The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client Indicates that the teaching was effective?

A salad with three kinds of lettuce and fruit.

Vegetable soup, crackers, and milk.

A peanut butter sandwich with soda and cookies.

A tuna fish sandwich with chips and ice cream.

Answer and Explanation

The Correct Answer is D

A)   Incorrect - While a salad includes vegetables and fruits, it may not provide sufficient protein for wound healing.
B)   Incorrect - Vegetable soup and crackers might not provide enough protein compared to other options.
C)   Incorrect - While a peanut butter sandwich includes some protein, soda and cookies are not rich sources of protein.

D)   Correct- A tuna fish sandwich is a good source of protein. Protein is essential for wound healing as it supports tissue repair and regeneration. The choice of a tuna fish sandwich along with chips and ice cream suggests a balanced meal with adequate protein content, which aligns with the teaching of a high protein diet to promote wound healing.

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Correct Answer is D

Explanation

Acute kidney injury (AKI) can have significant impacts on the client's fluid and electrolyte balance. Mannitol, a diuretic, is commonly used to promote diuresis and increase urine

output in cases of AKI. However, it is essential to assess the client's hemodynamic status and overall condition before administering mannitol.

Obtaining vital signs (such as blood pressure, heart rate, respiratory rate, and temperature) helps evaluate the client's baseline status and monitor for any changes that may occur after administering mannitol. It is particularly important to assess blood pressure as mannitol can potentially cause hypotension as a side effect.

Assessing breath sounds is also crucial because pulmonary edema can occur as a complication of AKI. Mannitol administration may exacerbate this condition. Therefore, assessing breath sounds allows the nurse to monitor for signs of fluid overload, such as crackles or wheezes.

Collecting a clean catch urine specimen may be necessary for diagnostic purposes to assess kidney function and determine the presence or severity of acute kidney injury. However, obtaining vital signs and assessing breath sounds should be the first nursing intervention before administering any medication, including mannitol, to ensure the client's safety and monitor for any potential adverse effects.

A. I should have taken some allergy medications before going on the hike. B. I should have eaten a snack halfway through the hike. C. My friend smoked cigarettes during the hike. D. I have been very stressed out lately and should work on stress management. E. I should have taken an extra dose of Fluticasone- Salmeterol.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A. Understanding: The client recognizes that taking allergy medications before the hike might have helped prevent an exacerbation.

B. No understanding: The client doesn't realize that eating a snack could impact asthma symptoms. Proper education is needed here.

C. Understanding: The client acknowledges that exposure to cigarette smoke during the hike could have contributed to the exacerbation.

D. Understanding: The client identifies that stress management could be important in preventing asthma exacerbations.

E. No understanding: The client is not aware that taking an extra dose of Fluticasone-Salmeterol could have been beneficial. Further education is necessary.

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The nurse has completed the diet teaching of a client who is being discharged following treatment of a leg wound. A high protein diet is encouraged to promote wound healing. Which lunch choice by the client Indicates that the teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with possible acute kidney injury (AKI) is admitted to the hospital and mannitol is prescribed as a fluid challenge. Prior to carrying out this prescription, what intervention should the nurse implement?

Correct Answer is D

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

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