A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?

1 cup of sliced cabbage

1 small apple

1 cup of sliced watermelon

1 medium potato

Answer and Explanation

The Correct Answer is D

Choice A reason:
Cabbage is a leafy green vegetable that is beneficial for overall health due to its vitamin content and fiber. However, when it comes to potassium, a cup of sliced cabbage contains approximately 151 mg, which is not particularly high. Potassium is an essential nutrient that plays a key role in cell function, including nerve transmission and muscle contraction. The recommended daily intake of potassium for adults is 2,600 to 3,400 mg¹. Therefore, while cabbage is healthy, it is not the best option for someone looking to significantly increase their potassium intake.

Choice B reason:
Apples are a popular fruit known for their fiber and vitamin C content. A small apple contains about 159 mg of potassium. Similar to cabbage, apples are not among the highest sources of potassium. They can be part of a balanced diet but are not the optimal choice for those who need a higher intake of this mineral.

Choice C reason:
Watermelon is a hydrating fruit with a high water content and is a good source of vitamins A and C. One cup of sliced watermelon provides roughly 170 mg of potassium. While watermelon does contribute to potassium intake, it does not contain as much potassium as other fruits and vegetables. It is best enjoyed as a refreshing snack rather than a primary source of potassium.

Choice D reason:
Potatoes are a starchy vegetable with a significant amount of potassium. A medium potato can contain up to 897 mg of potassium, making it one of the best choices for increasing potassium intake. Potatoes are versatile and can be prepared in various ways, which makes them an easy addition to many meals. Given their high potassium content, they are an excellent recommendation for someone needing to boost their intake of this mineral.

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Correct Answer is A

Explanation

Choice A reason:
Checking the client for ecchymosis is an important part of care for patients with thrombocytopenia. Ecchymosis, or bruising, can be a sign of bleeding under the skin and may indicate a drop in platelet count. Since normal platelet counts range from 150,000 to 450,000 platelets per microliter of blood, and thrombocytopenia involves counts lower than this, monitoring for signs of bleeding is crucial.

Choice B reason:
Administering ibuprofen for a mild headache is not recommended for clients with thrombocytopenia. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can inhibit platelet function and increase bleeding risk. Instead, acetaminophen may be used for pain relief as it has less effect on platelet function.

Choice C reason:
Instructing the client to shave with a disposable razor is not advisable. Shaving can cause cuts or nicks, which can lead to bleeding. For clients with thrombocytopenia, using an electric razor is safer because it reduces the risk of skin lacerations.

Choice D reason:
Initiating protective isolation for the client with thrombocytopenia is not typically necessary unless the client has an additional condition that warrants it, such as an immunocompromised state. Thrombocytopenia itself does not require isolation; instead, precautions to prevent bleeding are the priority.

A. Administer the feeding solution at a cold temperature. B. Flush the tube with 90 mL of sterile water before and after the feeding. C. Elevate the head of the client's bed for 1 hour after the feeding. D. Rotate the jejunostomy tube once per day.

Correct Answer is C

Explanation

Choice A Reason:
Administering the feeding solution at a cold temperature is not recommended because it can cause discomfort and potentially lead to gastrointestinal symptoms such as cramping. The feeding solution should be at room temperature to ensure the comfort of the client and to prevent any unnecessary complications.

Choice B Reason:Typically, the tube is flushed with about 30 mL of water before and after feedings to ensure patency and prevent clogging, not 90 mL.

Choice C Reason:Elevating the head of the bed helps prevent aspiration and promotes proper digestion by using gravity to keep the feeding solution in the stomach or jejunum.

Choice D Reason:
Rotating the jejunostomy tube once per day is not a standard practice and is generally not recommended. Rotating the tube can cause irritation to the jejunum and may increase the risk of complications such as infection or dislodgement of the tube.

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A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving intermittent bolus enteral feedings through a jejunostomy tube. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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