The nurse is preparing a class about osteoporosis prevention. Which meal should the nurse recommend to the class?

Grilled chicken over romaine lettuce.

Salmon patties and collard greens.

Tuna and sauteed spinach.

Beef steaks and asparagus.

Answer and Explanation

The Correct Answer is B

A. Grilled chicken over romaine lettuce provides protein but lacks sufficient calcium and vitamin D, which are essential for bone health.

B. Salmon patties and collard greens are rich in calcium and vitamin D, which are crucial for osteoporosis prevention. Salmon contains vitamin D, and collard greens are high in calcium.

C. Tuna and sautéed spinach provide protein and some vitamins, but they may not be as rich in calcium and vitamin D compared to salmon and collard greens.

D. Beef steaks and asparagus offer protein and some nutrients but lack the high levels of calcium and vitamin D needed for bone health.

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Correct Answer is C

Explanation

A. Monitoring oxygen saturation is important but secondary to addressing the immediate cause of the cardiac tamponade.

B. Observing for jugular vein distention is relevant but not the priority compared to directly addressing the tamponade.

C. Notifying the healthcare provider to prepare for pericardiocentesis is the most critical intervention. Cardiac tamponade requires immediate decompression to relieve pressure on the heart and restore normal function.

D. Assessing for paradoxical blood pressure can provide additional information but does not address the immediate need for intervention.

A. Maintain strict intake and output. B. Assess warmth of extremities. C. Monitor blood glucose level. D. Keep head of bed raised 45 degrees.

Correct Answer is A

Explanation

A. Maintaining strict intake and output is crucial in managing septic shock as it helps to monitor fluid balance, which is essential for managing hypovolemia and ensuring adequate perfusion.

B. While assessing warmth of extremities is important, it is not as directly related to the immediate management of septic shock as monitoring intake and output.

C. Monitoring blood glucose levels is important, especially in septic patients, but it is not the primary focus in the initial management of septic shock.

D. Keeping the head of the bed raised 45 degrees can help with breathing but is not the most critical intervention in the immediate management of septic shock.

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The nurse is preparing a class about osteoporosis prevention. Which meal should the nurse recommend to the class?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with heart failure (HF) develops cardiac tamponade. The client has muffled, distant heart sounds, and is anxious and restless. After Initiating oxygen therapy and IV hydration, which intervention is most important for the nurse to implement?

Correct Answer is C

Explanation

The nurse is caring for a client who develops signs and symptoms of septic shock following a urinary tract infection one week ago. The healthcare provider prescribes a sepsis protocol to be initiated. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is A

Explanation

The nurse completes auscultation of the heart on an older adult client. Which finding is considered normal for this client?

Which assessment technique provides the most useful data when the nurse is concerned about possible urinary retention?

The nurse is caring for a client with the sexually transmitted infection (STI) trichomoniasis who reports having had unprotected sex. Which response should the nurse provide?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the site. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

While taking vital signs, a critically ill male client grabs the nurse's hand and asks the nurse not to leave. What action is best for the nurse to take?