Mr. J is a 59-year-old African American who has poorly controlled hypertension. When reviewing his diet journal and blood pressure log (BP), you notice that on days that his BP is elevated his diet has usually included food high in:

1. Sodium.
2. Protein.
3. Fats.
4. Fiber.


1
Rationale: Foods high in sodium can result in fluid retention and an accompanying increase in blood pressure. Dietary protein does not affect blood pressure. A low-fat diet is recommended for clients with hypertension to reduce the risk of cardiac disease. High-fiber diets aid in lowering LDL and weight loss and would not have a negative effect on blood pressure management.

Nursing

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Caspofungin has been ordered in the treatment of a patient who is being treated in the acute medicine unit for invasive aspergillosis. The nurse should teach the patient to promptly report what symptoms?

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The nurse is admitting a Hispanic patient to the oncology unit of the hospital. To provide culturally competent care, the nurse needs to determine the influence of culture on the patient's family

Which of the following questions would best accomplish this? a. "What types of foods do you eat?" b. "Since you're Hispanic, would you like to order beans for supper?" c. "I am assuming that you're Catholic. Do you want to see the priest?" d. "Hispanics have large families. Do you have questions about visitation policies?"

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The nurse is prioritizing care activities that are to be completed for a group of clients. From highest to lowest priority, list the order in which the nurse should complete the listed activities

A) Measure blood pressure before administering antihypertensive medication. B) Request dietary consult for gluten-free diet. C) Remove an intravenous access device infusing chemotherapy. D) Change a dressing on an arm wound. E) Call a family member to bring in shoes. F) Ambulate to the bathroom using a walker.

Nursing

A client's CT scan indicates the presence of an abnormal mass near the hypothalamus. The nurse understands that this could affect the client's:

1. speech. 2. fluid balance. 3. problem-solving skills. 4. ability to follow simple directions.

Nursing