A nurse is caring for a client who has hypertension and received nutritional counseling 1 month ago. Which of the following client statements indicates the counseling was effective?

"I use soup broth instead of butter to flavor food."

"I have started cooking most of my meals."

"I eat cheese cubes and crackers as snack."

"I add canned vegetables to my homemade soup."

Answer and Explanation

The Correct Answer is A

A. "I use soup broth instead of butter to flavor food.": This reflects a positive dietary change aimed at reducing saturated fat and sodium intake, both important in managing hypertension. Using broth adds flavor without the added fat and calories of butter, supporting heart health.
B. "I have started cooking most of my meals.": While home-cooked meals can promote healthier eating, the nutritional value depends on the ingredients and methods used. This statement alone does not confirm whether low-sodium or low-fat cooking practices are being followed.
C. "I eat cheese cubes and crackers as snack.": Cheese and many crackers are high in sodium and saturated fats, which can worsen hypertension. This snack choice suggests the client has not yet adopted heart-healthy dietary practices recommended during counseling.
D. "I add canned vegetables to my homemade soup.": Canned vegetables often contain high amounts of sodium unless labeled low-sodium or rinsed before use. Including them without modifications could increase salt intake and negatively affect blood pressure management.

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Correct Answer is B

Explanation

A. Tomatoes: Tomatoes are not high in vitamin K, the nutrient that most significantly affects warfarin's anticoagulant effect. While they are a nutritious food, they do not interfere significantly with INR levels and are unlikely to be the cause of the decreased INR. Asking about tomato intake would not provide the necessary information regarding the interaction with warfarin therapy.
B. Brussel sprouts: Brussel sprouts are high in vitamin K, which promotes blood clotting and directly counteracts the effect of warfarin, a vitamin K antagonist. An increased intake of brussel sprouts can lead to a reduced INR, indicating that the blood is clotting more readily, which increases the risk of thromboembolic events in patients on warfarin.
C. Potatoes: Potatoes contain minimal amounts of vitamin K and do not typically interfere with the effects of warfarin. Although they are commonly eaten, they are not associated with significant INR fluctuations. Therefore, increased intake of potatoes would not explain the reduced INR value.
D. Pasta: Pasta is low in vitamin K and does not have a significant impact on the metabolism or effectiveness of warfarin. While it may be a regular part of a client's diet, an increase in pasta consumption would not lead to a decrease in INR. Hence, this food would not be the primary concern in evaluating warfarin interactions.

A. Has occasional incontinence B. Eats one serving of protein per day C. Responds to verbal commands D. Is able to walk short distances

Correct Answer is B

Explanation

A. Has occasional incontinence. Incontinence increases moisture exposure and contributes to skin breakdown risk, but "occasional" incontinence presents a moderate rather than the highest level of risk. Consistent exposure would be more concerning.
B. Eats one serving of protein per day. Inadequate protein intake significantly impairs tissue repair and skin integrity, placing the client at the highest risk for pressure injuries. Protein is essential for maintaining skin health and supporting the healing process.
C. Responds to verbal commands. This indicates that the client is alert and cognitively intact, allowing for active participation in repositioning and care, which lowers the risk for skin breakdown.
D. Is able to walk short distances. Some level of mobility helps relieve pressure and promotes circulation, both of which reduce the likelihood of pressure injury development. Limited mobility presents less risk than poor nutritional intake.

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A nurse is caring for a client who has hypertension and received nutritional counseling 1 month ago. Which of the following client statements indicates the counseling was effective?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who is taking warfarin and notes a decrease in the INR. The nurse should ask the client if they have recently increased their intake of which of the following foods?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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