A nurse is providing teaching about a heart-healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

"I may thicken gravies with cornstarch as I cook."

"Fresh fruits make a good snack option."

"I may eat 2 cans of soup a day."

"I will replace table salt with dried herbs."

Answer and Explanation

The Correct Answer is C

A. Thicken gravies with cornstarch is acceptable as it does not add significant sodium and can be a healthier alternative to flour or other thickening agents.

B. Fresh fruits are indeed a healthy snack option and are encouraged in a heart-healthy diet due to their low sodium and high fiber content.

C. Eating 2 cans of soup a day is concerning because many canned soups are high in sodium, which can exacerbate hypertension. This statement indicates a need for further teaching about sodium intake.

D. Replacing table salt with dried herbs is a positive change that promotes flavor without adding sodium, aligning with heart-healthy dietary recommendations.

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Correct Answer is C

Explanation

A. Cloudy urine may indicate sediment or the presence of protein but does not necessarily require immediate notification to the provider.

B. A strong odor in the first-voided urine can be normal or due to dehydration or dietary factors, and does not immediately warrant concern.

C. A urine output of 175 mL in 8 hours is significantly low and indicates possible oliguria, which is a concern for impaired renal function and should be reported to the provider.

D. A urine output of 2,200 mL in 24 hours can indicate normal or excessive output (polyuria), but it is less concerning than oliguria and does not require immediate notification.

A. Assess the client every 4 hours. B. Place a fall-risk identification band on the client's wrist. C. Keep the client's room dark at night. D. Teach the client to use the call light. E. Keep the client's bed in the lowest position.

Correct Answer is ["B","D","E"]

Explanation

A. Assessing the client every 4 hours is insufficient; the nurse should assess the client more frequently to monitor for changes in condition and risk factors for falls.

B. Placing a fall-risk identification band on the client's wrist is essential for alerting all staff to the client's fall risk, thereby promoting safety.

C. Keeping the client's room dark at night increases the risk of falls; adequate lighting should be provided to help the client navigate safely.

D. Teaching the client to use the call light encourages them to seek assistance when needed, which can help prevent falls.

E. Keeping the client's bed in the lowest position minimizes the risk of injury if the client attempts to get out of bed without assistance.

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A nurse is providing teaching about a heart-healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?

Correct Answer is C

Explanation

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

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