A client receives a prescription for psyllium for constipation. What instruction should the
registered nurse (RN) provide the client about taking this supplement?
A. Take medication in the evening before bedtime to reduce fullness.
B. Take supplement with 240 ml of liquid and follow with a second glass.
C. Take supplement with hot beverages to help dissolve the powder completely.
D. Mix supplement with pudding or applesauce to help hide the taste and texture. -
correct answer (B)
Psylium is a bulk laxative and should be taken with a full glass of fluids followed by
another glass of fluids to be effective and decrease chances of impaction . (A, C and D)
increase risk for further constipation and possible impaction of the client.
The registered nurse (RN) is preparing a client for surgery. Which information should
the RN use to assess a client's nutritional status before the procedure?
Serum plasma albumin.
Complete blood count.
Subjective Global Assessment.
A two week calorie count. - correct answer Subjective Global Assessment.
The registered nurse (RN) is caring for a client who was recently diagnosed with type 2
diabetes mellitus (DM). What information is most important for the RN to teach the client
about life-style changes?
Daily fingerstick glucose monitoring.
Regular exercise program.
Portion-controlled, heart healthy diet selections.
Compliance with oral hypoglycemic medications. - correct answer Portion-controlled,
heart healthy diet selections.
The registered nurse (RN) suspects that a female client is altering her own diabetic
journals to please her healthcare provider. Which laboratory test should the RN review
to assess the client's compliance with self management for type 1 diabetes mellitus
(DM)?
Oral glucose tolerance test (GTT).
24-hour urine analysis.
Hemoglobin a1c.
Fasting cholesterol. - correct answer Hemoglobin a1c.
The registered nurse (RN) is educating a female client of the importance of
osteoporosis prevention. Which foods should the RN instruct the client to include in her
diet?
Apples.
Cheddar cheese.
Lima beans.
Canned tuna. - correct answer Canned tuna.
Provide both needed vitamins and inexpensive.
, The registered nurse (RN) is visiting a client at home who asks if commercially prepared
food products can age or spoil. Which foods should the RN explain have the likelihood
of aging and creating a byproduct that is not healthy?
Jar of peaches.
Jar of peanut butter.
Canned chicken.
Canned salmon. - correct answer Jar of peanut butter.
Peanuts or peanut butter (B) can age and develop mold
A client in an assisted living community is refusing to eat during meal time. The
registered nurse (RN) discovers that the client has several mouth ulcers. What types of
food should the RN recommend to promote adequate dietary and healing of the ulcers?
Poached or scrambled eggs.
Hot soups and broths.
Peanut butter crackers.
Ice cream or milk shakes. - correct answer Poached or scrambled eggs
Bland or soft foods with a significant protein content, such as eggs (A), are the best
choice for a client with mouth irritation and will aide in healing oral and buccal ulcer
The registered nurse (RN) is assisting a client with meal selections after a myocardial
infarction (MI).Which client choices indicate to the RN that the client understands a
prescribed low-fat, high fiber diet?
Chef salad with hard boiled eggs, avocado, fat free dressing, low fat chocolate cake.
Vegetable soup, carrots, legumes, celery, toasted oat bread, and an apple.
Broiled chicken stuffed with apples and walnuts on toasted white bread.
Tuna salad sandwich on wheat bread with a fat free cookie and cantaloupe. - correct
answer Vegetable soup, carrots, legumes, celery, toasted oat bread, and an apple.
Vegetable soup, carrots, legumes, celery, toasted oat bread, and an apple (B) contain
the least amount of fat and the highest amount of fiber
The registered nurse (RN) is providing dietary instructions to the parents of a 6-month-
old baby diagnosed with phenylketonuria (PKU). Which foods should the RN teach the
parents to eliminate in the infant's diet?
Grapes and berries.
Green vegetables.
Cereals and breads.
Chicken and fish. - correct answer Chicken and fish.
The registered nurse (RN) assesses a client who had a total colectomy 2 weeks ago.
The client appears to be confident in the management of the new colostomy, but is
having problems managing the odor. What instructions should the RN provide the client
to help decrease odor in the colostomy bag?
Select all that apply
Eat foods containing yogurt.
Chew mint flavored gum.