A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?
"Consume foods that are high in calcium."
"Increase intake of refined carbohydrates."
"Consume ten percent of total calories from saturated fat."
"Limit sodium intake to 3,200 milligrams per day."
The Correct Answer is A
Answer: A
Rationale:
A. Consume foods that are high in calcium: The DASH diet emphasizes the consumption of foods rich in calcium, as well as potassium and magnesium. Adequate calcium intake is important for managing hypertension, making this a key component of the diet.
B. Increase intake of refined carbohydrates: The DASH diet recommends reducing refined carbohydrates and focusing on whole grains. Refined carbohydrates can contribute to weight gain and adversely affect blood pressure, so increasing their intake is not advised.
C. Consume ten percent of total calories from saturated fat: The DASH diet suggests limiting saturated fat to less than 6-7% of total daily calories. Consuming ten percent of total calories from saturated fat exceeds the recommended amount and is not consistent with DASH guidelines.
D. Limit sodium intake to 3,200 milligrams per day: The DASH diet recommends limiting sodium intake to 1,500 milligrams per day, not 3,200 milligrams. Reducing sodium intake is crucial for controlling blood pressure and aligning with DASH diet principles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) The client is immune to the rubella virus:
A negative rubella titer indicates that the client is not immune to the rubella virus. Therefore, this interpretation is incorrect.
B) The client requires a rubella vaccination at this time:
A negative rubella titer indicates susceptibility to rubella and the need for vaccination. However, administering a live virus vaccine like rubella during pregnancy is contraindicated due to the risk of fetal harm. Therefore, this interpretation is incorrect.
C) The client requires a rubella immunization following delivery:
A negative rubella titer during pregnancy indicates susceptibility to rubella. After delivery, the client should receive a rubella immunization to prevent rubella infection in future pregnancies. Rubella vaccination is safe postpartum and helps protect the mother and future pregnancies. Therefore, this interpretation is correct.
D) The client is not experiencing a rubella infection at this time:
A rubella titer measures the level of antibodies to the rubella virus, not the presence of an active infection. A negative rubella titer indicates the absence of immunity to rubella, not the absence of an active infection. Therefore, this interpretation is incorrect.
Correct Answer is A
Explanation
A) Client is Rh negative and the newborn is Rh positive:
This is the correct response. Rho (D) Immunoglobulin, also known as RhoGAM, is administered to Rh-negative mothers who have given birth to Rh-positive infants. This medication helps prevent the mother's immune system from producing antibodies against Rh-positive blood cells, which could lead to hemolytic disease of the newborn in subsequent pregnancies. Administering RhoGAM in this scenario helps prevent sensitization of the mother's immune system to Rh-positive blood cells.
B) Client is Rh positive and the newborn is Rh negative:
Administering RhoGAM to an Rh-positive mother with an Rh-negative newborn would not be necessary because there is no risk of Rh incompatibility in this situation.
C) Client is Rh positive and the newborn is Rh positive:
Administering RhoGAM to an Rh-positive mother with an Rh-positive newborn would not be necessary because the mother and newborn share the same Rh factor, so there is no risk of Rh incompatibility.
D) Client is Rh negative and the newborn is Rh negative:
Administering RhoGAM to an Rh-negative mother with an Rh-negative newborn would not be necessary because there is no risk of Rh incompatibility in this situation.
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