A nurse is caring for a client who has a family history of cardiovascular disease. The client asks the nurse for information regarding the Therapeutic Lifestyle Changes (TLC) diet for weight management. Which of the following information about nutrition management should the nurse provide to the client?

"Perform vigorous Intensity aerobic exercise for 50 minutes per week."

"Increase your intake of total fiber to 30 grams each day."

You will have your LDL measured every 6 months."

You should have a weight loss goal of 3 pounds per week."

Answer and Explanation

The Correct Answer is B

A. "Perform vigorous intensity aerobic exercise for 50 minutes per week." The TLC diet recommends moderate-intensity physical activity for at least 30 minutes most days of the week, totaling about 150 minutes per week. Vigorous exercise is beneficial but is not the primary focus of the TLC guidelines.
B. "Increase your intake of total fiber to 30 grams each day." This is correct. Increasing fiber intake to 20-30 grams per day is a key component of the TLC diet, as it helps to lower LDL cholesterol and improve overall heart health.
C. "You will have your LDL measured every 6 months." While regular monitoring of LDL levels is important, the TLC guidelines do not specify that LDL should be measured every 6 months. Frequency of monitoring should be individualized based on the client's health status and risk factors.
D. "You should have a weight loss goal of 3 pounds per week." A weight loss goal of 1-2 pounds per week is recommended as safe and sustainable. Aiming for 3 pounds per week may be too aggressive and difficult to maintain.

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Correct Answer is C

Explanation

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

A. Encourage an Increased number of adults to abstain from alcohol use. B. Limit the intake of grain products for children older than 2 years. C. Increase calories from saturated fat intake for children older than 2 years. D. Advise adults to eat plant-based foods.

Correct Answer is D

Explanation

A. Encourage an increased number of adults to abstain from alcohol use. While reducing excessive alcohol consumption is a goal of Healthy People 2020, complete abstinence is not specifically a target unless it relates to specific health conditions or populations.
B. Limit the intake of grain products for children older than 2 years. Healthy People 2020 does not advocate for limiting grain products for children. Instead, it promotes a balanced diet that includes whole grains as part of healthy eating patterns.
C. Increase calories from saturated fat intake for children older than 2 years. Healthy People 2020 recommends reducing the intake of calories from saturated fats to promote heart health and prevent chronic diseases.
D. Advise adults to eat plant-based foods. This is correct. Healthy People 2020 encourages a diet rich in plant-based foods such as fruits, vegetables, and whole grains to improve health and reduce the risk of chronic diseases.

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Naxlex Comprehensive Predictor Exams

An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is planning a community awareness program about meeting the goals of Healthy People 2020. Which of the following goals should the nurse incorporate into this program?

Correct Answer is D

Explanation

A nurse is performing a focused skin assessment for a client as part of a comprehensive health screening. The nurse notes a mass which is hard, deep, and elevated 2 cm (0.8 in) in diameter on the client's back. Which of the following terms should the nurse use to document this finding?

A nurse in a provider's office receives a telephone call from the parent of a preschooler whose hands and arms were in contact with poison ivy 5 min ago. Which of the following instructions should the nurse give the parent to minimize the manifestations of this type of contact dermatitis?

A nurse is completing a sterile dressing change and wound irrigation for a client. When the procedure is completed, which piece of personal protective equipment should the nurse remove first?

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A nurse is reviewing a newly admitted client's medical record to determine the need to implement fall prevention interventions. The nurse should identify that which of the following findings places the client at risk for a fall?

A community health nurse is preparing an educational program about risk factors for genetic disorders. Which of the following ethnic groups should the nurse identify as being at risk for sickle cell disease?

A nurse manager is developing an in-service about The Joint Commission's National Patient Safety Goals for a group of surgical nurses. Which of the following information regarding Universal Protocol should the nurse include in the in-service?

A nurse is teaching a client about advance health care directives. Which of the following statements by the client indicates an understanding of the teaching?