The nurse is caring for a client with newly diagnosed hypertension. What statement by the client indicates adequate understanding of his or her diet restrictions?
a. "I will give my canned soups to the food pantry."
b. "I'm going to miss my evening glass of wine."
c. "I will mostly use salt substitutes for flavoring."
d. "I can have regular coffee only in the morning."
A
Canned and processed foods can contain high levels of sodium and should be avoided. Salt substitutes contain potassium and should not be used freely, especially if the client has kidney impairment. The client is advised to refrain from cooking with salt or adding salt to food at the table and is instructed to limit (not eliminate all) alcohol intake.
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The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg
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A nurse is meeting with a young woman who has recently lost her mother, her job, and moved with her husband to a new city. She is complaining of acute anxiety and depression. The nurse knows:
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During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. Which action by the nurse is most appropriate?
1. Administer prescribed analgesic. 2. Ask the child's parents if they think the child is hurting. 3. Reassess the child in 15 minutes to see if the pain rating has changed. 4. Do nothing, since the child appears to be resting.