A nurse is setting health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should be included in the plan?
The client will increase calorie intake by 200 cal per day.
The client will list foods that are high in calcium, which should be avoided.
The client will replace cigarettes with smokeless tobacco products.
The client will walk for 30 min 5 days a week.
The Correct Answer is D
Choice A rationale
Increasing calorie intake by 200 cal per day may not be beneficial for this client. The client has a BMI of 26, which is considered overweight. Therefore, a goal to increase calorie intake may contribute to further weight gain.
Choice B rationale
Listing foods that are high in calcium which should be avoided is not a relevant goal for this client. Calcium is an essential nutrient and there is no indication that the client needs to avoid it.
Choice C rationale
Replacing cigarettes with smokeless tobacco products is not a healthy goal. Smokeless tobacco products also contain harmful chemicals and can lead to health problems.
Choice D rationale
Walking for 30 min 5 days a week is a beneficial goal for this client. Regular physical activity can help manage weight, lower blood pressure, and reduce the risk of heart disease. It can also help the client quit smoking by reducing cravings and withdrawal symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Hepatitis C is not spread through inhalation. It is a bloodborne virus that is most commonly spread through direct contact with the blood of an infected person.
Choice B rationale
While it is possible for hepatitis C to be spread through semen, this is less common. The risk is higher for men who have sex with men, especially if they are also infected with HIV6.
Choice C rationale
Hepatitis C is not spread through feces. It is a bloodborne virus that is most commonly spread through direct contact with the blood of an infected person.
Choice D rationale
Hepatitis C is primarily spread through blood. This can occur through sharing needles, syringes, or other equipment to inject drugs, or through needle-stick injuries among healthcare workers.
Correct Answer is D
Explanation
Choice A rationale
An increase in intraocular pressure is not a cause of diabetic retinopathy. Diabetic retinopathy is caused by damage to the blood vessels in the retina due to high blood sugar levels.
Choice B rationale
While regular eye exams are important for patients with diabetes mellitus, having an eye exam every 2 years may not be sufficient for detecting and managing diabetic retinopathy. More frequent eye exams may be recommended depending on the patient’s condition.
Choice C rationale
Clouding of the lens is not a manifestation of diabetic retinopathy. This is a symptom of cataracts, not diabetic retinopathy. Diabetic retinopathy affects the blood vessels in the retina, not the lens of the eye.
Choice D rationale
Seeing spots, also known as floaters, is a common symptom of diabetic retinopathy. This occurs when blood and other fluids leak into the vitreous, the clear, jelly-like substance that fills the inside of the eye.
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