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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?

Whole wheat bread.

Chicken.

Cherries.

Hard salami.

Answer and Explanation

The Correct Answer is D

Choice A: Whole wheat bread is not typically high in tyramine and is not a common trigger for migraines.

Choice B: Chicken is a low-tyramine food and is unlikely to be a trigger for migraines.

Choice C: Cherries are also low in tyramine and are not commonly associated with migraine triggers.

Choice D: Hard salami is a high-tyramine food and is known to be a potential trigger for migraines. Therefore, the nurse should recommend that the client eliminate hard salami from their diet.

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Correct Answer is ["A","B","F"]

Explanation

Choice A: Confirming information from the solution label is essential to ensure that the correct parenteral nutrition solution is being administered.

Choice B: Confirming the healthcare provider's prescription is critical to verify the type, rate, and duration of the parenteral nutrition therapy, as well as any specific additives or electrolyte requirements.

Choice C: The medication administration record (MAR) is not directly related to parenteral nutrition, so it is not a primary source of information for this specific procedure.

Choice D: Measured residual volume is relevant for enteral nutrition administration but is not applicable to parenteral nutrition.

Choice E: The dietitian's progress notes may provide valuable information about the client's overall nutrition plan but are not the primary source for confirming the immediate administration of a specific parenteral nutrition solution.

Choice F: Confirming the client's identification band is essential to ensure the correct client receives the parenteral nutrition and to prevent errors in administration.

A. I will withhold the antacid for now, and if you get indigestion, I will bring it back. B. CKD stresses your body to over-secrete gastric juices, and antacids help neutralize them. C. Your serum phosphate levels are up, and aluminum antacids prevent absorption of phosphates in foods. D. OK, I will let your healthcare provider know that you do not need the antacid.

Correct Answer is C

Explanation

Choice A: Withholding the antacid until the client gets indigestion is not appropriate because the primary purpose of aluminum hydroxide in CKD is to bind to phosphates in foods and reduce their absorption. It is not primarily used for indigestion.

Choice B: While CKD can lead to disturbances in gastric acid secretion, aluminum antacids are primarily used in CKD to control hyperphosphatemia by binding to phosphates in the gastrointestinal tract. Their role is not primarily related to gastric acid control.

Choice C: This response provides the most appropriate rationale. Aluminum antacids are often prescribed to CKD clients to prevent the absorption of dietary phosphates, which can contribute to hyperphosphatemia in CKD.

Choice D: Simply informing the healthcare provider that the client does not want to take the antacid is not the most informative response, as it does not address the rationale behind the medication use in CKD.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering a parenteral nutrition solution through a central vein, the nurse should confirm information from which sources? (Select all that apply)

Correct Answer is ["A","B","F"]

Explanation

An adult male client with chronic kidney disease (CKD) is receiving aluminum hydroxide (Amphojel). He tells the nurse that since he does not have indigestion there is no need for him to take the antacid with his meals. Which response is best for the nurse to provide?

Correct Answer is C

Explanation

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