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. Potassium 3.1 mEq/L (3.5 to 5 mEq/L): Hypokalemia increases the risk of digoxin toxicity because low potassium levels enhance digoxin’s effects on the myocardium, potentially leading to arrhythmias and other toxic effects. Monitoring electrolytes is crucial for clients taking digoxin, especially when on diuretics like furosemide.

B. WBC count 12,000/mm³ (5,000 to 10,000/mm³): An elevated WBC may indicate infection or inflammation but does not directly influence digoxin toxicity. This finding requires assessment but is not a risk factor for digoxin-related complications.

C. Fasting glucose 150 mg/dL (74 to 106 mg/dL): Elevated glucose reflects hyperglycemia but does not affect digoxin levels or toxicity risk. It should be managed separately according to the client’s metabolic needs.

D. Triglycerides 140 mg/dL (35 to 135 mg/dL): Mildly elevated triglycerides are a cardiovascular risk factor but do not directly increase the likelihood of digoxin toxicity. Lipid management is a separate consideration.

A. Apply a cool pack to the perineum. B. Encourage the client to use pant-blow breathing. C. Have their support person leave the room when the doula arrives. D. Lightly stroke the abdomen during contractions.

Correct Answer is D

Explanation

Rationale:
A. Apply a cool pack to the perineum: Cool packs are useful for reducing perineal swelling and discomfort after delivery, not during the latent phase of labor. At this stage, the client benefits more from relaxation and distraction techniques that help manage early contractions.

B. Encourage the client to use pant-blow breathing: Pant-blow or patterned breathing is recommended during the transition phase of labor, when contractions are intense and close together. In the latent phase, the client typically uses slow, relaxed breathing to conserve energy and remain calm.

C. Have their support person leave the room when the doula arrives: Both the doula and the support person play complementary roles in providing emotional and physical support. Asking the partner to leave can increase anxiety and reduce the sense of safety.

D. Lightly stroke the abdomen during contractions: Light abdominal stroking, known as effleurage, promotes relaxation and distraction from contraction pain during the latent phase. This technique aligns with natural childbirth methods by using soothing touch to reduce tension and enhance comfort without pharmacologic intervention.

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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

A nurse is reviewing the laboratory results for a female client who is receiving furosemide and digoxin. Which of the following findings should the nurse recognize increases the client's risk for developing digoxin toxicity?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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