A nurse is reinforcing teaching to a client who has a chronic illness about the DASH diet. Which of the following meals best fits the DASH diet?
Enriched cereal in whole milk
Turkey sandwich on whole wheat bread, green beans, and banana
Pork sausage and baked beans
Hamburger, steak fries, and an orange
The Correct Answer is B
A. Enriched cereal in whole milk. Whole milk is high in saturated fats, which the DASH diet aims to limit.
B. Turkey sandwich on whole wheat bread, green beans, and banana. This meal is balanced, low in saturated fats, high in fiber, and aligns well with the DASH diet principles.
C. Pork sausage and baked beans. Pork sausage is high in saturated fats and sodium, which should be limited in the DASH diet.
D. Hamburger, steak fries, and an orange. While the orange is DASH-friendly, the hamburger and fries are high in fats and sodium.
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Correct Answer is B
Explanation
A. Warm extremities. PAD typically leads to cold extremities due to poor blood flow.
B. Intermittent claudication. Intermittent claudication, or muscle pain during exercise, is a classic symptom of PAD caused by limited blood supply to the muscles.
C. Darkened skin color near extremities. Darkened skin is more common in venous insufficiency, not PAD. PAD can cause pale or bluish skin.
D. Edema. Edema is typically associated with venous insufficiency, not PAD.
Correct Answer is B
Explanation
A. Suggest that the client rests before eating the meal. Although rest can help with nausea, it does not address the potential issue of digoxin toxicity, which can cause nausea.
B. Check the client's vital signs. Checking vital signs, especially heart rate, is the priority because nausea can indicate digoxin toxicity, which affects heart function.
C. Request a dietary consult. A dietary consult may be helpful if the client continues to refuse meals, but it does not address the immediate potential for digoxin toxicity.
D. Request an order for an antiemetic. Although an antiemetic may help with nausea, assessing for toxicity takes priority.