The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behaviour indicates that the client is adhering to the eating plan?

No longer includes grains in daily diet.

Enjoys fat-free yogurt as an occasional snack food.

Uses only lactose-free dairy products.

Carefully cleans and peels all fresh fruit and vegetables.

Answer and Explanation

The Correct Answer is B

Choice A reason: The DASH eating plan does not recommend excluding grains from the daily diet. In fact, whole grains are an important part of the DASH diet.

Choice B reason: Enjoying fat-free yogurt as an occasional snack food aligns with the DASH diet's emphasis on low-fat dairy products. This behaviour indicates adherence to the dietary guidelines for reducing hypertension.

Choice C reason: Using lactose-free dairy products is not specifically related to the DASH diet. It may be relevant for individuals who are lactose intolerant, but it does not indicate adherence to the DASH diet principles.

Choice D reason: Carefully cleaning and peeling fresh fruits and vegetables is a good practice for food safety but does not specifically indicate adherence to the DASH diet. The DASH diet encourages the consumption of fruits and vegetables, but how they are cleaned and prepared is less relevant than the overall dietary choices.

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Correct Answer is A

Explanation

Choice A reason: Determining if the client is using an inhaler before exercising is the most immediate and relevant action. Inhalers, particularly bronchodilators, can help prevent exercise-induced bronchoconstriction by relaxing the airway muscles and reducing mucus production.

Choice B reason: Assessing the client for signs and symptoms of upper airway infection is important but may not be directly related to the episodes triggered by exercise. This action might be more appropriate if there are other indications of infection.

Choice C reason: Reviewing the client's routine asthma management prescriptions is a good practice, but it should come after addressing the immediate concern of managing exercise-induced symptoms. Ensuring proper inhaler use can have a more immediate impact.

Choice D reason: Teaching the client to use pursed-lip breathing when episodes occur is useful for managing dyspneal but does not address the prevention of exercise-induced bronchoconstriction as effectively as using an inhaler.

A. Effectively manage pain, discomfort, and diarrhea. B. Ensure careful fluid and electrolyte balance. C. Reduce number and severity of acute exacerbations. D. Maintain a diet that is high in fibber content.

Correct Answer is C

Explanation

Choice A reason: Effectively managing pain, discomfort, and diarrhea is crucial for the client's immediate comfort and quality of life. However, it does not address the underlying goal of preventing disease progression.

Choice B reason: Ensuring careful fluid and electrolyte balance is essential, especially during acute exacerbations. However, this is more of an immediate concern rather than a long-term goal.

Choice C reason: Reducing the number and severity of acute exacerbations is the most important long-term goal. Achieving this will help maintain remission, prevent complications, and improve the overall prognosis for the client.

Choice D reason: Maintaining a diet that is high in fibber content can be beneficial for overall health but may not always be suitable for clients with ulcerative colitis, especially during flare-ups. This is not the primary long-term goal for managing the condition.

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The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behaviour indicates that the client is adhering to the eating plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of asthma reports having episodes of bronchoconstriction and increased mucus production while exercising. Which action should the nurse implement?

Correct Answer is A

Explanation

In planning care for a client with chronic ulcerative colitis, which long-term goal is most important for the nurse to include?

Correct Answer is C

Explanation

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