In collaboration with the registered dietitian nutritionist (RDN), which foods will the nurse teach a client who is taking a potassium-sparing diuretic to avoid or use cautiously? (Select all that apply)

Red meat.

Bread.

Citrus fruit.

Cereal.

Eggs.

Salt substitutes.

Answer and Explanation

Correct Answer : C,F

Choice A reason: Red meat is not high in potassium, so it’s safe with potassium-sparing diuretics. Citrus fruits, high in potassium, risk hyperkalemia, making this incorrect, as it’s not a food the nurse would teach the client to avoid or use cautiously.

Choice B reason: Bread has low potassium content and is safe with potassium-sparing diuretics. Salt substitutes containing potassium are riskier, making this incorrect, as it’s not a food the nurse would include in teaching for cautious use with the diuretic.

Choice C reason: Citrus fruits, like oranges, are high in potassium, risking hyperkalemia with potassium-sparing diuretics. This aligns with dietary teaching, making it a correct food the nurse would teach the client to avoid or use cautiously to prevent electrolyte imbalance.

Choice D reason: Cereal is generally low in potassium unless fortified, not requiring caution with potassium-sparing diuretics. Citrus fruits are a concern, making this incorrect, as it’s not a primary food the nurse would teach the client to limit in the diet.

Choice E reason: Eggs are low in potassium and safe with potassium-sparing diuretics. Salt substitutes pose a hyperkalemia risk, making this incorrect, as it’s not a food the nurse would include in teaching for cautious use in the client’s dietary plan.

Choice F reason: Salt substitutes often contain potassium chloride, increasing hyperkalemia risk with potassium-sparing diuretics. This aligns with dietary education, making it a correct item the nurse would teach the client to avoid or use cautiously to prevent complications.

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Correct Answer is ["A","B","E"]

Explanation

Choice A reason: NPO status rests the pancreas, reducing enzyme secretion in acute pancreatitis. This aligns with treatment protocols, making it a correct intervention the nurse would expect to be prescribed for the client to manage pancreatic inflammation effectively.

Choice B reason: Coughing and deep breathing prevent respiratory complications like atelectasis in pancreatitis patients, who are often immobile. This aligns with standard care, making it a correct intervention the nurse would anticipate in the client’s treatment plan.

Choice C reason: Small, frequent high-calorie feedings are contraindicated in acute pancreatitis, as they stimulate the pancreas. NPO is correct, making this incorrect, as it’s inappropriate for the nurse’s expected interventions in managing acute pancreatitis.

Choice D reason: Supine and flat positioning may increase discomfort and aspiration risk in pancreatitis. Semi-Fowler’s is preferred, making this incorrect, as it’s not an expected intervention compared to the nurse’s focus on optimal positioning for the client.

Choice E reason: Hydromorphone IV provides effective pain relief in acute pancreatitis, reducing patient discomfort. This aligns with pain management protocols, making it a correct intervention the nurse would expect to be prescribed for the client’s care.

Choice F reason: IV fluids at 10 mL/hr are insufficient for pancreatitis, which requires aggressive hydration. Higher rates are standard, making this incorrect, as it’s inadequate compared to the nurse’s expected fluid management in acute pancreatitis treatment.

A. “The operating room is prepared; let’s not keep the surgeon waiting.” B. “You have the right to cancel surgery, but it could be weeks before you are rescheduled.” C. “You sound frightened; tell me what you are thinking.” D. “Your preoperative medications will have you feeling more relaxed in a minute, it will be fine.”

Correct Answer is C

Explanation

Choice A reason: Pressuring the patient to proceed disregards her autonomy and right to revoke consent. Exploring her concerns respects her decision, making this incorrect, as it dismisses the patient’s expressed wish to cancel the mitral valve replacement surgery during transport.

Choice B reason: Highlighting rescheduling delays may coerce the patient, undermining her right to refuse. Addressing her fears validates her feelings, making this incorrect, as it prioritizes logistics over the patient’s autonomy and emotional state during the surgical consent process.

Choice C reason: Asking about the patient’s thoughts acknowledges her fear and respects her right to revoke consent, facilitating open communication. This aligns with ethical nursing practice, making it the correct response to support the patient’s decision regarding mitral valve replacement surgery.

Choice D reason: Dismissing the patient’s refusal with reassurance about medications ignores her autonomy and consent rights. Exploring her concerns is more appropriate, making this incorrect, as it fails to address the patient’s explicit wish to cancel the surgery during transport.

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In collaboration with the registered dietitian nutritionist (RDN), which foods will the nurse teach a client who is taking a potassium-sparing diuretic to avoid or use cautiously? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed for the client? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

During transport to the operating room for mitral valve replacement, a patient with a signed consent form says that she does not want to go through with the surgery and asks to be returned to her room. What is the best response from the nurse?

Correct Answer is C

Explanation

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