The physician has ordered a 2-gram sodium diet for a client with hypertension. Which food should be limited due to its sodium content?

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Question 1 of 9

The physician has ordered a 2-gram sodium diet for a client with hypertension. Which food should be limited due to its sodium content?

Correct Answer: A

Rationale: Potato chips are high in sodium often 120-180 mg per ounce exceeding a 2-gram (2000 mg) daily limit for hypertension, necessitating restriction to control blood pressure. Baked chicken, steamed broccoli, and fresh apples have minimal natural sodium, fitting the diet. Nurses educate clients on hidden sodium in processed snacks, promoting fresh alternatives to reduce cardiovascular strain, aligning with therapeutic goals for long-term health management.

Question 2 of 9

The nurse is caring for a client with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?

Correct Answer: A

Rationale: Troponin I is the most specific marker for myocardial infarction, rising within hours and staying elevated for days CK and myoglobin are less specific, LDH is outdated. Nurses monitor this, correlating with ECG and symptoms, aiding rapid diagnosis and treatment.

Question 3 of 9

What stress response can you expect from a patient with blood sugar of 50 mg/dl?

Correct Answer: C

Rationale: A blood sugar level of 50 mg/dl indicates hypoglycemia, a stress state triggering the body's fight-or-flight response. The client will appear restless due to the brain's reliance on glucose; low levels cause agitation as a protective mechanism to signal distress. The body attempts to increase glucose via glycogenolysis and gluconeogenesis (opposite of A), so decreasing glucose further is incorrect. Halting sex hormone release (B) occurs in chronic stress, not acute hypoglycemia. Blood pressure may rise (D) due to catecholamine release, but restlessness is the most immediate and observable response in this acute scenario, aligning with early stress symptoms. Thus, C is correct as it directly reflects the patient's presentation during a hypoglycemic crisis.

Question 4 of 9

Which of the following statement is TRUE about safety in health care?

Correct Answer: B

Rationale: Safety focuses on preventing harm (B), per standards e.g., protocols reduce risks. Errors can be minimized (A), not surgery-only (C), not all (D) broad scope. B truly defines safety's priority, making it correct.

Question 5 of 9

The nurse is caring for a client receiving oxygen therapy via a nasal cannula. Which action by the nurse is appropriate when providing oral care to the client?

Correct Answer: A

Rationale: Removing the nasal cannula during oral care (A) allows thorough hygiene without interference, briefly tolerable given short duration. Increasing flow (B) is unnecessary. Petroleum jelly (C) isn't for oral care. Mouth breathing (D) isn't needed if removed. Removal, per nursing practice, ensures effective care.

Question 6 of 9

Mr. Gary died yesterday, His wife is not talking to anyone and prefers to be alone staring blankly at her husband's picture. This is an example of?

Correct Answer: D

Rationale: Not talking, staring blankly post-death is depression (D), per Kubler-Ross withdrawal, sadness dominate. Denial (A) disputes, anger (B) lashes, bargaining (C) negotiates all absent. Depression fits her isolation, making it correct.

Question 7 of 9

Which of the following statement is NOT true about wellness?

Correct Answer: C

Rationale: Wellness is dynamic (A), optimal function-focused (B), balanced (D) not same as health (C), per theory. Wellness is proactive, health a state. C's identity is untrue, making it the correct false statement.

Question 8 of 9

The nurse touched Mr. Gary without consent during care. This is an example of?

Correct Answer: A

Rationale: Touching without consent is battery (A) unconsented contact, per law. Assault (B) threat, justice (C) fairness, nonmaleficence (D) harm avoidance not contact-specific. A fits the nurse's breach of Mr. Gary's autonomy, making it correct.

Question 9 of 9

Marianne is now at the Defervescence stage of the fever, which of the following is expected?

Correct Answer: D

Rationale: Defervescence, fever's decline, involves vasodilation and sweating e.g., cooling as heat dissipates. Delirium (high fever), goose flesh (chills), or cyanosis (hypoxia) don't fit. Nurses anticipate sweating e.g., damp sheets in Marianne, adjusting care for comfort, per fever resolution stages.

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