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 D
Explanation
A. Elevated thyroid hormone levels. While amiodarone can cause thyroid dysfunction, elevated thyroid levels (hyperthyroidism) would typically present with symptoms like increased energy or restlessness.
B. Low blood glucose levels. Low blood glucose is not related to amiodarone. Symptoms of hypoglycemia include sweating, hunger, and confusion, not heat intolerance or fatigue.
C. Elevated blood glucose levels. Hyperglycemia is not a known side effect of amiodarone.
D. Low thyroid hormone levels. Amiodarone can induce hypothyroidism, which may cause fatigue and heat intolerance. Regular thyroid monitoring is recommended with long-term amiodarone use.
Correct Answer is A
Explanation
A. "I'll use my electric razor for shaving." This is correct as using an electric razor helps prevent cuts, which is important since warfarin increases bleeding risk.
B. "I'll be sure to eat foods with lots of vitamin K." Vitamin K reduces the effectiveness of warfarin; clients should be consistent with their intake of vitamin K to avoid fluctuations in INR.
C. "It's okay to have a couple of glasses of wine with dinner." Alcohol can increase the effect of warfarin and the risk of bleeding. Clients should avoid or limit alcohol intake.
D. "I'll take aspirin for my headaches." Aspirin also has anticoagulant effects and can increase bleeding risk when taken with warfarin.