The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?

Fried fish sandwich and potato salad

Baked turkey and salad

Biscuits with sausage gravy and sliced tomatoes

Barbecued ribs and canned baked beans

Answer and Explanation

The Correct Answer is B

A. Fried fish sandwich and potato salad: Fried foods are high in unhealthy fats, which can increase cholesterol levels and are not recommended for clients after a myocardial infarction.

B. Baked turkey and salad: This is a healthy choice, as baked turkey is low in fat, and a salad provides nutrients without excessive fat or cholesterol, supporting heart health.

C. Biscuits with sausage gravy and sliced tomatoes: Biscuits and sausage gravy are high in saturated fats, which are not appropriate for a heart-healthy diet.

D. Barbecued ribs and canned baked beans: Barbecued ribs and canned baked beans may contain high levels of saturated fats, sugar, and sodium, which are not recommended for someone recovering from a myocardial infarction.

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Correct Answer is B

Explanation

A. "Was your son born with this cardiac defect?" Rheumatic fever is an acquired condition, often following a streptococcal throat infection, not a congenital (born with) cardiac defect.

B. "Has your son had a sore throat recently?" Rheumatic fever commonly follows a streptococcal throat infection, so asking about a recent sore throat is relevant and important for diagnosis.

C. "Has your child had any injuries recently?" Recent injuries are unrelated to the development of rheumatic fever and are not a pertinent question.

D. "Are you aware that your son will have to be in isolation?" Isolation is not typically required for rheumatic fever, as it is not contagious in this stage.

A. Emboli B. A heart murmur C. Petechiae D. Fever

Correct Answer is A

Explanation

A. Emboli: Emboli can form as vegetations break off from the heart valves and travel to other parts of the body, causing complications such as stroke, pulmonary embolism, or organ infarction.

B. A heart murmur: A heart murmur is a common symptom of infective endocarditis but not a complication. It results from valve damage caused by the infection.

C. Petechiae: Petechiae are a manifestation of infective endocarditis, not a complication. They occur due to the damage to blood vessels by emboli or infection.

D. Fever: Fever is a common sign of infective endocarditis due to the ongoing infection but is not considered a complication.

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The nurse is reinforcing teaching regarding diet to a client who has had a myocardial infarction. Which of the following diet choices by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who has infective endocarditis. Which of the following manifestations should the nurse identify as a complication of this disorder?

Correct Answer is A

Explanation

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