Gastrointestinal
References:
Black, J., & Hawks, J. (2009).
Medical-surgical nursing: Clinical management for
positive outcomes
(8th ed., pp. 689, 690). St. Louis: Saunders.
