Question

A nurse is teaching the Asian American client about healthy diet choices to manage hypertension. The nurse teaches about alternative food choices due to the typical Asian American diet being high in:

Answer 1

Correct Answers:

Sodium

Rationale :

🔶 The typical Asian American diet includes many soy-based products like soy sauce and miso, which are high in sodium.

🔶 High sodium intake is strongly associated with hypertension, and reducing it is crucial for blood pressure control.

🔶 Teaching must be culturally sensitive and provide alternative seasoning options that are lower in sodium.

🔶 Many traditional foods are preserved with salt or pickled, increasing total daily sodium intake.

🔶 Educating clients on label reading can help them better manage hidden sources of sodium in processed foods.

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Answer 2

Correct Answers:

Vitamin C.

Rationale :

🔶 Vitamin C supports capillary integrity, and its deficiency can lead to bleeding gums, a sign of scurvy.

🔶 This vitamin is essential for collagen synthesis, important for healthy skin, gums, and connective tissues.

🔶 Sources of vitamin C include citrus fruits, strawberries, broccoli, and bell peppers.

🔶 Vitamin C also plays a role in immune support, making it crucial for wound healing and infection resistance.

🔶 Bleeding gums may be an early symptom before other systemic signs of deficiency appear.

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Answer 3

Correct Answers:

Contact the poison control center.

Rationale :

🔶 Iron overdose in children can be life-threatening, causing GI bleeding, metabolic acidosis, and organ failure. 🔶 Poison control gives immediate, expert guidance tailored to the dosage and weight of the child. 🔶 Syrup of ipecac is no longer recommended due to risk of aspiration and complications. 🔶 Emergency management may involve chelation therapy with agents like deferoxamine if toxicity is confirmed. 🔶 Prompt professional assessment is critical as symptoms may be delayed, making early action vital.

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Answer 4

Correct Answers:

pork chops and a Margarita drink.

Rationale :

🔶 Muslim dietary laws prohibit the consumption of pork and alcohol under any circumstance.

🔶 Food must also be halal-prepared, including proper slaughtering and blessing procedures.

🔶 Providing culturally inappropriate food can result in distrust and reduced intake, affecting recovery.

🔶 Nurses must review meal trays to ensure they respect religious and ethical beliefs of clients.

🔶 Asking the client or family about dietary preferences fosters trust and improves care satisfaction.

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Answer 5

Correct Answers:

ask for permission before touching the patient

Rationale :

🔶 Many cultures value personal space and may consider touch as invasive or disrespectful without consent.

🔶 Seeking permission shows respect and cultural sensitivity, enhancing the nurse-client relationship.

🔶 It prevents misunderstandings, especially in cultures where gender or modesty norms are strongly observed.

🔶 Physical contact should always align with the patient’s comfort and cultural context.

🔶 Nursing care should be individualized, avoiding assumptions about what is acceptable.

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Answer 6

Correct Answers:

cook favorite foods in bulk and freeze in individual serving containers

Rationale :

🔶 This strategy encourages proper nutrition in elderly clients who may lack energy or motivation to cook daily.

🔶 Having ready-to-heat meals promotes independence while ensuring nutritional adequacy.

🔶 It reduces mealtime stress, especially for those with cognitive or physical limitations.

🔶 Frozen meals made from favorite foods improve appetite and satisfaction, increasing calorie intake.

🔶 It also helps caregivers manage meal prep with less daily effort and supports consistent mealtimes.

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Answer 7

Correct Answers:

Liver.

Rationale :

🔶 Liver is high in cholesterol and saturated fat, making it inappropriate for clients on a low-fat diet.

🔶 Postoperative vascular patients need diets that reduce arterial plaque formation.

🔶 Skinless chicken and vegetables are low-fat, heart-healthy choices.

🔶 Baked potatoes and green beans contain minimal fat and support a healthy cardiovascular system.

🔶 The nurse should monitor the tray and remove high-fat items to reinforce dietary restrictions.

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Answer 8

Correct Answers:

substituting the use of lard with canola oil

Rationale :

🔶 Canola oil is unsaturated, which helps lower LDL cholesterol and improve heart health.

🔶 Lard is saturated fat, contributing to atherosclerosis and elevated blood pressure.

🔶 Replacing cooking fats improves the lipid profile and can help with weight control.

🔶 Diet modification is key for managing hypertension and obesity in culturally tailored interventions.

🔶 Small, practical changes such as this support sustained dietary improvements.

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Answer 9

Correct Answers:

Kosher roast beef with legumes, and a glass of milk

Rationale :

🔶 Jewish kosher laws prohibit mixing meat and dairy in the same meal.

🔶 The nurse must check food trays to ensure they respect this dietary practice.

