The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?

Fried fish sandwich and potato salad

Baked turkey and salad

Biscuits with sausage gravy and sliced tomatoes

Barbecued ribs and canned baked beans

Answer and Explanation

The Correct Answer is B

A. Fried fish sandwich and potato salad: Fried foods are high in unhealthy fats, which can increase cholesterol levels and are not recommended for clients after a myocardial infarction.

B. Baked turkey and salad: This is a healthy choice, as baked turkey is low in fat, and a salad provides nutrients without excessive fat or cholesterol, supporting heart health.

C. Biscuits with sausage gravy and sliced tomatoes: Biscuits and sausage gravy are high in saturated fats, which are not appropriate for a heart-healthy diet.

D. Barbecued ribs and canned baked beans: Barbecued ribs and canned baked beans may contain high levels of saturated fats, sugar, and sodium, which are not recommended for someone recovering from a myocardial infarction.

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Correct Answer is A

Explanation

A. Emboli: Emboli can form as vegetations break off from the heart valves and travel to other parts of the body, causing complications such as stroke, pulmonary embolism, or organ infarction.

B. A heart murmur: A heart murmur is a common symptom of infective endocarditis but not a complication. It results from valve damage caused by the infection.

C. Petechiae: Petechiae are a manifestation of infective endocarditis, not a complication. They occur due to the damage to blood vessels by emboli or infection.

D. Fever: Fever is a common sign of infective endocarditis due to the ongoing infection but is not considered a complication.

A. Use the diaphragm of the stethoscope to listen to the carotid pulsations. B. Count the apical pulsations for a full minute. C. Check the apical pulse with a Doppler device. D. Press the stethoscope firmly against the client's skin.

Correct Answer is B

Explanation

A. Use the diaphragm of the stethoscope to listen to the carotid pulsations. The apical pulse is located at the apex of the heart, not at the carotid artery. This option does not describe the correct location or use of the stethoscope.

B. Count the apical pulsations for a full minute. Counting for a full minute is the correct method for assessing an apical pulse, particularly in clients on cardiovascular medications, to ensure accurate detection of any irregularities.

C. Check the apical pulse with a Doppler device. A Doppler device is typically used to assess peripheral pulses, not the apical pulse. A stethoscope is the appropriate tool for apical pulse assessment.

D. Press the stethoscope firmly against the client's skin. While the stethoscope should be placed firmly enough to hear heart sounds, excessive pressure can distort the sounds and is not necessary.

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The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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