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The nurse knows the client understands the teaching concerning a low-fat, low-cholesterol diet when the client selects which meal?
- A. Fried fish, garlic mashed potatoes, and iced tea.
- B. Ham and cheese on white bread and whole milk.
- C. Baked chicken, baked potato, and skim milk.
- D. A hamburger, French fries, and carbonated beverage.
Correct Answer: C
Rationale: Baked chicken, baked potato, and skim milk (C) are low-fat/low-cholesterol. Fried fish (A), ham/cheese/milk (B), and hamburger/fries (D) are high-fat.
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Which referral would be most appropriate for the client diagnosed with thoracic outlet syndrome?
- A. The physical therapist.
- B. The thoracic surgeon.
- C. The occupational therapist.
- D. The social worker.
Correct Answer: A
Rationale: Physical therapy (A) helps relieve thoracic outlet syndrome symptoms through exercises and posture correction. Surgery (B) is rare, OT (C) is less specific, and social work (D) is unrelated.
The client with peripheral artery disease asks why they need to walk daily. What is the best response?
- A. It strengthens your leg muscles.
- B. It promotes collateral circulation.
- C. It reduces swelling in your legs.
- D. It prevents venous ulcers.
Correct Answer: B
Rationale: Walking stimulates the development of collateral vessels, improving blood flow in peripheral artery disease.
Which finding in a client taking a thiazide diuretic for hypertension requires immediate action?
- A. Potassium level of 2.8 mEq/L
- B. Blood pressure of 140/90 mmHg
- C. Mild fatigue
- D. Weight loss of 1 pound
Correct Answer: A
Rationale: Hypokalemia from thiazide diuretics can cause arrhythmias, requiring immediate intervention.
The client with varicose veins asks why they need to wear compression stockings. What is the best response by the nurse?
- A. They prevent blood clots from forming.
- B. They help push blood back to the heart.
- C. They reduce pain in the legs.
- D. They keep your legs warm.
Correct Answer: B
Rationale: Compression stockings apply pressure to promote venous return, helping blood flow back to the heart.
The nurse is caring for the client with chronic venous insufficiency. Which statement indicates the client understands the discharge teaching?
- A. I shouldn’t cross my legs for more than 15 minutes.'
- B. I need to elevate the foot of my bed while sleeping.'
- C. I should take a baby aspirin every day with food.'
- D. I should increase my fluid intake to 3,000 mL a day.'
Correct Answer: B
Rationale: Elevating the bed (B) reduces edema in venous insufficiency. Crossing legs (A) is discouraged entirely, aspirin (C) is for arterial issues, and 3,000 mL (D) risks fluid overload.