What statement by the client provides insight into a possible cause of diarrhea in a client with an ostomy?
a. I eat applesauce every day for lunch.
b. Is oatmeal considered a high-fiber food?
c. Because I am diabetic, I eat sugar-free candies a lot.
d. I like the smooth peanut butter, but try to limit it because of its fat content.
Q. 2Elimination of which of the following foods may most likely reduce the amount of gas production in a client with an ostomy?
a. eggs
b. yogurt
c. strawberries
d. processed meats
Q. 3When teaching a client about a new colostomy, the following would be included:
a. High-fiber diet is recommended regardless of the extent of the colon removed.
b. A food that is not tolerated well should not be included in the diet again.
c. Foods that may minimize noxious odors include cranberry juice, buttermilk, and yogurt.
d. At least eight glasses of water intake daily are recommended to replace fluid loss from the usual diarrhea experienced by client.
Q. 4A priority nursing diagnosis of a client with an ileostomy would be:
a. risk for injury.
b. risk for constipation.
c. risk for fluid volume deficit.
d. risk for altered gas exchange.
Q. 5Fluid volume deficit may occur secondary to what complication of diverticulitis?
a. fistula
b. hyponatremia
c. projectile vomiting
d. malabsorption syndrome
Q. 6Teaching that may be helpful for a client with irritable bowel syndrome may include:
a. Interventions for every client with irritable bowel syndrome are aimed at controlling the hallmark of an irritable bowel, which is diarrhea.
b. Since food can stimulate an irritable bowel response, limit frequency of food intake to three meals a day.
c. Watch for blood in the stool since there are areas of ulceration in the bowel mucosa.
d. Lactose, caffeine, and alcohol may aggravate irritable bowel syndrome.
Q. 7A client with 40 of the small bowel resected would need the following teaching related to dietary needs when discharged:
a. may not need long-term dietary modifications to maintain good nutrition.
b. may need to decrease fiber to minimize irritation of bowel mucosa.
c. will need to drink sport beverages to maintain electrolyte balance.
d. will need to increase kcalories because of severe malabsorption.
Q. 8Nutrition is particularly important in the client just diagnosed with Crohn's disease because:
a. eating properly can avoid pain.
b. proper nutrition can promote a cure.
c. vomiting frequently interferes with eating.
d. it is often diagnosed in teenagers and can result in growth failure.
Q. 9Oral intake of nutrition is withheld during acute pancreatitis because:
a. there is lack of peristalsis during an acute attack.
b. only oral fluids with electrolytes can be tolerated.
c. NPO status is required for certain laboratory serum tests.
d. oral intake can stimulate release of increased pancreatic digestive enzymes.
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