A nurse is reinforcing teaching with a client who is at risk for hypertension. Which of the following risk reduction strategies should the nurse Include in the teaching?

Restrict alcohol intake to 350 mt. (12 oz) of wine per day.

Limit caloric intake to 2.500 calories per day.

Walk for 30 min 5 days per week.

Increase dietary intake of canned vegetables

Answer and Explanation

The Correct Answer is C

Rationale:

A. Restrict alcohol intake to 350 mL (12 oz) of wine per day: This recommendation exceeds the safe alcohol limit for individuals at risk for hypertension. For women, the limit is typically one drink per day, and for men, up to two.

B. Limit caloric intake to 2,500 calories per day: 2,500 calories may still be excessive for many individuals, especially those with sedentary lifestyles. Hypertension risk is more effectively reduced through balanced nutrition and physical activity, not just calorie limits.

C. Walk for 30 min 5 days per week: Regular aerobic exercise like walking improves cardiovascular health and is strongly recommended to prevent and manage hypertension. This frequency and duration align with guidelines to lower blood pressure and support overall wellness.

D. Increase dietary intake of canned vegetables: Canned vegetables often contain high sodium levels, which can contribute to elevated blood pressure. Clients at risk for hypertension should be encouraged to choose fresh or low-sodium alternatives to help control sodium intake.

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Correct Answer is ["B","C","D"]

Explanation

Rationale

• Ensure the transfusion tubing is flushed with dextrose 5% in water: Flushing with D5W can cause hemolysis due to the hypotonicity and sugar content, leading to clumping or damage to red blood cells. Normal saline is the only acceptable fluid for flushing or administering with blood products to maintain cell integrity and avoid adverse reactions.

• Obtain a large-bore IV catheter: A large-bore catheter, typically 18–20 gauge, is necessary to allow rapid infusion of blood and reduce the risk of hemolysis. It also minimizes resistance and facilitates effective delivery during emergencies like hypovolemic shock from GI bleeding.

• Witness the client signing a consent for transfusion: Informed consent is a legal and ethical requirement prior to initiating a transfusion. The nurse must ensure that the client understands the purpose, benefits, and risks of the procedure, and the nurse may witness the client’s signature.

• Ensure two nurses confirm the information on the blood label: Verifying the client's identity and blood product information by two licensed personnel prevents transfusion errors, such as ABO incompatibility. This is a critical safety measure and a standard facility protocol before starting the transfusion.

• Explain to the client that transfusion reactions are not serious: Minimizing the risks of transfusion reactions is misleading and unsafe. Some reactions can be life-threatening, such as hemolytic or anaphylactic reactions. The nurse should provide accurate education about potential signs and encourage prompt reporting.

A. Case manager B. Primary care provider C. Nutritionist D. Pediatric nurse practitioner

Correct Answer is A

Explanation

Rationale:

A. Case manager: Case managers coordinate resources and support services for clients, including assistance with financial concerns and access to programs that provide free or low-cost baby formula. They are the best resource to help the client navigate community aid and social services.

B. Primary care provider: While the primary care provider manages the client’s overall health, they are not typically responsible for connecting clients with financial assistance programs related to infant feeding.

C. Nutritionist: Nutritionists provide dietary advice and education but generally do not address financial barriers or resource allocation for obtaining formula.

D. Pediatric nurse practitioner: Pediatric nurse practitioners focus on the infant’s health and development and may provide feeding guidance, but addressing the client’s financial inability to pay for formula falls outside their primary role.

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A nurse is reinforcing teaching with a client who is at risk for hypertension. Which of the following risk reduction strategies should the nurse Include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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