After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's understanding. Which food choice for lunch indicates the client correctly understood the teaching?
Slices of smoked ham with potato salad
Bowl of tomato soup with a grilled cheese sandwich
Salami and cheese on whole wheat crackers
Grilled chicken breast with glazed carrots
The Correct Answer is D
A. Slices of smoked ham with potato salad: Smoked ham is high in sodium, hence inappropriate for someone on a restricted sodium diet. Potato salad, depending on preparation, can also be high in sodium due to added salt or processed ingredients.
B. Bowl of tomato soup with a grilled cheese sandwich: Both tomato soup and a grilled cheese sandwich often contain high amounts of sodium, especially if made with canned soup or processed cheese. This would not be suitable for a restricted sodium diet.
C. Salami and cheese on whole wheat crackers: Both salami and cheese are high in sodium, making this a poor choice for someone following a restricted sodium diet.
D. Grilled chicken breast with glazed carrots: Grilled chicken breast is a lean protein with minimal sodium, and glazed carrots, if prepared without added salt or high-sodium ingredients, can be a suitable option. This meal aligns with a restricted sodium diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Measure intake and output every 4 hours: While monitoring intake and output is important, it is not the first priority in this case. The client is exhibiting confusion due to dehydration, and immediate action is needed to correct the fluid deficit.
B. Apply oxygen by mask or nasal cannula: While oxygen may be necessary if the client shows signs of hypoxia, dehydration-induced confusion is primarily related to fluid imbalance rather than oxygenation issues. Administering fluids is the immediate priority.
C. Increase the IV flow rate to 250 mL/hr: Increasing the IV flow rate to rapidly administer fluids is the most immediate intervention to correct dehydration. Restoring fluid volume will help to resolve the confusion and address the underlying issue of dehydration.
D. Place the client in a high-Fowler's position: This position is typically used to assist with breathing or to improve respiratory function, but it does not address dehydration. Fluid resuscitation should be the first action to address confusion related to dehydration.
Correct Answer is C
Explanation
A. "Weigh yourself every morning and every night.": While weight monitoring is important in conditions like fluid retention, hypernatremia is related to sodium levels, not fluid retention. The nurse should focus more on sodium intake than daily weight checks.
B. "Check your radial pulse twice a day.": Checking the radial pulse might be helpful for monitoring heart rate or signs of dehydration, but it does not directly address the management of hypernatremia. Focusing on sodium intake is more relevant.
C. "Read food labels to determine sodium content.": Sodium intake is a key factor in managing hypernatremia. Teaching the client to read food labels will help them identify foods high in sodium, which is critical to controlling their sodium levels and preventing worsening hypernatremia.
D. "Bake or grill the meat rather than frying it.": While baking or grilling meat is a healthier cooking method, it does not address the management of hypernatremia. Reducing sodium intake through food choices is more directly related to managing this condition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.