A nurse is educating a client who has a chronic illness about a DASH diet. Which of the following meals best fits the DASH diet?

Hamburger, steak fries, and an orange

Turkey sandwich on whole wheat bread, green beans, and banana

Pork sausage and baked beans

Enriched cereal in whole milk

Answer and Explanation

The Correct Answer is B

A.   This meal includes a hamburger, which is typically high in saturated fat and sodium, especially if it's made from fatty cuts of meat and includes processed cheese or condiments. Steak fries are often high in fat and sodium due to being fried. While the orange is a healthy fruit, the rest of the meal does not align with the DASH diet principles.
B.   This meal is a good example of the DASH diet. The turkey provides lean protein, whole wheat bread offers whole grains, and the green beans are a vegetable. The banana adds a serving of fruit. This combination emphasizes a variety of food groups that are encouraged in the DASH diet, making it a balanced and heart-healthy option.
C.   Pork sausage is typically high in saturated fat and sodium, which is not aligned with the DASH diet's recommendations to limit these components. Baked beans can be a good source of fiber but may also contain added sugars and sodium depending on how they are prepared. Overall, this meal does not fit well within the DASH diet framework.
D.   While enriched cereal can provide essential vitamins and minerals, it may also be high in added sugars, which is discouraged on the DASH diet. Whole milk is higher in saturated fat compared to low-fat or non- fat dairy options recommended by the DASH diet. Therefore, this meal does not fully meet DASH guidelines.

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Correct Answer is D

Explanation

A. This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B. This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C. While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D. This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

A. A red throat and fever. B. Pain over the sinus area and purulent nasal drainage. C. Foul smelling breath and noisy respirations. D. Weak cough and high-pitched noise on respiration.

Correct Answer is A

Explanation

A. This is a classic manifestation of acute pharyngitis, which is often caused by viral or bacterial infections. A red or inflamed throat (erythema) and fever are common symptoms due to the inflammatory response to infection. This choice aligns well with the expected findings in a patient with acute pharyngitis.
B. This description is more indicative of sinusitis rather than acute pharyngitis. While a person with acute pharyngitis may have some upper respiratory symptoms, significant sinus pain and purulent nasal discharge are not typical manifestations of pharyngitis itself.
C. Foul-smelling breath (halitosis) can occur in cases of certain infections, but it’s more characteristic of conditions such as tonsillitis or abscesses in the throat rather than typical acute pharyngitis. Noisy respirations may suggest airway obstruction or other complications that are not primary symptoms of pharyngitis.
D. A weak cough and high-pitched noise (stridor) during respiration are more indicative of upper airway obstruction or croup rather than acute pharyngitis. These symptoms suggest a more severe respiratory condition that involves airway narrowing.

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A nurse is educating a client who has a chronic illness about a DASH diet. Which of the following meals best fits the DASH diet?

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Naxlex Comprehensive Predictor Exams

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Correct Answer is D

Explanation

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

Correct Answer is A

Explanation

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