A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching?

"I can drink wine in moderation."

"I will limit my intake of eggs."

"I will limit my intake of red meat to two times per week."

"I should cook with olive oil."

Answer and Explanation

The Correct Answer is C

A. "I can drink wine in moderation." Moderate wine consumption (particularly red wine) is often considered acceptable as part of the Mediterranean diet. This statement does not indicate a need for further teaching.

B. "I will limit my intake of eggs." Eggs can be consumed in moderation on the Mediterranean diet, typically no more than a few times a week. This statement reflects an understanding of the diet and does not indicate a need for further teaching.

C. "I will limit my intake of red meat to two times per week." The Mediterranean diet recommends limiting red meat consumption, but typically to less than two times per week. This statement indicates a need for further teaching as it suggests a higher frequency than recommended.

D. "I should cook with olive oil." Olive oil is a key component of the Mediterranean diet, replacing butter and other fats. This statement reflects correct understanding and does not indicate a need for further teaching.

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Correct Answer is D

Explanation

A. Expect to gain weight while taking this medication. Weight gain is not a common side effect of captopril (an ACE inhibitor). This is incorrect advice.

B. Expect insomnia while taking this medication. Insomnia is not a common side effect of captopril, so this advice is not appropriate.

C. Use salt substitutes while taking this medication. Salt substitutes often contain potassium, and ACE inhibitors like captopril can cause hyperkalemia (high potassium levels). Therefore, this advice is incorrect and potentially harmful.

D. Take the medication on an empty stomach. Captopril should be taken on an empty stomach, usually 1 hour before meals, to improve its absorption and efficacy.

A. "The client may benefit from a neurology consult." B. "The client is disoriented and pupils are slow to respond to light." C. "The client has developed drooping facial features." D. "The client has a history of hypertension."

Correct Answer is D

Explanation

A. "The client may benefit from a neurology consult." This statement is more appropriate for the recommendation component of SBAR. The background should focus on what has already occurred or is known, not what the nurse thinks should be done next.

B. "The client is disoriented and pupils are slow to respond to light." This would be part of the assessment component of SBAR, which describes the nurse's evaluation of the current condition.

C. "The client has developed drooping facial features." This statement can be included in theSituationcomponent because it describes the immediate concern that prompted the communication.

D. "The client has a history of hypertension." This statement is suitable for theBackgroundcomponent. It provides relevant medical history that helps the provider understand the context of the current situation.

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A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is about to start taking captopril to treat hypertension. Which of the following instructions should the nurse include to help the client manage this medication's adverse effects?

Correct Answer is D

Explanation

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?

Correct Answer is D

Explanation

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