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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "The provider can give you a referral for your baby to see an infectious disease provider.": Referring to a specialist does not address the parents’ knowledge or concerns about immunizations. The priority is to engage in a discussion to understand their perspective.
B. "Your baby's immunizations should be up to date before they are able to travel with you by airplane.": Framing immunizations only around travel requirements may seem judgmental and does not address the broader health benefits of vaccination.
C. "You don't have to immunize your baby against diseases that are no longer common.": This statement is misleading because many vaccine-preventable diseases can reemerge if immunization rates drop. It could reinforce misconceptions rather than promoting safe health practices.
D. "Let's talk about what you already know about immunizing your baby.": Beginning with an open-ended, nonjudgmental discussion allows the nurse to assess the parents’ knowledge, beliefs, and concerns. This approach supports informed decision-making and provides an opportunity for accurate, tailored education about vaccines.
Correct Answer is C
Explanation
Rationale:
A. "I should clean my stoma with moisturizing soap.": Moisturizing soaps can leave a residue that interferes with the adhesive seal of the ostomy pouch. The stoma and surrounding skin should be cleaned gently with mild, non-moisturizing soap and water to maintain skin integrity and pouch adhesion.
B. "I should expect my stoma to be blistered.": A healthy stoma should appear pink to red and moist. Blistering indicates trauma, irritation, or infection, which requires assessment and intervention, so this expectation is incorrect.
C. "I should cut my pouch opening 1/8 inch larger than my stoma.": Proper pouch sizing ensures a secure fit around the stoma while protecting the surrounding skin from effluent. Cutting the opening slightly larger than the stoma prevents pressure and irritation.
D. "I should change my stoma pouch 30 minutes after meals.": Ostomy pouch changes should be scheduled when effluent is minimal, typically every 3–7 days or when the pouch is leaking. Timing changes specifically after meals is unnecessary.
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