Nokea
A nurse is caring for a client who has a new diagnosis of hypertension. Which of the following lifestyle modifications should the nurse recommend?
- A. Increase sodium intake.
- B. Limit physical activity.
- C. Reduce stress.
- D. Avoid calcium-rich foods.
Correct Answer: C
Rationale: Reducing stress helps lower blood pressure by decreasing sympathetic nervous system activation.
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A nurse is reinforcing teaching with a client who is scheduled for a stress test. Which of the following instructions should the nurse include?
- A. Eat a large meal before the test.
- B. Wear loose-fitting clothing.
- C. Continue taking beta-blockers.
- D. Avoid drinking water during the test.
Correct Answer: B
Rationale: Wearing loose-fitting clothing ensures comfort and allows for proper placement of monitoring equipment during a stress test.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
A nurse is reinforcing teaching with a client who has a new prescription for a combination oral contraceptive. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Hypoglycemia
- C. Bradycardia
- D. Tinnitus
Correct Answer: A
Rationale: Combination oral contraceptives can cause weight gain due to hormonal effects on fluid retention and metabolism.
A nurse is caring for a client who adheres to kosher dietary practices. Which of the following foods should the nurse plan to offer the client?
- A. Chicken sandwich
- B. Cheeseburger
- C. Shrimp and french fries
- D. Bacon and eggs
Correct Answer: A
Rationale: Chicken sandwich is correct. In kosher dietary practices, poultry such as chicken is allowed, as long as it is prepared according to kosher guidelines. It is permissible for a client who follows kosher dietary practices to have a chicken sandwich, provided the bread and other ingredients are also kosher.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
- A. Check gastric residual volume every 8 hours.
- B. Flush the tube with cold water every 4 hours.
- C. Position the client flat during feeding.
- D. Change the feeding bag every 72 hours.
Correct Answer: C
Rationale: Positioning the client with the head of the bed elevated during feeding reduces the risk of aspiration, a critical safety measure.