A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?
Macaroni and cheese.
Turkey salad sandwich.
Bacon, lettuce, and tomato sandwich.
Clam chowder.
The Correct Answer is B
A. Macaroni and cheese. Macaroni and cheese can be high in sodium, especially if it's prepared from a boxed mix or includes processed cheese. It is not typically recommended for a low- sodium diet.
B. Turkey salad sandwich. Turkey is a lean protein, and a salad sandwich can be made with low- sodium ingredients such as whole-grain bread, fresh vegetables, and low-sodium mayonnaise or mustard.
C. Bacon, lettuce, and tomato sandwich. Bacon is high in sodium and not suitable for a low- sodium diet. Other ingredients in the sandwich may also contribute to sodium intake, depending on their preparation.
D. Clam chowder. Clam chowder is often high in sodium due to the use of clam juice and added salt in the broth. It is not recommended for a low-sodium diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful
information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B. Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C. Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D. Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.
Correct Answer is ["539"]
Explanation
- 6 ounces of apple juice = 177 mL (1 ounce = 29.57 mL)
- 1 cup of water = 240 mL (1 cup = 240 mL)
- 1 cup of soup = 240 mL
- 6 ounces of tea = 177 mL
- 12 ounces of carbonated beverage = 355 mL
Total intake: 177 + 240 + 240 + 177 + 355 = 1189 mL
Total output:
- Voided at 0830 = 250 mL
- Vomitus at 1300 = 150 mL
- Voided at 1400 = 250 mL
Total output: 250 + 150 + 250 = 650 mL
Fluid balance: Total intake - Total output = 1189 - 650 = 539 mL
Therefore, the client's current fluid balance is 539 mL.
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