The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

I will walk 20 minutes every other day.

Instead of taking my car, I will ride my bike everywhere.

I am starting back to work as a grocery store stocker next week.

I am going to continue my marathon training tomorrow.

Answer and Explanation

The Correct Answer is A

A. I will walk 20 minutes every other day: This is correct. Walking is a safe, low-impact activity that promotes cardiovascular health without placing undue stress on the abdominal area, which is important for a patient with an AAA.
B. Instead of taking my car, I will ride my bike everywhere: Biking can be too strenuous and risky for someone with an AAA, as it may involve physical exertion and potential for trauma to the abdominal area.
C. I am starting back to work as a grocery store stocker next week: This job likely involves heavy lifting and significant physical activity, which is contraindicated for a patient with an AAA due to the risk of increased intra-abdominal pressure and potential aneurysm rupture.
D. I am going to continue my marathon training tomorrow: Marathon training is highly strenuous and can significantly increase blood pressure and stress on the abdominal region, posing a high risk of aneurysm rupture.

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

Explanation

A. There should be 6-8 servings of grains daily: The DASH (Dietary Approaches to Stop Hypertension) diet recommends 6-8 servings of grains, especially whole grains, each day to provide energy, fiber, and essential nutrients.
B. Nuts, seeds, dry beans, and peas should be consumed daily: While these foods are part of the DASH diet, they are not recommended for daily consumption. The diet typically suggests 4-5 servings per week.
C. Meat should be eliminated from the diet: The DASH diet does not require the elimination of meat. It recommends choosing lean meats and consuming them in moderation.
D. Dairy intake should be low-fat or fat-free: The DASH diet emphasizes low-fat or fat-free dairy products to reduce saturated fat intake and promote heart health.
E. Monounsaturated fats and oils are preferred: The DASH diet encourages the use of healthier fats, such as those from monounsaturated sources like olive oil, to help manage cholesterol levels and support cardiovascular health.

A. "I will avoid crossing my legs at the knees." B. "I will wear stockings with elastic tops." C. "I will use a thermometer to check the temperature of my bath water." D. "I will not go barefoot."

Correct Answer is B

Explanation

A. "I will avoid crossing my legs at the knees.": This is appropriate because crossing legs can reduce blood flow and increase the risk of blood clots, exacerbating PVD symptoms.
B. "I will wear stockings with elastic tops.": This indicates a need for further teaching. Stockings with tight elastic tops can constrict blood flow and are not recommended for patients with PVD. They should use graduated compression stockings if prescribed.
C. "I will use a thermometer to check the temperature of my bath water.": This is appropriate as it prevents burns in patients with reduced sensation due to PVD.
D. "I will not go barefoot.": This is appropriate to avoid injuries and infections, which can be problematic for individuals with PVD due to poor circulation.

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The nurse is teaching a patient with an abdominal aortic aneurysm (AAA) about activity. Which statement made by the patient indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

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Explanation

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Correct Answer is B

Explanation

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