A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

Refer the client to the dietician for information on other herbal supplements.

Ask the client about medical problems that could possibly cause indigestion.

Validate the client’s consideration of mint products for minimizing indigestion.

Review the client’s dietary intake that may precipitate the indigestion episodes.

Answer and Explanation

Correct Answer : B

Choice B reason:

Asking the client about medical problems that could possibly cause indigestion is the first step the nurse should take. Indigestion can be a symptom of various underlying medical conditions, such as gastroesophageal reflux disease (GERD), peptic ulcers, or even cardiac issues. Understanding the client’s medical history helps identify any serious conditions that need to be addressed before considering herbal remedies. This approach ensures that the nurse provides safe and appropriate care based on the client’s overall health status.

Choice A reason:

Referring the client to the dietician for information on other herbal supplements can be helpful, but it should not be the first step. It is important to first understand the client’s medical history and current health status to ensure that any recommendations are safe and appropriate.

Choice C reason:

Validating the client’s consideration of mint products for minimizing indigestion is supportive, but it should come after assessing the client’s medical history. While peppermint can help with indigestion, it may not be suitable for all clients, especially those with certain medical conditions.

Choice D reason:

Reviewing the client’s dietary intake that may precipitate the indigestion episodes is important, but it should follow the assessment of the client’s medical history. Identifying dietary triggers is useful, but understanding the overall health context is crucial for providing comprehensive care.

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Correct Answer is D

Explanation

Choice D reason:

Chicken salad on toast, fruit-flavored yogurt, and iced tea are lower in sodium compared to the other options. This meal choice helps manage the client’s elevated sodium levels by avoiding foods high in sodium content. Chicken salad and fruit-flavored yogurt provide balanced nutrition without contributing to excessive sodium intake, making it a suitable choice for someone needing to reduce their sodium levels.

Choice A reason:

Taco salad, refried beans, low-fat ice cream, and coffee can be high in sodium, particularly the taco salad and refried beans. These foods can exacerbate the client’s hypernatremia (high sodium levels), making them less suitable for someone needing to lower their sodium intake.

Choice B reason:

Bacon, lettuce, and tomato sandwich, grapes, and skim milk include bacon, which is high in sodium. This meal choice is not ideal for someone with elevated sodium levels, as it can contribute to further increasing their sodium intake.

Choice C reason:

Canned cream of mushroom soup and tuna salad are typically high in sodium due to the canning process and added preservatives. This meal choice would not help in managing the client’s high sodium levels and is therefore not recommended.

A. Instruct the family about the need to adjust the insulin dose before exercise. B. Recommend an increase in caloric intake to avoid excessive weight loss. C. Suggest a less strenuous activity to reduce the risk for dehydration. D. Reassure the parents that increased physical activity reduces the risk for diabetes.

Correct Answer is D

Explanation

Choice A reason:

Prediabetes in children is typically managed with lifestyle interventions, such as increased physical activity and dietary control, rather than insulin therapy.

Choice B reason:

Recommending an increase in caloric intake to avoid excessive weight loss is important but not the primary concern in this scenario. While maintaining a balanced diet is crucial for children with prediabetes, the immediate focus should be on managing blood glucose levels during physical activity. Increased caloric intake can help support the child’s energy needs, but it does not directly address the potential risks associated with exercise-induced hypoglycemia. Therefore, while caloric intake adjustments may be necessary, they should be secondary to ensuring proper insulin management.

Choice C reason:

Suggesting a less strenuous activity to reduce the risk for dehydration is not the best approach. Physical activity is beneficial for children with prediabetes as it helps improve insulin sensitivity and overall health. Instead of limiting the child’s activity, it is more effective to educate the family on proper hydration strategies and how to manage blood glucose levels during exercise. Encouraging regular physical activity, such as soccer, can help reduce the risk of developing type 2 diabetes and promote a healthy lifestyle. Proper hydration and monitoring can mitigate the risk of dehydration without restricting the child’s participation in sports.

Choice D reason:

Engaging in regular physical activity is a cornerstone in managing prediabetes in children. It enhances insulin sensitivity and helps maintain healthy blood glucose levels. The American Academy of Pediatrics recommends that all children, including those with diabetes mellitus, engage in at least 60 minutes of daily physical activity starting at 5 years of age. Therefore, encouraging the child to join a soccer team aligns with these guidelines and can be beneficial in reducing the risk of progressing to type 2 diabetes.

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A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is D

Explanation

The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?

Correct Answer is D

Explanation

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