A nurse is providing teaching about a heart-healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?
"I may thicken gravies with cornstarch as I cook."
"Fresh fruits make a good snack option."
"I may eat 2 cans of soup a day."
"I will replace table salt with dried herbs."
The Correct Answer is C
A. Thicken gravies with cornstarch is acceptable as it does not add significant sodium and can be a healthier alternative to flour or other thickening agents.
B. Fresh fruits are indeed a healthy snack option and are encouraged in a heart-healthy diet due to their low sodium and high fiber content.
C. Eating 2 cans of soup a day is concerning because many canned soups are high in sodium, which can exacerbate hypertension. This statement indicates a need for further teaching about sodium intake.
D. Replacing table salt with dried herbs is a positive change that promotes flavor without adding sodium, aligning with heart-healthy dietary recommendations.
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Correct Answer is D
Explanation
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B. A 21-gauge needle may be appropriate for some IM injections, but a 23- to 25-gauge needle is commonly used for deltoid injections due to the smaller muscle mass.
C. While IM injections into the deltoid are typically given at a 90-degree angle, the volume of medication is the critical factor for this injection site.
D. Injecting a volume of less than 2 mL is correct, as the deltoid muscle can accommodate this amount effectively, while larger volumes should be administered in larger muscles like the vastus lateralis or gluteus medius.
Correct Answer is A
Explanation
A. A private, negative-pressure room is essential for clients suspected of having tuberculosis (TB) to prevent airborne transmission. This setup helps contain airborne pathogens and protects other clients and staff.
B. A private, positive-pressure room is inappropriate for this situation because it is designed for immunocompromised patients, not those with potential infectious diseases.
C. A semi-private, negative-pressure room would not provide adequate isolation for a client with suspected TB, increasing the risk of transmission to another patient.
D. A semi-private, positive-pressure room is also inappropriate, as it poses a risk of spreading infectious agents to others in the facility.