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    HESI RN Med surg adult health proctored exam

    The nurse plans to provide diet instructions to a client who was recently diagnosed with diverticulosis. Which dietary modification should the nurse include in the teaching plan?

    Explanation & Rationale

    Choice A reason: The correct answer is a) because increasing the intake of insoluble fiber can help prevent constipation and reduce the risk of diverticulitis by promoting regular bowel movements. Choice B reason: Augmenting intake of dairy products is not specific to managing diverticulosis. Choice C reason: Eliminating caffeine and chocolate is not necessary unless these foods cause symptoms. Choice D reason: While reducing high-fat foods is good dietary advice, it is not specific to diverticulosis management. An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and reports a dry mouth. Which intervention should the nurse implement? a) Encourage the client to drink water. b) Administer a prescribed sedative. c) Apply a high-flow Venturi mask. d) Assist the client to an upright position. The correct answer is: d) Assist the client to an upright position. Choice A reason: Encouraging the client to drink water is beneficial but does not address the immediate need to ease breathing. Choice B reason: Administering a sedative may help with anxiety but does not directly address the respiratory issue. Choice C reason: Applying a high-flow Venturi mask may be necessary if oxygen saturation is low, but the first step should be to position the client for optimal breathing. Choice D reason: The correct answer is d) because assisting the client to an upright position can help ease breathing by allowing for better lung expansion.

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