Nokea
Which lifestyle modification should the nurse emphasize for a client newly diagnosed with hypertension?
- A. Increase dietary sodium intake.
- B. Limit exercise to once a week.
- C. Reduce alcohol consumption.
- D. Sleep 4 hours per night.
Correct Answer: C
Rationale: Reducing alcohol consumption helps lower blood pressure, as excessive alcohol can elevate it.
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Which dietary recommendation should the nurse provide to a client with coronary artery disease?
- A. Eat foods high in saturated fats.
- B. Limit intake of fruits and vegetables.
- C. Choose lean proteins and whole grains.
- D. Increase consumption of sugary drinks.
Correct Answer: C
Rationale: Lean proteins and whole grains reduce cholesterol and improve heart health.
The client with aortic stenosis asks why they feel tired. What is the best response?
- A. Your heart is not pumping enough blood.
- B. Your lungs are retaining fluid.
- C. Your blood pressure is too high.
- D. Your heart rate is too slow.
Correct Answer: A
Rationale: Aortic stenosis restricts blood flow from the heart, reducing cardiac output and causing fatigue.
The nurse is monitoring a client with atrial fibrillation. Which finding is most concerning?
- A. Heart rate of 110 beats per minute
- B. Blood pressure of 140/90 mmHg
- C. Dizziness and shortness of breath
- D. Oxygen saturation of 95%
Correct Answer: C
Rationale: Dizziness and shortness of breath suggest hemodynamic instability, which is concerning in atrial fibrillation.
Which complication should the nurse monitor for in a client with cardiomyopathy?
- A. Heart failure
- B. Hypoglycemia
- C. Osteoporosis
- D. Gastritis
Correct Answer: A
Rationale: Cardiomyopathy impairs heart function, increasing the risk of heart failure.
The client with an arterial disorder reports cold feet. Which action should the nurse take first?
- A. Apply warm blankets to the feet.
- B. Check the pedal pulses bilaterally.
- C. Elevate the feet above heart level.
- D. Massage the feet to improve circulation.
Correct Answer: B
Rationale: Checking pedal pulses assesses arterial perfusion, which is critical in determining the cause of cold feet in arterial disorders.