A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

"I can have mustard on my sandwiches."

"I can season foods with celery salt."

"I can have a frozen juice bar for dessert!"

"I can drink vegetable juice with my meals."

Answer and Explanation

The Correct Answer is C

- A. Mustard often contains a high amount of sodium, which is not recommended for a client trying to limit sodium intake.
- B. Celery salt is primarily composed of salt and should be avoided when trying to reduce sodium consumption.
- C. Frozen juice bars are generally low in sodium, making them a suitable choice for dessert for someone with cardiomyopathy looking to limit sodium intake.
- D. Many vegetable juices are high in sodium, especially if they are canned or bottled, and should be limited in a low-sodium diet.

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Correct Answer is A

Explanation

A. Before withdrawing any insulin from the vial, it's essential to ensure that the pressure within the vial is equalized. This is achieved by injecting air into the vial equal to the volume of insulin to be withdrawn. Therefore, the nurse should first inject 20 units of air into the vial of NPH insulin. This prevents the formation of a vacuum inside the vial, making it easier to withdraw the correct dose of insulin.
B. Injecting air into the vial of regular insulin should be the second step after injecting air into the vial of NPH insulin. This ensures that both insulin types are prepared correctly.
C. Withdrawing 20 units of NPH insulin from the vial should occur after injecting air into the vial, not before.
D. Withdrawing 5 units of regular insulin from the vial should occur after injecting air into the vial, not before.

A. Contact the provider to prescribe more pain medication for the client. B. Teach the client relaxation techniques for treatment of acute pain. C. Document the client's reaction to the administration of medication. D. Reevaluate the client's response to the medication in 30 min.

Correct Answer is D

Explanation

A. Contacting the provider to prescribe more pain medication may be necessary if the client's pain is not adequately controlled; however, reevaluation of the client's response to the initial dose should be done first.
B. Teaching relaxation techniques for acute pain management may be helpful, but it is not the priority at this moment when the client's pain is not adequately controlled.
C. Documenting the client's reaction to the medication is important but should not delay immediate action to address the client's unrelieved pain.
D. Reevaluating the client's response to the medication is the priority to determine if additional interventions are needed to manage the client's pain effectively.

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A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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