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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

A. Plan to initiate a bladder retraining program for the client. B. Protect the client's perineal skin with a moisture barrier. C. Teach the client to perform pelvic floor muscle exercises. D. Request a prescription for catheter removal.

Correct Answer is D

Explanation

A. Plan to initiate a bladder retraining program for the client. This is important but not the immediate first action.
B. Protect the client's perineal skin with a moisture barrier. This is a preventive measure but not the first step in evidence-based practice.
C. Teach the client to perform pelvic floor muscle exercises. This is useful but not the immediate first action.
D. Request a prescription for catheter removal. Indwelling urinary catheters should be removed as soon as possible to reduce the risk of infection, which aligns with evidence-based practice.

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Naxlex Comprehensive Predictor Exams

A nurse is documenting in a client's electronic medical record. Which of the following entries should the nurse use?

Correct Answer is A

Explanation

A nurse is caring for a client who has an indwelling urinary catheter in place to manage occasional urinary incontinence. When following evidence- based practice, which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is transcribing several telephone prescriptions into a client's medical record. Which of the following entries should the nurse make?

A nurse is using the I-SBAR tool to provide report on a client to an oncoming nurse. In which of the following components of I-SBAR should the nurse include the client's lung sounds?

A nurse is assessing a client who has an ankle fracture of the right foot and is at risk for complex regional pain syndrome (CRPS). The nurse should identify that which of the following findings is a manifestation of CRPS?

A nurse is caring for a client whose family just learned that he has terminal pancreatic cancer. The family requests the diagnosis be withheld from the client. Which of the following actions should the nurse take first?

A charge nurse is reviewing hand hygiene guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse overhears two staff members in a public hallway discussing the diagnosis of a client on another unit. Which of the following actions should the nurse take to promote HIPAA regulations?

A nurse is preparing a sterile field for a procedure the provider will perform at the client's bedside. Which of the following actions should the nurse take?

A nurse on an acute care unit receives a request from a client's provider to fax a laboratory report to his office. Which of the following actions should the nurse take?