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?
"Limit sodium intake to 3,200 milligrams per day."
"Consume foods that are high in calcium."
"Increase intake of refined carbohydrates."
"Consume ten percent of total calories from saturated fat."
The Correct Answer is B
A. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day for most individuals and further reducing it to 1,500 milligrams per day for those with hypertension or at high risk for it. Therefore, the instruction to limit sodium intake to 3,200 milligrams per day is not consistent with DASH diet recommendations.
B. The DASH diet emphasizes consumption of foods rich in calcium, such as low-fat dairy products, as part of its overall approach to promoting heart health and lowering blood pressure.
C. The DASH diet encourages consumption of whole grains and limits intake of refined carbohydrates, as these can contribute to hypertension and other cardiovascular risk factors.
D. The DASH diet recommends limiting saturated fat intake to less than 6% of total calories, rather than ten percent, as part of its emphasis on heart-healthy eating patterns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Fasting glucose level: Elevated fasting glucose levels are a component of metabolic syndrome, indicating potential insulin resistance or diabetes.
B. HDL level: Low levels of HDL cholesterol are indicative of metabolic syndrome, as HDL helps remove cholesterol from the arteries.
C. Triglyceride level: High levels of triglycerides in the blood are a sign of metabolic syndrome and can lead to arterial plaque buildup.
D. Blood pressure reading: High blood pressure is a criterion for metabolic syndrome and can cause damage to the heart and arteries.
E. Waist circumference measurement: An increased waist circumference is a clear indicator of metabolic syndrome, reflecting central obesity.
Correct Answer is B
Explanation
A. Anticholinesterase medications, such as pyridostigmine, are commonly prescribed for myasthenia gravis. They should be taken as prescribed by the healthcare provider, usually on an empty stomach, to optimize absorption.
B. Positioning the head of the client's bed to 40° while eating helps prevent aspiration and choking by facilitating swallowing in clients with myasthenia gravis.
C. Providing the client with food cut into small bites can make swallowing easier but does not address the risk of aspiration associated with myasthenia gravis.
D. Encouraging the client to lie down after eating increases the risk of aspiration and should be avoided in clients with myasthenia gravis.
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