A nurse is teaching a client about foods and beverages that can cause diarrhea.
Which of the following should the nurse include in the teaching?
White rice.
Caffeinated beverages.
Low-fiber cereal.
Ripe bananas.
The Correct Answer is B
Choice A rationale
White rice is a low-fiber food that is usually recommended to help manage diarrhea, as it can help firm up stools.
Choice B rationale
Caffeinated beverages can increase intestinal motility and secretions, leading to diarrhea. They can also be irritating to the gastrointestinal tract.
Choice C rationale
Low-fiber cereals are less likely to cause diarrhea and are often recommended for those with diarrhea because they are easy to digest.
Choice D rationale
Ripe bananas are low in fiber and high in potassium, which is beneficial for those with diarrhea as they help in firming up the stool.
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Correct Answer is D
Explanation
Choice A rationale
Hypothermia is not commonly associated with diarrhea. Diarrhea typically leads to fluid loss and dehydration rather than changes in body temperature.
Choice B rationale
A rigid abdomen is not a typical finding for diarrhea. It may indicate other gastrointestinal issues, such as peritonitis, rather than dehydration caused by diarrhea.
Choice C rationale
Decreased bowel sounds are not typically expected with diarrhea, which often presents with increased bowel sounds due to increased motility.
Choice D rationale
Dehydration is a common finding in clients with diarrhea due to the excessive loss of fluids and electrolytes from frequent, loose stools. It can lead to symptoms such as dry mouth, reduced urine output, and dizziness.
Correct Answer is C
Explanation
Choice A rationale
The end of the stoma is typically not painful after the procedure. Pain at the stoma site could indicate complications such as infection or ischemia.
Choice B rationale
A healthy stoma should be pink or red in color. A purple color could indicate compromised blood flow or other complications that require medical attention.
Choice C rationale
The stoma is typically placed in the right lower abdomen to allow for easier management and care, as it is usually associated with the terminal ileum.
Choice D rationale
After an ileostomy, the stool is usually liquid to semi-formed, not solid, because the colon, which absorbs water to solidify stool, is bypassed.