A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the nurse that teaching has been eﬀective?

chicken leg, one slice of bread with buter, and steamed carrots

A grilled cheese sandwich with tomato soup

Slices of ham and cheese on whole grain crackers

Chinese take-out, including steamed rice.

Answer and Explanation

The Correct Answer is A

This meal choice is low in sodium as it contains fresh ingredients and does not include processed or pre-packaged foods that are typically high in sodium. Chicken, bread, and carrots are naturally low in sodium, and the client can control the amount of added salt or seasoning. In contrast, the other food choices are likely to be high in sodium due to added salt, cheese, or processed ingredients.

Therefore, the nurse should encourage the client to choose fresh, low-sodium foods and avoid processed or pre-packaged meals.

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Correct Answer is C

Explanation

The correct answer is choicec. The cobalamin injections will prevent me from becoming anemic.

Choice A rationale:

Cobalamin (B12) injections do not increase hydrochloric acid production in the stomach.Chronic atrophic gastritis often leads to decreased production of hydrochloric acid due to the loss of parietal cells, but B12 injections do not reverse this condition.

Choice B rationale:

The need for cobalamin injections is typically lifelong in patients with chronic atrophic gastritis because the condition leads to a permanent loss of intrinsic factor, which is necessary for B12 absorption. The injections are not just until the stomach heals.

Choice C rationale:

Chronic atrophic gastritis can lead to vitamin B12 deficiency due to the loss of intrinsic factor, which is essential for B12 absorption.This deficiency can cause pernicious anemia, and B12 injections are necessary to prevent this condition.

Choice D rationale:

While chronic atrophic gastritis does increase the risk of stomach cancer, B12 injections are not specifically aimed at reducing this risk.The primary purpose of B12 injections is to prevent anemia.

A. Assess the patient’s perception of what it means to have type 2 diabetes. B. Ask the patient’s family to participate in the diabetes education program. C. Demonstrate how to check glucose using capillary blood glucose monitoring. D. Discuss the need for the patient to actively participate in diabetes management.

Correct Answer is A

Explanation

The first step in the education plan should be to assess their understanding and perception of the disease. This will help the nurse to identify any misconceptions or knowledge gaps that the patient may have and tailor the education plan accordingly. Understanding the patient's perceptions will also help the nurse to establish a trusting relationship with the patient and increase their engagement in diabetes self-management.
Options b, c, and d are important components of the diabetes education plan, but they should be implemented after the initial assessment of the patient's perception and understanding of their diagnosis.

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A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the nurse that teaching has been eﬀective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with chronic atrophic gastritis was prescribed monthly Cobalamin (B12) injections The determines that teaching regarding the injections has been eﬀective when the patient States:

Correct Answer is C

Explanation

Mary, a 63-year-old patient is newly diagnosed with type 2 diabetes. When determining an education plan, the nurse’s first action should be to?

Correct Answer is A

Explanation

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