A nurse is providing teaching to a client who has osteoarthritis and reports taking a glucosamine supplement daily. Which of the following statements should the nurse make?

"You should limit medications containing aspirin while taking this supplement."

"Notify your provider if you develop tinnitus."

"You should increase your daily intake of protein while taking this supplement."

"Taking glucosamine can decrease blood glucose levels."

Answer and Explanation

The Correct Answer is D

A. "You should limit medications containing aspirin while taking this supplement.": There is no direct interaction between glucosamine and aspirin that requires limiting the use of aspirin. However, glucosamine and aspirin generally do not have a known interaction that would necessitate this precaution.

B. "Notify your provider if you develop tinnitus.": Tinnitus is not a known side effect of glucosamine. This statement would be more relevant for medications such as aspirin or other drugs known to cause tinnitus.

C. "You should increase your daily intake of protein while taking this supplement.": There is no specific requirement to increase protein intake when taking glucosamine. The focus should be on managing osteoarthritis symptoms and following general dietary recommendations rather than specifically increasing protein.

D. "Taking glucosamine can decrease blood glucose levels.": Some studies suggest that glucosamine might influence blood glucose levels, particularly in people with diabetes. This statement is relevant because it highlights the potential impact of glucosamine on glucose metabolism, which is important for clients managing diabetes or blood glucose levels.

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Correct Answer is A

Explanation

A) Orthostatic hypotension: Anemia often results in decreased blood volume and oxygen-carrying capacity, which can cause orthostatic hypotension. This condition is characterized by a sudden drop in blood pressure when moving from a sitting or lying position to standing, leading to dizziness or fainting.

B) Clubbing of the nail beds: Clubbing is typically associated with chronic hypoxia and long-term respiratory or cardiovascular diseases, rather than anemia. It involves the enlargement of the fingertips and changes in the angle of the nail bed.

C) Conjunctivitis: Conjunctivitis is an inflammation of the conjunctiva, usually caused by infections, allergies, or irritants. It is not a common manifestation of anemia.

D) Heat intolerance: Heat intolerance is more commonly associated with hyperthyroidism or other metabolic disorders rather than anemia. Individuals with anemia are more likely to experience cold intolerance due to reduced oxygen delivery to tissues.

A. "Drink whole milk instead of skim milk." B. "Limit saturated fat to 15 percent of total daily fat intake." C. "Select trans fats for daily fat intake." D. "Replace red meat with fish three times per week."

Correct Answer is D

Explanation

A) "Drink whole milk instead of skim milk": Whole milk contains higher levels of saturated fats compared to skim milk. For individuals with hyperlipidemia, it is advisable to reduce intake of saturated fats to help lower cholesterol levels and improve heart health. Drinking skim or low-fat milk is a healthier option to manage lipid levels.

B) "Limit saturated fat to 15 percent of total daily fat intake": The American Heart Association recommends that saturated fat intake should be limited to less than 7% of total daily calories for those managing hyperlipidemia. Limiting saturated fat to 15% is too high and can contribute to increased cholesterol levels, negatively impacting cardiovascular health.

C) "Select trans fats for daily fat intake": Trans fats are known to significantly raise LDL (bad) cholesterol levels and lower HDL (good) cholesterol, increasing the risk of heart disease. It is essential to avoid trans fats altogether in the diet, as they are detrimental to cardiovascular health.

D) "Replace red meat with fish three times per week": Replacing red meat with fish, especially fatty fish like salmon, mackerel, and sardines, can be beneficial for individuals with hyperlipidemia. Fish is a good source of omega-3 fatty acids, which can help lower triglyceride levels, reduce inflammation, and improve overall heart health. This dietary change supports better lipid management and reduces the risk of cardiovascular diseases.

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A nurse is providing teaching to a client who has osteoarthritis and reports taking a glucosamine supplement daily. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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