A client is taking a diuretic for treatment of hypertension. Which of the following foods selected by the client reflects understanding of the nurse's teaching regarding this medication?
Navy beans and ham
Cheddar cheese
Beef broth
Baked potato
The Correct Answer is A
Choice A reason: Navy beans and ham are good sources of potassium, which can help prevent hypokalemia, a common side effect of some diuretics. Hypokalemia can cause muscle weakness, cramps, fatigue, and cardiac arrhythmias.
Choice B reason: Cheddar cheese is high in sodium, which can cause fluid retention and increase blood pressure. Sodium intake should be limited when taking diuretics, as they can also cause hyponatremia, a condition of low sodium levels in the blood.
Choice C reason: Beef broth is also high in sodium, which can have the same effects as cheddar cheese. In addition, beef broth is high in purines, which can increase uric acid levels and cause gout, another possible side effect of some diuretics.
Choice D reason: Baked potato is high in carbohydrates, which can raise blood glucose levels and worsen diabetes, a risk factor for hypertension. Some diuretics can also cause hyperglycemia, a condition of high blood glucose levels in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hemoglobin 16 g/dL is within the normal range for adults and does not indicate an adverse effect of TPN.
Choice B reason: Temperature 36.1°C (97°F) is normal and does not indicate an infection or inflammation, which are possible complications of TPN.
Choice C reason: Blood glucose 98 mg/dL is normal and does not indicate hyperglycemia or hypoglycemia, which are common problems associated with TPN.
Choice D reason: Weight gain of 1.5 kg (3 lB. per day is excessive and indicates fluid overload, which can result from too rapid or too high infusion of TPN. Fluid overload can cause edema, hypertension, heart failure, and pulmonary congestion.
Correct Answer is B
Explanation
Choice A reason: Consume ten percent of total calories from saturated fat is not a correct instruction for the DASH diet. The DASH diet recommends limiting saturated fat intake to less than six percent of total calories, as saturated fat can raise blood cholesterol and increase the risk of heart disease.
Choice B reason: Consume foods that are high in calcium is a correct instruction for the DASH diet. The DASH diet emphasizes eating foods that are rich in calcium, such as low-fat dairy products, leafy green vegetables, and fortified cereals. Calcium helps regulate blood pressure and prevent osteoporosis.
Choice C reason: Increase intake of refined carbohydrates is not a correct instruction for the DASH diet. The DASH diet advises reducing intake of refined carbohydrates, such as white bread, white rice, and sweets. Refined carbohydrates can increase blood sugar and insulin levels and contribute to obesity and diabetes.
Choice D reason: Limit sodium intake to 3,200 milligrams per day is not a correct instruction for the DASH diet. The DASH diet recommends limiting sodium intake to less than 2,300 milligrams per day, or even lower to 1,500 milligrams per day for some people. Sodium can increase blood pressure and fluid retention and damage the kidneys and blood vessels.
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