After the nurse teaches the patient with stage 1 hypertension about diet modifications, which diet choice indicates that the teaching has been most effective?

Correct Answer: C

Rationale: The correct answer is C because drinking low-fat milk aligns with dietary recommendations for hypertension by providing calcium, potassium, and vitamin D without excess saturated fat. This choice indicates understanding of the importance of nutrient-rich, low-fat dairy in managing blood pressure. A: Avoiding nuts or nut butters is not necessary for stage 1 hypertension and may limit healthy fats and nutrients. B: Restricting chicken and fish may lead to inadequate protein intake and deprive the patient of essential nutrients unless they are high in sodium. D: Having two cups of coffee in the morning can potentially increase blood pressure due to caffeine content and is not recommended for hypertension.

Correct Answer: D

Rationale: The correct answer is D because upper extremity swelling in a client with a PICC can indicate a potential complication such as a blood clot or infection, which requires immediate attention to prevent serious complications. Swelling can impede blood flow and cause further issues. A: The initial site dressing being 3 days old may indicate a need for dressing change but does not require immediate attention. B: The PICC being inserted 4 weeks ago is relevant for assessing infection risk but does not require immediate attention. C: Absence of a securement device is important for preventing catheter dislodgement but does not require immediate attention compared to potential complications like swelling.

Correct Answer: B

Rationale: The correct answer is B: respite care. Respite care provides temporary relief to caregivers, allowing them to have some time off to rest and take care of themselves. This is important for the elderly woman to prevent burnout and maintain her own well-being. Primary care (A) refers to routine healthcare services, not specifically for caregivers. Bereavement care (C) is support provided after the death of a loved one, not appropriate in this scenario. Palliative care (D) focuses on providing relief from symptoms and stress for patients with serious illnesses, not specifically for caregivers. Respite care is the most suitable option to support the elderly woman in this situation.

Correct Answer: B

Rationale: The correct answer is B: teaching. Teaching is a common need for all patients in ambulatory care facilities to ensure they understand their conditions, treatments, and self-care. This empowers patients to make informed decisions and manage their health effectively. Referrals (A) are not always needed for every patient, and advocacy (C) may be necessary but not a universal need. Surgery (D) is a specific intervention that only applies to a subset of patients, not a common need for all patients in ambulatory care.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Ensuring medical and surgical safety is crucial to prevent complications during surgery. 2. Health history and physical assessment help identify potential risks and tailor care plans accordingly. 3. It allows the nurse to assess the patient's readiness for surgery and identify any contraindications. 4. This data informs decision-making, ensures appropriate interventions, and enhances patient outcomes. Summary: - Option A is incorrect because nurse-patient relationships are important but not the primary focus in this context. - Option C is incorrect as the importance of the assessment goes beyond routine procedure. - Option D is incorrect as the main goal is to ensure safety and address potential issues.