A patient with congestive heart failure is prescribed a low-sodium diet. Which of the following foods, if chosen by the patient, indicates further teaching is necessary? (Select 3 options that apply)

Applesauce

Pretzels

Chicken hotdog

Lemonade

Tomato juice

Answer and Explanation

Correct Answer : B,C,E

Rationale:
A. Applesauce is naturally low in sodium and is appropriate for a low-sodium diet.
B. Pretzels are typically high in sodium and should be avoided or eaten in moderation.
C. Chicken hotdogs are processed meats that contain high levels of sodium and should be avoided.
D. Lemonade is low in sodium and generally acceptable unless other health concerns are present (e.g., diabetes).
E. Tomato juice often contains added salt and is high in sodium unless specifically labeled as low-sodium.

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Free Nursing Study Resources

Correct Answer is ["38.3"]

Explanation

Rationale:

To convert 101°F to Celsius, use the formula:

C = (°F - 32) × 5/9
C = (101 - 32) × 5/9
C = 69 × 5/9
C ≈ 38.3°C

A. Mix with a dextrose solution only B. Administer as a rapid IV push C. Monitor for signs of hypernatremia D. Ensure the infusion diluted and given via an IV pump

Correct Answer is D

Explanation

Rationale:

A. Mix with a dextrose solution only: Potassium can be mixed in various compatible solutions (such as 0.9% NS or D5½NS). There is no requirement that potassium chloride must be mixed only with dextrose-containing fluids.

B. Administer as a rapid IV push: This is dangerous and contraindicated. IV potassium must never be given as a rapid IV push or bolus, as it can cause fatal cardiac arrhythmias. It must be diluted and administered slowly.

C. Monitor for signs of hypernatremia: While electrolyte monitoring is important, hypernatremia is not the main concern when administering potassium. The nurse should focus on monitoring potassium levels and cardiac status.

D. Ensure the infusion is diluted and given via an IV pump: IV potassium chloride must always be diluted in an appropriate IV fluid and administered via an infusion pump to control the rate and avoid complications such as arrhythmias and vein irritation. Also, the infusion rate should typically not exceed 10 mEq/hr through a peripheral vein.

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A patient with congestive heart failure is prescribed a low-sodium diet. Which of the following foods, if chosen by the patient, indicates further teaching is necessary? (Select 3 options that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Convert 101*F to Celsius

Correct Answer is ["38.3"]

Explanation

Use Case Study to answer the following questions. Exhibits Which nursing intervention is most appropriate when administering IV potassium chloride?

Correct Answer is D

Explanation

Three body systems work at different speeds to keep the pH in the narrow range of normal, The order of effectiveness for these three systems is:

The regulatory system of acid-base balance takes the longest time to respond, and regulates the pH of extracellular fluid (ECF) by eliminating hydrogen ions or bicarbonate in body fluids?

A client has been admitted with chronic obstructive pulmonary disease (COPD). Diagnostic tests have been ordered. Which of the tests will provide the most accurate indicator of the client's acid-base balance?

A nurse is reviewing a client's admission laboratory findings that indicate the client has hyponatremia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range?

A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect?

A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?

A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?

The nurse is caring for a client with a critically high potassium level. The client has received sodium polystyrene sulfonate (Kayexalate). The nurse determines the medication's effectiveness if the client's repeat serum potassium level is: