A nurse should instruct a client who has premenstrual syndrome (PMS) to make which of these lifestyle modifications?
Walk every day, increase caffeine and salt intake, and sleep 8 to 10 hours a night.
Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule
Reduce caffeine, perform cardio exercise 3 times a week, and sleep 12 hours every other night.
Walk several times a week, maintain a regular sleep schedule, decrease complex carbohydrates, and avoid complex sugars
The Correct Answer is B
A. Walk every day, increase caffeine and salt intake, and sleep 8 to 10 hours a night: Increasing caffeine and salt can worsen PMS symptoms such as irritability, bloating, and breast tenderness. Although adequate sleep and exercise are beneficial, caffeine and sodium should be limited.
B. Reduce caffeine, walk several times a week, use relaxation techniques, and maintain a regular sleep schedule: Reducing caffeine helps minimize irritability and breast tenderness, regular exercise improves mood and circulation, relaxation techniques reduce stress, and consistent sleep enhances hormonal balance and energy levels.
C. Reduce caffeine, perform cardio exercise 3 times a week, and sleep 12 hours every other night: Although reducing caffeine and exercising are helpful, irregular and excessive sleep can disrupt circadian rhythm, causing fatigue and hormonal imbalance, which may worsen PMS symptoms.
D. Walk several times a week, maintain a regular sleep schedule, decrease complex carbohydrates, and avoid complex sugars: Reducing complex carbohydrates is not advised, as these foods stabilize blood glucose and support serotonin levels. Instead, simple sugars should be limited to prevent mood fluctuations and energy crashes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased urinary output: Polyuria is not a characteristic sign of lead poisoning. Lead primarily affects the hematologic, neurologic, and gastrointestinal systems rather than directly influencing renal water regulation, unless nephropathy develops in chronic exposure.
B. Anorexia: Loss of appetite is a common manifestation of acute lead poisoning due to the toxic effects of lead on the gastrointestinal tract and central nervous system. The child may also experience abdominal pain, irritability, and constipation in addition to decreased appetite.
C. Jaundice: Jaundice is not typically associated with lead poisoning. Although lead interferes with heme synthesis, it does not usually cause bilirubin accumulation or liver dysfunction that would result in jaundice.
D. Diarrhea: Gastrointestinal upset can occur, but diarrhea is not as common as constipation in lead toxicity. Lead decreases peristalsis and causes smooth muscle spasm in the intestines, leading more often to constipation than to diarrhea.
Correct Answer is C
Explanation
A. Check tube placement: Tube placement should be verified before administering any medication to ensure that the tube is in the stomach and not the respiratory tract. Checking placement afterward does not prevent complications from incorrect placement.
B. Retape the tube: Retaping may be necessary if the tube is loose, but it is not the priority action after giving medication. The immediate concern is maintaining tube patency and preventing clogging.
C. Flush the tube: Flushing the orogastric tube with sterile or tap water after medication administration is the priority. It ensures that the full dose of the drug enters the stomach, prevents drug interactions or residue buildup in the tubing, and maintains patency.
D. Remove the tube: The orogastric tube should not be removed unless specifically ordered or if there is a clinical reason. Removal immediately after medication administration would prevent ongoing nutritional or medication use and is not a standard practice.
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