The nurse is teaching a client with a new diagnosis of hypertension about the DASH diet. Which of the following foods should the nurse recommend?
- A. White bread.
- B. Bananas.
- C. Sausage.
- D. Potato chips.
Correct Answer: B
Rationale: Bananas are rich in potassium and part of the DASH diet, which promotes heart-healthy eating to manage hypertension.
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The nurse is to administer a bolus starting dose of heparin to a child who is taking penicillin. What should the nurse do? Select all that apply.
- A. Check that the dose is appropriate for the child's weight.
- B. Note that the onset of the medication will be immediate.
- C. Follow the administration of the bolus of heparin with an I.V. infusion of heparin 10 units/kg/hour.
- D. Monitor partial thromboplastin time (PTT).
- E. Discontinue the penicillin until the PTT is at a therapeutic level.
Correct Answer: A,C,D
Rationale: Verifying the dose, administering a maintenance infusion, and monitoring PTT are standard for heparin therapy. Heparin's onset is immediate for I.V. but not a primary concern. Penicillin does not need discontinuation.
A client with a hip fracture is scheduled for surgery. Which preoperative teaching should the nurse include?
- A. Avoid coughing post-surgery
- B. Expect to ambulate immediately
- C. Use of incentive spirometry
- D. Limit fluid intake
Correct Answer: C
Rationale: Incentive spirometry prevents postoperative pulmonary complications like atelectasis, critical for a client with limited mobility post-hip surgery.
For which of the following should the nurse closely assess a client who is reversing from halothane (Fluothane) general anesthesia and receiving clindamycin (Cleocin)?
- A. Tachycardia
- B. Respiratory depression
- C. Hypotension
- D. Renal failure
Correct Answer: B
Rationale: Halothane, a general anesthetic, can cause respiratory depression during recovery, which is a critical condition to monitor. Clindamycin is not strongly associated with these other effects in this context.
A client has been scheduled for a barium swallow (esophagography). The nurse determines that the client understands preprocedure instructions when the client states the intention to take which action before the test?
- A. Take all oral medications as scheduled.
- B. Eat a regular breakfast on the day of the test.
- C. Monitor own bowel movement pattern for constipation.
- D. Remove metal objects and jewelry, especially from the neck and chest area.
Correct Answer: D
Rationale: A barium swallow, or esophagography, is a radiograph that uses a substance called barium for contrast to highlight abnormalities in the gastrointestinal (GI) tract. The client is told to remove metal objects such as medals and jewelry before the test so that they will not interfere with radiographic visualization of the field. Some oral medications are withheld before the test, and the client should follow the primary health care provider's instructions regarding medication administration. The client should fast for a minimum of 8 hours before the test, depending on primary health care provider's instructions. It is important after the procedure to monitor for constipation, which can occur as a result of the presence of barium in the GI tract.
A client with a history of heart failure is prescribed losartan (Cozaar). The nurse should monitor the client for which of the following side effects?
- A. Hyperkalemia.
- B. Hypoglycemia.
- C. Weight gain.
- D. Hypertension.
Correct Answer: A
Rationale: Losartan, an ARB, can cause hyperkalemia, requiring monitoring of potassium levels.
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