The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.
The nurse knows that the client understands the teaching when they state:

My diet will include more unsaturated fats and low carbohydrates.

My diet will include increased amounts of carbohydrates and protein.

My diet will include moderate amounts of protein and omega-3 oils.

My diet will include foods rich in sodium and carbohydrates.

Answer and Explanation

The Correct Answer is A

Choice A rationale

A ketogenic diet includes high fats, moderate protein, and low carbohydrates, with unsaturated fats emphasized for health. This metabolic state reduces seizure frequency by enhancing ketone production as an alternative energy source for the brain.

Choice B rationale

Increasing carbohydrates disrupts ketosis, the fundamental principle of the ketogenic diet. This would counteract the therapeutic goal of reducing seizure activity by providing glucose as a primary brain fuel instead of ketones.

Choice C rationale

While omega-3 oils support brain health, the ketogenic diet focuses on low carbohydrate intake and high fat. Moderate protein intake is essential, but excess omega-3 emphasis neglects the diet’s structure.

Choice D rationale

Foods high in sodium and carbohydrates contradict the ketogenic diet's principles. Elevated carbohydrate intake halts ketosis, while excess sodium intake is unrelated to ketogenic mechanisms or seizure management.

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Correct Answer is C

Explanation

Choice A rationale

The latent period of HIV includes asymptomatic phases when the CD4+ count remains above 200 cells/mm. Pneumocystic pneumonia and low CD4+ counts signify progression beyond latent HIV.

Choice B rationale

HIV-positive status reflects infection presence, but it does not confirm AIDS unless CD4+ count drops below 200 cells/mm and opportunistic infections occur, such as pneumocystic pneumonia.

Choice C rationale

AIDS is diagnosed when CD4+ count decreases below 200 cells/mm, coupled with opportunistic infections. Pneumocystic pneumonia indicates a weakened immune system due to advanced disease.

Choice D rationale

Seroconversion marks the initial immune response to HIV infection with detectable antibodies but occurs before CD4+ counts decline significantly and opportunistic infections appear.

A. Repeat short phrases at slightly increased speed. B. Limit her daily caffeine intake. C. Face her directly when you are speaking to her. D. Occasionally vary between higher and lower pitch of your voice.

Correct Answer is C

Explanation

Choice A rationale

Speaking at increased speed may hinder comprehension in individuals with sensorineural hearing loss, as clarity diminishes with rapid verbalization.

Choice B rationale

Reducing caffeine intake is irrelevant to auditory function; caffeine influences systemic effects but does not aid hearing impairment.

Choice C rationale

Facing the individual directly ensures clear visual cues, including lip reading, critical for communication with sensorineural hearing loss.

Choice D rationale

Varying pitch disrupts consistency in auditory perception; maintaining a steady tone aids clarity for impaired auditory processing.

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The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.The nurse knows that the client understands the teaching when they state:

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Naxlex Comprehensive Predictor Exams

A client, who has tested positive for human immunodeficiency virus (HIV), now presents with a CD4+ count of less than 200 cells/mm and pneumocystic pneumonia.A normal range for a CD4+ count is 500-1500 cells/mm.How would the nurse evaluate these findings? The client:

Correct Answer is C

Explanation

A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.Which point is appropriate for the nurse to teach?

Correct Answer is C

Explanation

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The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.The nurse knows that the client understands the teaching when they state:

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The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.
The nurse knows that the client understands the teaching when they state: