A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers’ markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?

Unpasteurized milk.

Organically grown fruits.

Wheat germ.

Range-fed beef.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Unpasteurized milk poses significant health risks because it can contain harmful bacteria such as E. coli, Salmonella, and Listeria. These pathogens can cause serious illness, especially in vulnerable populations such as children, the elderly, and those with weakened immune systems. It is crucial for the nurse to inform the client about the risks associated with consuming unpasteurized milk and to recommend pasteurized alternatives to ensure food safety.

Choice B reason:

Organically grown fruits are generally safe and can be a healthy choice. While they may have lower pesticide residues compared to conventionally grown fruits, they do not pose the same immediate health risks as unpasteurized milk. The focus should be on ensuring the client washes all fruits thoroughly before consumption.

Choice C reason:

Wheat germ is a nutritious food that provides vitamins, minerals, and fiber. It does not pose significant health risks and can be safely included in a balanced diet. The primary concern should be on educating the client about the benefits of including such nutrient-dense foods in their diet.

Choice D reason:

Range-fed beef can be a healthy option as it is often lower in fat and higher in omega-3 fatty acids compared to conventionally raised beef. While it is important to ensure proper cooking to avoid foodborne illnesses, it does not pose the same level of risk as unpasteurized milk.

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Correct Answer is C

Explanation

Choice C reason:

Consuming a sports drink before and during training can help decrease the frequency of leg cramps by providing electrolytes such as sodium, potassium, and magnesium. These electrolytes are essential for muscle function and preventing cramps. Sports drinks also help maintain hydration, which is crucial for preventing muscle cramps during prolonged physical activity like marathon training.

Choice A reason:

Eating a high carbohydrate meal after running can help replenish glycogen stores but does not directly address the issue of leg cramps. Carbohydrates are important for energy recovery, but electrolytes and hydration are more critical for preventing cramps.

Choice B reason:

Drinking a liter of water during and after running is important for hydration but may not provide the necessary electrolytes to prevent leg cramps. While staying hydrated is crucial, the addition of electrolytes from a sports drink is more effective in preventing cramps.

Choice D reason:

Avoiding alcohol forty-eight hours before training is good advice for overall health and hydration but does not directly address the prevention of leg cramps. Alcohol can contribute to dehydration, but the primary focus should be on maintaining electrolyte balance and hydration during training.

A. Clients who are between the ages of 19 and 64 years old. B. Older adult clients who are receiving dialysis twice a week. C. Lactating mothers who are breastfeeding. D. Adolescent females who are menstruating.

Correct Answer is C

Explanation

Choice C reason:

Lactating mothers who are breastfeeding need to drink the most amount of water to remain adequately hydrated. Breastfeeding increases a mother’s fluid needs because a significant amount of water is used to produce breast milk. Adequate hydration is essential to maintain milk production and overall health. Lactating mothers are advised to drink more fluids than the average adult to compensate for the fluid loss through breastfeeding.

Choice A reason:

Clients who are between the ages of 19 and 64 years old have standard hydration needs based on their activity level, climate, and overall health. While staying hydrated is important for this age group, their fluid requirements are not as high as those of lactating mothers.

Choice B reason:

Older adult clients who are receiving dialysis twice a week need to manage their fluid intake carefully. Dialysis patients often have fluid restrictions to prevent fluid overload, which can lead to complications. Therefore, they do not need to drink the most amount of water compared to other groups.

Choice D reason:

Adolescent females who are menstruating may experience increased fluid needs due to blood loss and hormonal changes, but their hydration requirements are not as high as those of lactating mothers. While it is important for them to stay hydrated, they do not need to drink the most amount of water.

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A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers’ markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?

Correct Answer is C

Explanation

The nurse is planning a nutritional class for adequate daily intake of water. Which population of clients should drink the most amount of water to remain adequately hydrated?

Correct Answer is C

Explanation

The nurse is conducting a nutritional class on foods that have been linked to help decrease the development of some forms of cancer. Which meal selection is the best choice to help reduce the risk of some cancers?

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

A client who has migraine headaches wants to decrease the intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which food should the nurse recommend that the client eliminate?

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?