Author Question: The nurse uses olfaction during a client assessment. If a sweet, fruity smell is noticed in the ... (Read 28 times)

bclement10 · **on:** Jul 22, 2018

The nurse uses olfaction during a client assessment. If a sweet, fruity smell is noticed in the client's oral cavity, which of the following should the nurse suspect?

a. Diabetic acidosis
b. Gum disease
c. Urinary tract infection
d. Malabsorption syndrome

Question 2

A patient has just had intestinal surgery with the creation of a colostomy. For the first few weeks, which of the following will the nutritional therapy for this patient include?

a. Vegetables
b. Fresh fruit
c. Cauliflower and broccoli
d. Poached eggs and rice

juiceman1987 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
A sweet, fruity smell noticed in the oral cavity is indicative of diabetic acidosis.
Halitosis of the oral cavity is indicative of gum disease.
An ammonia odour is indicative of a urinary tract infection.
Foul-smelling stools in the infant are indicative of malabsorption syndrome.

Answer to Question 2

D

Feedback
A After the ostomy heals, the patient is allowed to eat vegetables. High-fibre foods such as fresh fruits and vegetables help to ensure a more solid stool needed to achieve success at irrigation.
B After the ostomy heals, the patient is allowed to eat fruits. High-fibre foods such as fresh fruits and vegetables help ensure a more solid stool needed to achieve success at irrigation.
C Ostomy patients may benefit from avoiding foods that cause gas and odour, including broccoli, cauliflower, dried beans, and Brussels sprouts. Cauliflower and broccoli are not recommended for this patient.
D During the first weeks after surgery, many physicians recommend low-fibre diets because the bowel requires time to adapt to the diversion. Low-fibre foods include bread, noodles, rice, cream cheese, eggs (not fried), strained fruit juices, lean meats, fish, and poultry. Poached eggs and rice would be appropriate for this patient.