A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching?

"I can drink wine in moderation."

"I will limit my intake of eggs."

"I will limit my intake of red meat to two times per week."

"I should cook with olive oil."

Answer and Explanation

The Correct Answer is C

A. "I can drink wine in moderation." Moderate wine consumption (particularly red wine) is often considered acceptable as part of the Mediterranean diet. This statement does not indicate a need for further teaching.

B. "I will limit my intake of eggs." Eggs can be consumed in moderation on the Mediterranean diet, typically no more than a few times a week. This statement reflects an understanding of the diet and does not indicate a need for further teaching.

C. "I will limit my intake of red meat to two times per week." The Mediterranean diet recommends limiting red meat consumption, but typically to less than two times per week. This statement indicates a need for further teaching as it suggests a higher frequency than recommended.

D. "I should cook with olive oil." Olive oil is a key component of the Mediterranean diet, replacing butter and other fats. This statement reflects correct understanding and does not indicate a need for further teaching.

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Correct Answer is A

Explanation

A. A systolic murmur: A murmur heard between S1 and S2 occurs during systole, which is why it is classified as a systolic murmur. Systolic murmurs are often due to valve abnormalities like aortic stenosis or mitral regurgitation.

B. A third heart sound (S3): The S3 sound occurs after S2, not between S1 and S2. It is associated with rapid ventricular filling and may indicate heart failure.

C. A fourth heart sound (S4): The S4 sound occurs before S1, not between S1 and S2. It is associated with a stiff or hypertrophic ventricle.

D. An expected heart sound: A murmur is not considered an expected heart sound; it is typically abnormal and requires further investigation.

A. Bradycardia B. Dry Cough C. Migraine Headache D. Insomnia or Hyperactivity

Correct Answer is A

Explanation

A. Bradycardia: Atenolol can slow the heart rate as it reduces the workload of the heart. Bradycardia (a heart rate below 60 beats per minute) is a potential adverse effect and should be monitored.

B. Dry Cough: A dry cough is a common side effect of ACE inhibitors, not beta-blockers like atenolol. This statement is incorrect.

C. Migraine Headache: Atenolol is sometimes used to prevent migraines, not cause them. Therefore, migraines are not an expected adverse effect of atenolol. This statement is incorrect.

D. Insomnia or Hyperactivity: Atenolol can cause fatigue or lethargy, but insomnia or hyperactivity is not a typical side effect. This statement is incorrect.

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A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

While auscultating a client's heart sounds, the nurse hears turbulence between S1 and S2. The nurse should document this finding as which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client who has hypertension and is to start taking atenolol (a betablocker) which also reduces the workload of the heart. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

Correct Answer is A

Explanation

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