A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

Refer the client to the dietician for information on other herbal supplements.

Ask the client about medical problems that could possibly cause indigestion.

Validate the client’s consideration of mint products for minimizing indigestion.

Review the client’s dietary intake that may precipitate the indigestion episodes.

Answer and Explanation

Correct Answer : B

Choice B reason:

Asking the client about medical problems that could possibly cause indigestion is the first step the nurse should take. Indigestion can be a symptom of various underlying medical conditions, such as gastroesophageal reflux disease (GERD), peptic ulcers, or even cardiac issues. Understanding the client’s medical history helps identify any serious conditions that need to be addressed before considering herbal remedies. This approach ensures that the nurse provides safe and appropriate care based on the client’s overall health status.

Choice A reason:

Referring the client to the dietician for information on other herbal supplements can be helpful, but it should not be the first step. It is important to first understand the client’s medical history and current health status to ensure that any recommendations are safe and appropriate.

Choice C reason:

Validating the client’s consideration of mint products for minimizing indigestion is supportive, but it should come after assessing the client’s medical history. While peppermint can help with indigestion, it may not be suitable for all clients, especially those with certain medical conditions.

Choice D reason:

Reviewing the client’s dietary intake that may precipitate the indigestion episodes is important, but it should follow the assessment of the client’s medical history. Identifying dietary triggers is useful, but understanding the overall health context is crucial for providing comprehensive care.

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Correct Answer is D

Explanation

Choice D reason:

Chicken salad on toast, fruit-flavored yogurt, and iced tea are lower in sodium compared to the other options. This meal choice helps manage the client’s elevated sodium levels by avoiding foods high in sodium content. Chicken salad and fruit-flavored yogurt provide balanced nutrition without contributing to excessive sodium intake, making it a suitable choice for someone needing to reduce their sodium levels.

Choice A reason:

Taco salad, refried beans, low-fat ice cream, and coffee can be high in sodium, particularly the taco salad and refried beans. These foods can exacerbate the client’s hypernatremia (high sodium levels), making them less suitable for someone needing to lower their sodium intake.

Choice B reason:

Bacon, lettuce, and tomato sandwich, grapes, and skim milk include bacon, which is high in sodium. This meal choice is not ideal for someone with elevated sodium levels, as it can contribute to further increasing their sodium intake.

Choice C reason:

Canned cream of mushroom soup and tuna salad are typically high in sodium due to the canning process and added preservatives. This meal choice would not help in managing the client’s high sodium levels and is therefore not recommended.

A. Cherries and cranberries. B. Carrots and green beans. C. Avocados and bananas. D. Apples and blueberries.

Correct Answer is C

Explanation

Choice C reason:

Avocados and bananas are high in potassium, which clients with stage 4 chronic kidney disease need to limit. As kidney function declines, the ability to excrete potassium decreases, leading to the risk of hyperkalemia. High potassium levels can cause serious heart problems, so it is important for these clients to avoid foods that are high in potassium.

Choice A reason:

Cherries and cranberries are generally low in potassium and can be included in the diet of clients with chronic kidney disease. They do not pose the same risk as high-potassium foods.

Choice B reason:

Carrots and green beans are also low in potassium and are safe for clients with chronic kidney disease to consume. They provide essential nutrients without contributing to high potassium levels.

Choice D reason:

Apples and blueberries are low in potassium and are safe for clients with chronic kidney disease. They can be included in the diet without increasing the risk of hyperkalemia.

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A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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