A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?

Red meat

Canned black beans

Fish

Cheese

Answer and Explanation

The Correct Answer is C

Rationale:
A. Red meat: Red meat is often high in saturated fat and cholesterol, which can contribute to hypertension and cardiovascular disease. Regular consumption may increase blood pressure and arterial stiffness, so clients with hypertension should limit or avoid it.

B. Canned black beans: Although beans are generally healthy, canned varieties are often high in sodium, which can worsen hypertension. Unless the beans are labeled low-sodium or rinsed thoroughly before eating, they can contribute to elevated blood pressure.

C. Fish: Fish, especially fatty varieties like salmon or mackerel, are rich in omega-3 fatty acids, which support cardiovascular health by reducing inflammation and improving lipid profiles. Including fish in the diet promotes heart health and helps manage blood pressure effectively.

D. Cheese: Cheese contains significant amounts of sodium and saturated fat, both of which can increase blood pressure and cardiovascular risk. Clients with hypertension should consume cheese in moderation or select low-sodium, low-fat varieties when possible.

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Correct Answer is A

Explanation

Rationale:
A. "You can obtain a personal response system that will be activated if you fall.": A personal emergency response system allows the client to summon help immediately after a fall, promoting independence and safety for individuals living alone.

B. "You should contact a family member once a week to keep in touch.": Weekly contact provides emotional support but does not ensure timely assistance in the event of a fall. Regular communication is helpful, yet it does not directly reduce fall risk or guarantee safety if an emergency occurs.

C. "You can have an unlicensed assistive personnel (UAP) come to your house daily to stay with you.": Having a UAP visit daily may not be realistic or necessary, especially for independent seniors. This does not provide continuous supervision or an immediate response in case of a fall occurring outside scheduled visits.

D. "You need to move to a skilled nursing facility where they can prevent falls.": Suggesting relocation is premature and disregards the client’s desire for independence. Fall prevention strategies and assistive technology should be explored before recommending institutional care.

A. Diminished breath sounds B. Increased drowsiness C. Frequent swallowing D. Elevated pain level

Correct Answer is C

Explanation

Rationale:
A. Diminished breath sounds: Decreased breath sounds could indicate airway obstruction or respiratory compromise but are not a primary sign of hemorrhage following a tonsillectomy. They are more often associated with complications such as laryngospasm or mucus plugging rather than bleeding.

B. Increased drowsiness: Drowsiness in the postoperative period may result from the effects of anesthesia or pain medication. While important to monitor, it is not a specific indicator of hemorrhage unless accompanied by other symptoms like hypotension or tachycardia.

C. Frequent swallowing: Repeated swallowing is an early and classic sign of hemorrhage after tonsillectomy. Children often swallow blood draining down the throat instead of spitting it out, which can lead to blood loss and airway compromise if not promptly addressed.

D. Elevated pain level: Pain is expected after tonsil surgery and does not necessarily indicate bleeding. Although increasing pain should be assessed, it is not a reliable or specific sign of postoperative hemorrhage compared to frequent swallowing.

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A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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