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 ten percent of total calories from saturated fat.
Consume foods that are high in calcium.
Increase intake of refined carbohydrates.
Limit sodium intake to 3,200 milligrams per day.
The Correct Answer is B
Choice A reason: Consuming ten percent of total calories from saturated fat is not a part of the DASH diet because it is too high for most adults. The DASH diet recommends consuming less than seven percent of total calories from saturated fat, which translates to about 16 g of saturated fat per day for an average adult who consumes 2,000 calories per day.
Choice B reason: Consuming foods that are high in calcium is a part of the DASH diet because it can help lower blood pressure by relaxing the blood vessels and reducing the force of contraction of the heart. The DASH diet recommends consuming 1,000 to 1,200 mg of calcium per day, which can be obtained from dairy products, leafy greens, beans, nuts, and fortified foods.
Choice C reason: Increasing intake of refined carbohydrates is not a part of the DASH diet because it can raise blood sugar and insulin levels, which can increase blood pressure and damage the blood vessels. The DASH diet recommends consuming 45 to 55 percent of total calories from carbohydrates, but mostly from whole grains, fruits, and vegetables, which are rich in fiber and antioxidants.
Choice D reason: Limiting sodium intake to 3,200 milligrams per day is not a part of the DASH diet because it is too high for most adults. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day or less, which can help lower blood pressure by reducing fluid retention and vascular resistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The client's creatinine level of 1.0 mg/dL is within the normal range, but it does not indicate that the treatment for benign prostatic hyperplasia has been effective. Creatinine is a waste product of muscle metabolism that is filtered by the kidneys and excreted in urine. It reflects the kidney function, not the prostate condition.
Choice B reason: The client's urine output of 35 mL/hr is below the normal range, which is 40 to 60 mL/hr. This indicates that the client may have dehydration, kidney impairment, or urinary retention, which are complications of benign prostatic hyperplasia. A low urine output does not indicate that the treatment has been effective.
Choice C reason: The client's stool color and consistency are not related to the treatment for benign prostatic hyperplasia. Stool characteristics depend on various factors, such as diet, medication, and bowel function. A soft, brown stool does not indicate that the treatment has been effective.
Choice D reason: The client's ability to urinate without straining is a sign that the treatment for benign prostatic hyperplasia has been effective. Benign prostatic hyperplasia is a condition in which the prostate gland enlarges and compresses the urethra, causing difficulty in urination. A treatment that reduces the size of the prostate or relaxes the bladder neck muscles can improve the urine flow and reduce the straining.
Correct Answer is ["58"]
Explanation
Step 1: Convert the weight from kilograms to pounds. 70 kg × 2.2 lbs/kg = 154 lbs Result at each step = 154 lbs
Step 2: Convert the height from meters to inches. 1.1 m × 39.37 inches/m = 43.307 inches Result at each step = 43.307 inches
Step 3: Convert the height from inches to feet. 43.307 inches ÷ 12 inches/foot = 3.609 feet Result at each step = 3.609 feet
Step 4: Calculate the BMI using the formula: BMI = weight (lbs) ÷ (height (inches))^2 × 703 BMI = 154 lbs ÷ (43.307 inches)^2 × 703 Result at each step = 154 lbs ÷ 1874.48 × 703 Result at each step = 0.0821 × 703 Result at each step = 57.7
Step 5: Round the BMI to the nearest whole number. Result at each step = 58
The client’s Body Mass Index (BMI) is 58.
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