A nurse is setting health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should be included in the plan?

The client will increase calorie intake by 200 cal per day.

The client will list foods that are high in calcium, which should be avoided.

The client will replace cigarettes with smokeless tobacco products.

The client will walk for 30 min 5 days a week.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Increasing calorie intake by 200 cal per day may not be beneficial for this client. The client has a BMI of 26, which is considered overweight. Therefore, a goal to increase calorie intake may contribute to further weight gain.
Choice B rationale
Listing foods that are high in calcium which should be avoided is not a relevant goal for this client. Calcium is an essential nutrient and there is no indication that the client needs to avoid it.
Choice C rationale
Replacing cigarettes with smokeless tobacco products is not a healthy goal. Smokeless tobacco products also contain harmful chemicals and can lead to health problems.
Choice D rationale

Walking for 30 min 5 days a week is a beneficial goal for this client. Regular physical activity can help manage weight, lower blood pressure, and reduce the risk of heart disease. It can also help the client quit smoking by reducing cravings and withdrawal symptoms.

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Correct Answer is C

Explanation

Choice A rationale
Increasing sodium intake is not recommended for a client with cirrhosis and ascites. Sodium can cause fluid retention, which can worsen ascites.
Choice B rationale
Increasing saturated fat intake is not recommended for a client with cirrhosis and ascites. A balanced diet with adequate protein and carbohydrates is recommended.
Choice C rationale
Decreasing fluid intake can be a part of the management plan for a client with cirrhosis and ascites. This can help manage fluid balance and prevent further accumulation of fluid in the abdomen.
Choice D rationale
Decreasing carbohydrate intake is not typically recommended for a client with cirrhosis and ascites. Carbohydrates provide a source of energy that is necessary for the body’s functions.

A. You should avoid or cut down on alcohol and caffeine which can aggravate GERD. B. It is okay to take aspirin with GERD. C. You should avoid possible mercury containing foods such as some seafood because of their risk to GERD. D. There is no causal link between lying down after eating and increased onset of GERD.

Correct Answer is A

Explanation

Choice A rationale
Gastroesophageal reflux disease (GERD) is a condition where stomach acid frequently flows back into the esophagus, causing discomfort. Certain lifestyle habits and diet can trigger or worsen GERD symptoms. Alcohol and caffeine are among the substances that can aggravate

GERD123. They can relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus. Therefore, reducing or avoiding alcohol and caffeine can help manage GERD symptoms.
Choice B rationale
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can cause or worsen GERD symptoms. It can irritate the esophagus and stomach lining, leading to heartburn and other GERD symptoms. Therefore, it’s not advisable to take aspirin if you have GERD12.
Choice C rationale
While it’s important to avoid mercury-containing foods due to their potential health risks, there’s no specific link between these foods and GERD12. GERD is primarily triggered by foods that relax the lower esophageal sphincter, cause stomach distension, or irritate the esophagus. Mercury-containing foods do not fall into these categories.
Choice D rationale
Lying down after eating can indeed increase the onset of GERD123. When you lie down, it’s easier for stomach acid to backflow into the esophagus. This is why it’s recommended to wait at least 2-3 hours after eating before lying down.

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A nurse is setting health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should be included in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is educating a patient about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?

Correct Answer is A

Explanation

A nurse is evaluating a client who is at risk for deep-vein thrombosis (DVT). Which of the following symptoms is an indication of DVT?

A nurse is caring for a patient who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

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A nurse is teaching a patient who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the patient is at risk for which of the following complications?

A nurse is caring for a client diagnosed with systemic scleroderma five years ago. The nurse plans to assess the client to document the disease’s progression. In addition to skin changes, which of the following findings should the nurse expect?

A nurse is preparing a care plan for a patient who is about to receive a transfusion of packed red blood cells. What should be the maximum duration for the total infusion time?

A nurse is preparing discharge instructions for a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?

A nurse is caring for a patient in the primary care office who states, “I think I have been experiencing symptoms of reflux.”. Which of the following manifestations should the nurse anticipate for a patient who has GERD?