a. “African-Americans typically have higher sodium levels than their Caucasian
counterparts.”
b. “This is the amount of sodium intake recommended for everyone.”
c. “This is what will be best for you.”
d. “Do you eat a great deal of salt?”
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Answer: a
Rationale: After generations of conditioning, African-Americans frequently have higher
sodium levels. The recommended sodium intake for African-Americans is slightly lower
than are the levels for their Caucasian peers. Simply telling the client the
recommendation is “best” does not provide an adequate level of information. The amount
of salt ingested by the client should be recorded, but this is not the best response.
Nursing Process Step: Implementation
Client Needs Category: Physiological Integrity
Client Needs Subcategory: Physiological Adaptation
Cognitive Level: Analysis
8. A 45-year-old woman presents to the ambulatory clinic for a gynecological examination. The health history reveals no significant personal or family medical history. What information concerning health-promotion behaviors should be presented to the client?
a. It is time to begin having mammograms every other year.b. If the client is in a monogamous relationship, Pap smears will not be needed.c. Bone density examinations are indicated every year.d. Recommended calcium intake is at least 1,200 mg per day.Answer: dRationale: The recommended calcium intake is at least 1,200 mg per day. This will be beneficial in the prevention of osteoporosis. Women should begin having annual mammograms by age 40. Pap smears are continued for women in monogamous
relationships. For women with no significant risk for the development of osteoporosis,
bone density examinations should be done every other year.
Nursing Process Step: Implementation
Client Needs Category: Health Promotion and Maintenance
Client Needs Subcategory: Prevention and/or Early Detection of Health Problems
Cognitive Level: Analysis
9. A 75-year-old client seeks care at an ambulatory clinic. The client reports having experienced extreme drowsiness after recently taking dosages of an over-the-counter coldmedication. When collecting data, the nurse notes the client reports taking only the prescribed amount of the preparation. What inferences can be made by the nurse concerning the events?
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