A client is learning about strategies to prevent hypertension. Which statement indicates they understand the teaching?
I should limit my sodium intake to no more than 2,000 milligrams per day.
I should exercise for 30 minutes three times per week.
I should eat fish once per week.
With a BMI of 30, I should maintain my current weight.
The Correct Answer is A
Choice A rationale
Limiting sodium intake to no more than 2,000 milligrams per day is a recommended strategy to prevent hypertension. Excessive sodium intake can increase blood pressure by causing the body to retain fluid, which increases the volume of blood and subsequently, blood pressure.
Choice B rationale
While regular exercise is beneficial for overall health, the statement “I should exercise for 30 minutes three times per week” may not be sufficient for hypertension prevention. The American Heart Association recommends at least 150 minutes per week of moderate-intensity aerobic activity or 75 minutes per week of vigorous aerobic activity, or a combination of both, preferably spread throughout the week.
Choice C rationale
Eating fish once per week is not a specific recommendation for preventing hypertension. While fish can be a good source of lean protein and omega-3 fatty acids, it does not directly relate to blood pressure control.
Choice D rationale
The statement “With a BMI of 30, I should maintain my current weight” is incorrect. A BMI of 30 falls into the category of obesity, which is a risk factor for hypertension. Weight loss is recommended for hypertension prevention and control in overweight and obese individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypoactive bowel sounds in all four quadrants are not unusual in a patient one day postoperative following an appendectomy. This is because anesthesia and surgery can slow down the bowel movements temporarily.
Choice B rationale
Red streaks along the incision are a sign of infection. This could indicate cellulitis, a common skin infection that can be serious if left untreated. The red streaks are often warm to the touch and may be accompanied by other signs of infection such as fever, pain, and swelling.
Therefore, the nurse should report this finding.
Choice C rationale
Serosanguineous drainage at the incision site is not uncommon in the first few days after surgery. It is a mixture of blood and serum and is usually light pink to blood-tinged in color. However, if the drainage is heavy, or if it continues for more than a few days, it could be a sign of a problem such as infection or poor wound healing.
Choice D rationale
A temperature of 37.2 C (99 F) is within the normal range for body temperature. A slight elevation in temperature can be expected after surgery due to the body’s inflammatory response to the surgical trauma.
Correct Answer is C
Explanation
Choice A rationale
Unscrewing the pins to clean the pin sites is not recommended. This could lead to infection and disrupt the traction.
Choice B rationale
Loosening the rope knots holding the weights for 30 minutes if the patient reports pain is not recommended. The weights provide the necessary force to align and immobilize the body part and should not be removed.
Choice C rationale
Ensuring that at least 4.5 kg (10 lb) of weight is applied to the patient’s traction is a correct action. The amount of weight applied must be sufficient to provide the necessary force for alignment.
Choice D rationale
Removing the weights while turning the patient in bed is not recommended. The weights must remain in place to maintain the therapeutic effect of the traction.
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