The nurse is teaching dietary modifications to a client with hypertension. Which product is the best selection to include as part of the client's lunch?

Dill pickles and black olives.

Canned chicken broth with barley.

Tomato juice and gluten free crackers.

Plain baked sweet potato.

Answer and Explanation

The Correct Answer is D

Rationale

A. Dill pickles and black olives are typically high in sodium due to the pickling process. High sodium intake can exacerbate hypertension by increasing fluid retention and raising blood pressure.

B. Canned chicken broth often contains a high amount of sodium unless it is specifically labeled as low sodium or reduced sodium. Barley itself is a nutritious whole grain, but the sodium content in canned broth might counterbalance its benefits.

C. Tomato juice can be a good choice for someone with hypertension as long as it is low in sodium or sodium-free. Tomatoes are rich in potassium and other nutrients beneficial for heart health. Gluten-free crackers can be a healthy addition if they are low in sodium and made from whole grains.

D. Sweet potatoes are a nutrient-dense food high in potassium, fiber, and various vitamins and minerals. They are naturally low in sodium and are considered heart-healthy due to their potassium content, which helps counteract the effects of sodium on blood pressure.

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Correct Answer is B

Explanation

Rationale

A. Nausea and headache are common side effects of linezolid. While they can impact the client's comfort and adherence to treatment, they are generally not considered urgent or life-threatening unless severe or persistent.

B. Watery diarrhea is a significant concern with linezolid therapy, as it can indicate the development of Clostridium difficile infection (CDI) or other types of antibiotic-associated diarrhea. CDI is a severe condition that requires prompt treatment to prevent complications such as dehydration, colitis, and potentially life-threatening outcomes like toxic megacolon.

C. Increased fatigue can be a nonspecific symptom and may result from various factors, including the underlying illness (nosocomial pneumonia), medication side effects, or the stress of hospitalization. While it should be monitored, it is typically not an immediate concern unless accompanied by other concerning symptoms.

D. Yellow-tinged sputum can indicate the presence of infection or inflammation in the respiratory tract, which is relevant in the context of nosocomial pneumonia. It could suggest a worsening of the pneumonia or a new infection. However, it is not typically directly associated with linezolid therapy itself.

A. An adult with alcoholism, cirrhosis, and hepatic encephalopathy. B. An older adult who is scheduled for foot amputation due to diabetes complications. C. An adult who is one day postoperative for a laparoscopic cholecystectomy. D. An older client who is one day postoperative with a colostomy for colon cancer.

Correct Answer is C

Explanation

Rationale

A. This client may require complex care related to liver disease and alcoholism, likely exceeding the scope of practice for a PN.

B. While this client requires specialized wound care and diabetes management, the tasks involved may be appropriate for a PN under RN supervision.

C. This client's care typically involves routine postoperative monitoring and interventions that are suitable for a PN under RN supervision.

D. This client requires specialized ostomy care and postoperative monitoring, which can generally be managed by a PN under RN supervision.

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The nurse is teaching dietary modifications to a client with hypertension. Which product is the best selection to include as part of the client's lunch?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is B

Explanation

Which client is best to assign to the practical nurse (PN) who is assisting the registered nurse (RN) with the care of a group of clients?

Correct Answer is C

Explanation

The nurse is preparing for discharge a client with a history of celiac disease who now has developed multiple sclerosis. Which instruction is most important for the nurse to include in the discharge teaching plan?

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When conducting diet teaching for a client who was diagnosed with hypertension, which food(s) should the nurse encourage the client to eat? Select all that apply.

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