The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behaviour indicates that the client is adhering to the eating plan?

No longer includes grains in daily diet.

Enjoys fat-free yogurt as an occasional snack food.

Uses only lactose-free dairy products.

Carefully cleans and peels all fresh fruit and vegetables.

Answer and Explanation

The Correct Answer is B

Choice A reason: The DASH eating plan does not recommend excluding grains from the daily diet. In fact, whole grains are an important part of the DASH diet.

Choice B reason: Enjoying fat-free yogurt as an occasional snack food aligns with the DASH diet's emphasis on low-fat dairy products. This behaviour indicates adherence to the dietary guidelines for reducing hypertension.

Choice C reason: Using lactose-free dairy products is not specifically related to the DASH diet. It may be relevant for individuals who are lactose intolerant, but it does not indicate adherence to the DASH diet principles.

Choice D reason: Carefully cleaning and peeling fresh fruits and vegetables is a good practice for food safety but does not specifically indicate adherence to the DASH diet. The DASH diet encourages the consumption of fruits and vegetables, but how they are cleaned and prepared is less relevant than the overall dietary choices.

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Correct Answer is B

Explanation

Choice A reason: Fluid volume excess is not related to the therapeutic use of galantamine hydrobromide. This medication is used to improve cognitive function in clients with Alzheimer's disease, which is more closely associated with disturbed thought processes.

Choice B reason: Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and thinking. Clients with Alzheimer's disease often experience cognitive decline, and this medication aims to mitigate those symptoms.

Choice C reason: Altered breathing pattern is not addressed by the therapeutic use of galantamine hydrobromide. This medication is specifically used to treat cognitive symptoms associated with Alzheimer's disease, rather than respiratory issues.

A. Haemoglobin A1C of 6.2%. B. Fasting plasma glucose of 189 mg/dL (10.49 mmol/L). C. Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L). D. High-density lipoprotein of 40 mg/dL (1.03 mmol/L).

Correct Answer is A

Explanation

Choice A reason: Haemoglobin A1C of 6.2% is the best indication of long-term adherence to the prescribed diabetic regimen. The A1C test measures the average blood glucose levels over the past two to three months. A result of 6.2% indicates that the client has been maintaining good blood glucose control over this period, which reflects adherence to the regimen.

Choice B reason: Fasting plasma glucose of 189 mg/dL (10.49 mmol/L) is higher than the normal range. This result indicates poor short-term blood glucose control and suggests that the client may not be adhering to the prescribed regimen effectively.

Choice C reason: Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L) is also higher than the recommended level for post-meal glucose. This result points to poor post-meal glucose control and suggests that the client may not be following their dietary or medication plan properly.

Choice D reason: High-density lipoprotein (HDL) of 40 mg/dL (1.03 mmol/L) is slightly below the recommended level for HDL cholesterol. While HDL is important for cardiovascular health, it is not a direct measure of blood glucose control or adherence to a diabetic regimen.

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The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behaviour indicates that the client is adhering to the eating plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing problem addresses its therapeutic use?

Correct Answer is B

Explanation

The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

Correct Answer is A

Explanation

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