The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

There should be 6-8 servings of grains daily.

Nuts, seeds, dry beans, and peas should be consumed daily.

Meat should be eliminated from the diet.

Dairy intake should be low-fat or fat-free.

Monounsaturated fats and oils are preferred.

Answer and Explanation

Correct Answer : A,D,E

A. There should be 6-8 servings of grains daily: The DASH (Dietary Approaches to Stop Hypertension) diet recommends 6-8 servings of grains, especially whole grains, each day to provide energy, fiber, and essential nutrients.
B. Nuts, seeds, dry beans, and peas should be consumed daily: While these foods are part of the DASH diet, they are not recommended for daily consumption. The diet typically suggests 4-5 servings per week.
C. Meat should be eliminated from the diet: The DASH diet does not require the elimination of meat. It recommends choosing lean meats and consuming them in moderation.
D. Dairy intake should be low-fat or fat-free: The DASH diet emphasizes low-fat or fat-free dairy products to reduce saturated fat intake and promote heart health.
E. Monounsaturated fats and oils are preferred: The DASH diet encourages the use of healthier fats, such as those from monounsaturated sources like olive oil, to help manage cholesterol levels and support cardiovascular health.

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Correct Answer is B

Explanation

A. "Permanent structural changes in my kidneys and eyes have already occurred.": This statement is more indicative of the complications of chronic, uncontrolled hypertension, whether primary or secondary. It does not reflect understanding that secondary hypertension is due to a specific, often treatable cause.
B. "My blood pressure can return to normal with treatment of my kidney disease.": This statement correctly reflects an understanding of secondary hypertension, which is caused by an underlying condition (like kidney disease). Treating the underlying condition can potentially normalize blood pressure.
C. "I don't know the cause of my hypertension.": This statement reflects primary (essential) hypertension, where the cause is generally unknown.
D. "My essential hypertension must be treated with medications.": This statement describes essential hypertension, not secondary. Essential hypertension typically requires lifelong medication management.

A. "Arteriolar vasoconstriction occurs, most often in the fingertips with symptoms of coldness, pain, and pale skin." B. "Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis." C. "Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream." D. "Thrombosis related to prolonged vasoconstriction caused by overexposure to the cold occurs."

Correct Answer is A

Explanation

A. "Arteriolar vasoconstriction occurs, most often in the fingertips with symptoms of coldness, pain, and pale skin.": Raynaud disease involves episodes of vasospasm in the small arteries and arterioles, primarily in the fingers and toes, leading to symptoms like coldness, pain, pallor, and sometimes color changes in the skin.
B. "Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis.": This description is more characteristic of venous insufficiency or chronic venous stasis rather than Raynaud disease, which affects the small arteries in the extremities.
C. "Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream.": This describes an embolic event rather than the vasospasm typical of Raynaud disease.
D. "Thrombosis related to prolonged vasoconstriction caused by overexposure to the cold occurs.": While exposure to cold can trigger Raynaud's symptoms, the primary issue is episodic vasospasm, not thrombosis. Raynaud’s is not characterized by blood clot formation.

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The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The LPN/LVP is discussing types of hypertension with a patient. Which statement by the patient would reflect understanding of secondary hypertension?

Correct Answer is B

Explanation

A patient has been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response?

Correct Answer is A

Explanation

The nurse assists with discharge of a patient who has a stroke and is being prescribed a statin medication. Which patient statement indicates adequate teaching?

Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

Which term(s) would the E's in the LIFESTYLE acronym represent when reinforcing teaching to a patient about lifestyle modifications? Select all that apply.

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient

The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Which tests can be used to assist in diagnosing a patient with peripheral arterial disease? Select all that apply. (Select All that Apply.)