1.
The nurse is educating a client with hypertension about the Dietary Approaches to Stop Hypertension (DASH) diet. Which statement by the client indicates the need for further teaching?
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“The DASH diet increases my sodium intake.”
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“The DASH diet increases my vegetable intake.”
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“The DASH diet increases my potassium intake.”
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“The DASH diet decreases my sugar intake.”
2.
The nurse is reviewing a client’s medical record and notes that the last two blood pressure readings were 130/81 mm Hg and 122/99 mm Hg. Which diagnosis does the nurse anticipate for this client?
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Normal blood pressure
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Elevated blood pressure
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Low blood pressure
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Hypertensive blood pressure
3.
The nurse is educating a client on ways to promote heart health. Which food modification would the nurse recommend for a heart-healthy diet?
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Red meat at 2 meals a day
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Prepackaged meat products
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Pineapple slices
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Caffeinated unsweetened tea
4.
The nurse is evaluating a client at a follow-up appointment who reports following a heart-healthy nutritional plan for 3 months. Which objective data should the nurse utilize to support the client’s statement?
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BMI change from 30 to 29 kg/m2
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LDL change from 100 to 110 mg/dL
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Blood pressure from 142/88 to 144/86 mm Hg
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Increased shortness of breath
5.
The nurse in the outpatient cardiology clinic is assessing a client who had an acute myocardial infarction 6 months ago and has completed an outpatient cardiac rehabilitation program. Which cholesterol level indicates to the nurse that the client has achieved a desired level?
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Total cholesterol 202 mg/dL
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LDL 130 mg/dL
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HDL 48 mg/dL
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Triglycerides 242 mg/dL
6.
The nurse is caring for a client with newly diagnosed atrial fibrillation. Which food should the nurse educate the client to avoid?
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Coffee
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Oranges
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Milk
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Fish
7.
The nurse is caring for a client with a history of cardiac arrest due to torsades de pointes. Which laboratory value is a priority for the nurse to monitor in this client?
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Total cholesterol
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Calcium levels
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Magnesium levels
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Potassium levels
8.
The nurse notes a very high and peaked T-wave abnormality on a client’s electrocardiogram (ECG). Which laboratory value should the nurse expect the provider to order?
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Magnesium level
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Sodium level
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Calcium level
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Potassium level
9.
The nurse is caring for a client who has hyperlipidemia. Which food choice by the client is appropriate?
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Cake
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Oatmeal
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Fried chicken
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Hot dog
10.
The nurse is caring for a client who is prescribed the DASH diet to manage their high cholesterol levels. What food choice in the client’s 72-hour diet recall requires further teaching?
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Whole milk
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Potatoes
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Oysters
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Orange juice