Which of the ff diets does the nurse recommend for clients with hypertension under the physicians guidance?
- A. The Food Guide Pyramid
- B. The South Beach Diet
- C. The Step One Diet
- D. The Dash diet
Correct Answer: D
Rationale: The Dietary Approaches to Stop Hypertension (DASH) diet is recommended by healthcare professionals, including nurses, for clients with hypertension. This diet emphasizes consuming fruits, vegetables, whole grains, lean proteins, and low-fat dairy products while limiting sodium, saturated fats, and cholesterol. These dietary components are known to help lower blood pressure and improve overall health. The DASH diet has been proven effective in numerous studies and is endorsed by organizations like the American Heart Association for managing hypertension. It is important for clients to follow the DASH diet under the guidance of a physician to ensure it is tailored to their individual needs and health status.
You may also like to solve these questions
the best prophylactic treatment to prevent further rheumatic fever attack:
- A. prednisone
- B. aspirin
- C. penicillin
- D. paracetamol
Correct Answer: C
Rationale: The best prophylactic treatment to prevent further rheumatic fever attacks is penicillin. Penicillin is recommended for long-term secondary prophylaxis to prevent the recurrence of acute rheumatic fever and reduce the risk of rheumatic heart disease. It helps to eradicate streptococcal infections, which are the underlying cause of rheumatic fever. Prednisone, aspirin, and paracetamol are not used for primary or secondary prevention of rheumatic fever.
When a client is receiving blood which of the ff nursing actions is essential to determine if chilling is the result of an emerging complication or of infusing cold blood?
- A. Monitoring the client's temperature before, during, and after transfusion
- B. Documenting the client's temp after the transfusion
- C. Documenting the temp of the blood before the transfusion
- D. Comparing the client's temp with the temp of the blood
Correct Answer: A
Rationale: Monitoring the client's temperature before, during, and after transfusion is essential to determine if chilling is the result of an emerging complication or of infusing cold blood. By consistently monitoring the client's temperature at different points in the transfusion process, healthcare providers can identify any significant changes that may indicate a complication. This allows for timely intervention and appropriate management of any issues related to the blood transfusion. Comparing the client's temperature with the temperature of the blood is important but alone it may not provide a comprehensive assessment of the client's condition during the transfusion process. So, the best course of action is to monitor the client's temperature at various time points to ensure accurate assessment and early detection of any complications.
Which manifestation suggests that an infant is developing necrotizing enterocolitis (NEC)?
- A. Faster absorption of orogastric feedings.
- B. Bloody diarrhea.
- C. Increased bowel sounds.
- D. Hunger before feeding.
Correct Answer: B
Rationale: Bloody diarrhea is a key sign of NEC, indicating intestinal injury.
A parent has asked the nurse about how her child can be tested for pinworms. The nurse responds by stating that which is the most common test for diagnosing pinworms in a child?
- A. Lower gastrointestinal (GI) series
- B. Three stool specimens, at intervals of 4 days
- C. Observation for presence of worms after child defecates
- D. Laboratory examination of a fecal smear
Correct Answer: D
Rationale: The most common test for diagnosing pinworms in a child is a laboratory examination of a fecal smear. This involves taking a sample of the child's feces and examining it under a microscope to look for pinworm eggs or actual adult worms. This test is more reliable and accurate compared to other methods for detecting pinworms. It is important to collect the sample in the morning before the child has a bowel movement or bath, as this increases the chances of finding the eggs.
A patient who was walking in the woods disturbed a beehive, was stung, and was taken to the emergency department immediately due to allergies to bee stings. Which of the ff. symptoms would the nurse expect to see upon admission of this patient? i.Pallor around the sting bites iv. Retinal hemorrhage ii.Numbness and tingling in the extremities v. Tachycardia iii.Respiratory stridor vi. Dyspnea
- A. 1, 2, 2004
- B. 3, 5, 2006
- C. 2, 3, 2004
- D. 4, 5, 2006
Correct Answer: B
Rationale: The nurse would expect to see respiratory stridor (iii), tachycardia (v), and dyspnea (vi) upon admission of the patient who was stung by a bee, particularly if the patient has allergies to bee stings. These symptoms are indicative of an allergic reaction, which can progress to anaphylaxis in severe cases. Symptoms such as pallor around the sting bites (i), retinal hemorrhage (iv), and numbness and tingling in the extremities (ii) are not typically associated with an allergic reaction to a bee sting.