The nurse is preparing a class about osteoporosis prevention. Which meal should the nurse recommend to the class?

Grilled chicken over romaine lettuce.

Salmon patties and collard greens.

Tuna and sauteed spinach.

Beef steaks and asparagus.

Answer and Explanation

The Correct Answer is B

A. Grilled chicken over romaine lettuce provides protein but lacks sufficient calcium and vitamin D, which are essential for bone health.

B. Salmon patties and collard greens are rich in calcium and vitamin D, which are crucial for osteoporosis prevention. Salmon contains vitamin D, and collard greens are high in calcium.

C. Tuna and sautéed spinach provide protein and some vitamins, but they may not be as rich in calcium and vitamin D compared to salmon and collard greens.

D. Beef steaks and asparagus offer protein and some nutrients but lack the high levels of calcium and vitamin D needed for bone health.

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Correct Answer is A

Explanation

A. Client B’s hemoglobin is significantly low, indicating the need for a blood transfusion to improve oxygen-carrying capacity.

B. Client C’s potassium level is within normal limits, so there is no immediate need to add a banana.

C. Client A’s oxygen saturation is acceptable, so increasing the oxygen is unnecessary.

D. Client D’s elevated WBC count may indicate infection, but moving them to isolation before surgery is not required based solely on this finding.

Correct Answer is []

Explanation

The client has a history of chronic obstructive pulmonary disease (COPD) and is experiencing episodes of more forceful coughing. This history increases the risk of aspiration, especially when taking oral medications. Aspiration can occur if the medication is not swallowed properly, leading to potential respiratory complications.

Assess swallowing ability: Given the client’s COPD and increased coughing, assessing the swallowing ability is crucial before administering oral medications to ensure that the client can safely swallow the medication and reduce the risk of aspiration.

Place in Fowler’s position: Placing the client in Fowler’s position (or semi-Fowler's position) promotes proper swallowing and decreases the risk of aspiration. It also helps improve respiratory function and comfort in clients with COPD.

Increased coughing or choking after administration: Monitoring for increased coughing or choking after taking the medication can help identify early signs of aspiration and allow for prompt intervention to prevent respiratory complications.

Level of consciousness: Monitoring the level of consciousness is important as changes in consciousness can affect the client’s ability to swallow properly and increase the risk of aspiration. It helps ensure the client remains alert and responsive.

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The nurse is preparing a class about osteoporosis prevention. Which meal should the nurse recommend to the class?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Correct Answer is []

Explanation

The adult child of an older adult client who has Parkinson's disease, calls the clinic and reports that the client has been confused for the past week. What action(s) should the nurse take? Select all that apply.

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Patient Data Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

Which client should the charge nurse on the oncology unit assign to an RN, rather than a practical nurse (PN)?

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