A client is receiving treatment for hypothyroidism. Which of these assessments would be most concerning to the nurse?

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HESI Nutrition Practice Exam Questions

Question 1 of 4

A client is receiving treatment for hypothyroidism. Which of these assessments would be most concerning to the nurse?

Correct Answer: B

Rationale: A blood pressure of 110/70 mm Hg would be most concerning to the nurse because changes in blood pressure can indicate worsening hypothyroidism, potentially leading to complications such as myxedema coma. A heart rate of 70 beats per minute, a respiratory rate of 16 breaths per minute, and a temperature of 98.6 degrees Fahrenheit are within normal ranges and not typically directly associated with hypothyroidism complications.

Question 2 of 4

After a myocardial infarction, a client is placed on a sodium-restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate?

Correct Answer: D

Rationale: The most appropriate meal plan for a client following a myocardial infarction and placed on a sodium-restricted diet should include fresh ingredients with low sodium content to promote heart health. Option D, which consists of 3 oz. turkey, 1 fresh sweet potato, 1/2 cup fresh green beans, milk, and 1 orange, aligns best with these requirements. Option A contains canned beets, which are typically high in sodium. Option B includes canned salmon, which may have added sodium. Option C has a bologna sandwich, which is processed and high in sodium. Therefore, Option D is the most suitable choice for a client needing a low-sodium diet after a heart attack.

Question 3 of 4

A nurse is reinforcing nutrition teaching with a client who has osteoporosis. Which of the following food selections should the nurse recommend to increase calcium in the client's diet?

Correct Answer: D

Rationale: The correct answer is D: 1 cup of kale. Kale is rich in calcium, making it a suitable choice to increase calcium intake for individuals with osteoporosis. While fruits like apples (choice A) are nutritious, they are not high in calcium. Lean beef (choice B) is a good source of protein but not a significant source of calcium. Cream cheese (choice C) is also not a primary source of calcium compared to kale.

Question 4 of 4

A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following should the nurse recommend to the client as an appropriate sweetener?

Correct Answer: C

Rationale: Nonnutritive sugar substitutes are suitable for individuals with diabetes, such as type 1 diabetes mellitus, as they do not affect blood glucose levels. Corn syrup and agave nectar contain high levels of sugar that can spike blood glucose levels, making them unsuitable for diabetes management. While natural honey is a natural sweetener, it can still impact blood sugar levels and is not the optimal choice for individuals with diabetes.

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