The nurse is performing health education-related lifestyle modifications for a patient who has been newly diagnosed with hypertension. As a component of these modifications, the DASH (Dietary Approaches to Stop Hypertension) eating plan has been recommended to the patient. Which of the nurse's recommendations is most congruent with this eating plan?

"Try to buy and consume as many organic and natural foods as you can."

"Try to replace the complex carbohydrates in your diet with protein-rich foods."

"Try to reduce the overall amount of fat that is in your diet."

"If you eat four of five small meals each day, you'll find that you're able to reduce your calorie intake."

Answer and Explanation

The Correct Answer is C

A. "Try to buy and consume as many organic and natural foods as you can." While organic and natural foods are generally healthy, this advice does not directly align with the DASH diet, which focuses more on nutrient balance and reduction of sodium, fats, and sugars.

B. "Try to replace the complex carbohydrates in your diet with protein-rich foods." The DASH diet emphasizes balanced intake of whole grains (complex carbohydrates), fruits, vegetables, and lean proteins, rather than replacing complex carbohydrates.

C. "Try to reduce the overall amount of fat that is in your diet." This recommendation is consistent with the DASH diet, which advises reducing saturated fats and total fat to help manage blood pressure.

D. "If you eat four of five small meals each day, you'll find that you're able to reduce your calorie intake." Eating smaller, more frequent meals may help with calorie control, but this advice is more related to weight management than directly aligning with the DASH diet's focus on nutrient-rich, heart-healthy foods.

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Correct Answer is D

Explanation

A. Instruct to resume regular activities such as driving. It is not safe to instruct the client to resume activities like driving immediately, especially at the beginning of lithium therapy, as lithium can cause side effects that may impair the client's ability to safely perform tasks such as driving.

B. Administer lithium before meals. Lithium is typically taken with food to minimize gastrointestinal upset. Administering it before meals may increase the risk of side effects like nausea.

C. Withhold if serum level is less than 1.5 mEq. Lithium should be withheld if the serum level is above the therapeutic range (typically 0.6–1.2 mEq/L), as higher levels can lead to toxicity. Withholding lithium if the level is less than 1.5 mEq/L is incorrect and could lead to inadequate treatment.

D. Instruct to avoid breastfeeding. Lithium is excreted in breast milk and can pose a risk to the infant, so the client should be advised against breastfeeding while on lithium therapy.

A. Elevated blood glucose B. Improved range of motion C. Increased blood pressure D. Improved mood

Correct Answer is B

Explanation

A. Elevated blood glucose: Elevated blood glucose is a common side effect of prednisone due to its glucocorticoid activity. However, this does not indicate the effectiveness of treatment for rheumatoid arthritis.

B. Improved range of motion: Improved range of motion is an indication that the inflammation and pain associated with rheumatoid arthritis are being effectively managed by prednisone, making this the best indicator of treatment effectiveness.

C. Increased blood pressure: Increased blood pressure is another potential side effect of prednisone but does not indicate the effectiveness of the treatment for rheumatoid arthritis.

D. Improved mood: While prednisone can sometimes improve mood, this is not a direct indicator of its effectiveness in treating rheumatoid arthritis.

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Naxlex Comprehensive Predictor Exams

Which of the following nursing interventions should a nurse perform when caring for a female client with mood disorder who is prescribed lithium?

Correct Answer is D

Explanation

A nurse is preparing to administer prednisone to a client for treatment of rheumatoid arthritis. Which of the following findings indicates to the nurse the treatment is effective?

Correct Answer is B

Explanation

The client is diagnosed with a benign brain tumor. Which of the following features of a benign tumor is of most concern to the nurse?

The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?

A client has a blood alcohol level that is double the legal limit for driving yet does not exhibit behaviors of intoxication. The nurse knows that this is due to which effect?

The nurse is providing education via phone to a client who called stating that the newly prescribed imipramine (Tofranil) is not working as depression is still a problem. Which question is most important to ask first?

Building trust is especially critical to developing a therapeutic relationship with an anxious client. Which of the following interventions contributes to this trust?

A psychiatric mental-health nurse is evaluating the treatment plan of an adult client diagnosed with schizophrenia disorder with aggressive behaviors. Which outcome of the client would demonstrate successful treatment?

A client is brought to the emergency department with symptoms of a cerebrovascular accident (CVA). The nurse would anticipate which diagnostic evaluation to be completed prior to initiation of treatment?