Nokea
The nurse is teaching a client with hypertension about dietary modifications. Which food should the nurse recommend limiting?
- A. Fresh fruits
- B. Lean proteins
- C. Canned soups
- D. Whole grains
Correct Answer: C
Rationale: Canned soups are high in sodium, which can exacerbate hypertension. Limiting sodium intake is a key dietary modification for blood pressure control.
You may also like to solve these questions
Your client has presented in the emergency department with a sudden onset of shortness of breath, dysphagia, dyspnea, coughing, and pain in the chest, arms, neck, and back. Which of the following would you most likely suspect?
- A. Hypovolemic shock
- B. Septic shock
- C. A dissected thoracic aortic aneurysm
Correct Answer: C
Rationale: Sudden onset of these symptoms, especially chest and back pain, suggests a dissected thoracic aortic aneurysm, a life-threatening condition requiring urgent intervention.
A female client with infertility related to anovulatory cycles is prescribed menotropins (Pergonal). Which of the following, if stated by the client as a possible adverse effect of this medication, indicates successful teaching?
- A. Pulmonary edema.
- B. Ovarian enlargement.
- C. Visual disturbances.
- D. Breast tenderness.
Correct Answer: B
Rationale: Menotropins stimulate ovarian follicle growth, which can lead to ovarian enlargement as a common adverse effect. Pulmonary edema, visual disturbances, and breast tenderness are not typically associated with this medication.
When obtaining the diet history from a client with anemia, the nurse should include questions specifically about which of the following vitamins or minerals that are most likely missing in this client's diet? Select all that apply.
- A. Vitamin B6.
- B. Vitamin K.
- C. Vitamin B12.
- D. Iron.
- E. Vitamin C.
Correct Answer: C, D, E
Rationale: Anemia is commonly associated with deficiencies in vitamin B12, iron, and vitamin C (which aids iron absorption).
A client asks the nurse how long she has to take her medicine for hypothyroidism. The nurse's response is based on the knowledge that:
- A. Lifelong daily medicine is necessary.
- B. The medication is expensive, and the dose can be reduced in a few months.
- C. The medication can be gradually withdrawn in 1 to 2 years.
- D. The medication can be discontinued after the client's thyroid-stimulating hormone level is normal.
Correct Answer: A
Rationale: Hypothyroidism typically requires lifelong thyroid hormone replacement therapy, as the condition is usually permanent due to underlying thyroid dysfunction.
The nurse is preparing to suction a tracheostomy for a client with methicillin resistant staphylococcus aureus (MRSA) (see fi gure). The nurse should:
- A. Wear a powered air purifying respirator (PAPR) face shield.
- B. Use goggles that include the hairline.
- C. Change to a surgical mask.
- D. Proceed to suction the client’s tracheostomy.
Correct Answer: D
Rationale: The nurse is wearing protective personnel equipment appropriately for suctioning the client: goggles, gown and respirator mask. It is not necessary to wear a powered air purifying respirator face shield to suction a tracheostomy. A surgical mask does not provide maximum protection.