🔶 Violating dietary restrictions can lead to patient distress or refusal to eat.

🔶 Kosher dietary rules also govern food sourcing, preparation, and serving.

🔶 Education on religious practices helps nurses provide holistic, respectful care.

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Answer 10

Correct Answers:

Muslim woman with diarrhea.

Rationale :

🔶 Many Muslim women request female caregivers due to modesty and religious preferences.

🔶 Assigning same-gender care fosters trust and cultural safety.

🔶 It supports adherence to religious norms, especially during intimate care.

🔶 Female caregivers also facilitate better communication and cooperation in care.

🔶 Respecting this preference is part of culturally competent nursing.

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VNSG- 1500_Fall_2023_Exam_3

No.

1 :
A nurse is teaching the Asian American client about healthy diet choices to manage hypertension. The nurse teaches about alternative food choices due to the typical Asian American diet being high in:

2 :
During a home health visit, the client states to the nurse, "sometimes my gums bleed." Bleeding gums are usually a sign of inadequate intake of which vitamin?

3 :
A nurse at a pediatrician's office answers a phone call from a parent whose child just ingested 25 vitamin tablets with added iron. Which of the following instructions should the nurse give to the parent?

4 :
A nurse is caring for a client of the Muslim faith. The nurse would send the food tray back if it contains:

5 :
When providing nursing care to patients, the student nurse understands that they should:

6 :
The nurse is visiting an 80-year-old client who lives alone. What instruction by the nurse would be most helpful in improving the client's nutrition?

7 :
A client’s condition has improved advancing from a fat-restricted diet to a controlled low-fat diet. What food should the nurse remove from the dinner tray?

8 :
A Mexican-American client has a blood pressure of 160/90 mmHg and is moderately obese. What can the nurse suggest to help the client modify his diet?

9 :
A nurse is caring for a client who practices Judaism. The nurse should identify that which of the following foods together on the same dinner tray violates the client's religious practices?

10 :
The nurse caring for a group of clients would show cultural sensitivity in assigning a female nursing assistant to the care of?

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VNSG- 1500_Fall_2023_Exam_3

No.

1 : A nurse is teaching the Asian American client about healthy diet choices to manage hypertension. The nurse teaches about alternative food choices due to the typical Asian American diet being high in:

2 : During a home health visit, the client states to the nurse, "sometimes my gums bleed." Bleeding gums are usually a sign of inadequate intake of which vitamin?

3 : A nurse at a pediatrician's office answers a phone call from a parent whose child just ingested 25 vitamin tablets with added iron. Which of the following instructions should the nurse give to the parent?

4 : A nurse is caring for a client of the Muslim faith. The nurse would send the food tray back if it contains:

5 : When providing nursing care to patients, the student nurse understands that they should:

6 : The nurse is visiting an 80-year-old client who lives alone. What instruction by the nurse would be most helpful in improving the client's nutrition?

7 : A client’s condition has improved advancing from a fat-restricted diet to a controlled low-fat diet. What food should the nurse remove from the dinner tray?

8 : A Mexican-American client has a blood pressure of 160/90 mmHg and is moderately obese. What can the nurse suggest to help the client modify his diet?

9 : A nurse is caring for a client who practices Judaism. The nurse should identify that which of the following foods together on the same dinner tray violates the client's religious practices?

10 : The nurse caring for a group of clients would show cultural sensitivity in assigning a female nursing assistant to the care of?

1 :
A nurse is teaching the Asian American client about healthy diet choices to manage hypertension. The nurse teaches about alternative food choices due to the typical Asian American diet being high in:

2 :
During a home health visit, the client states to the nurse, "sometimes my gums bleed." Bleeding gums are usually a sign of inadequate intake of which vitamin?

3 :
A nurse at a pediatrician's office answers a phone call from a parent whose child just ingested 25 vitamin tablets with added iron. Which of the following instructions should the nurse give to the parent?

4 :
A nurse is caring for a client of the Muslim faith. The nurse would send the food tray back if it contains:

5 :
When providing nursing care to patients, the student nurse understands that they should:

6 :
The nurse is visiting an 80-year-old client who lives alone. What instruction by the nurse would be most helpful in improving the client's nutrition?

7 :
A client’s condition has improved advancing from a fat-restricted diet to a controlled low-fat diet. What food should the nurse remove from the dinner tray?

8 :
A Mexican-American client has a blood pressure of 160/90 mmHg and is moderately obese. What can the nurse suggest to help the client modify his diet?

9 :
A nurse is caring for a client who practices Judaism. The nurse should identify that which of the following foods together on the same dinner tray violates the client's religious practices?

10 :
The nurse caring for a group of clients would show cultural sensitivity in assigning a female nursing assistant to the care of?