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. Assess the patients for edema in extremities: While assessing for edema can be helpful in heart failure patients, it may not be the most effective method to monitor fluid volume status in patients at risk for dehydration, as edema may not be present in early dehydration.
B. Ask the patients to record their intake and output: Recording intake and output is important for monitoring fluid balance, but it is not as reliable as daily weight measurements. Patients may not be accurate in recording intake and output, especially in acute settings.
C. Weigh the patients every morning before breakfast: Weighing patients at the same time every day provides the most accurate and reliable measure of fluid volume status. A sudden weight gain or loss can indicate fluid retention in heart failure or dehydration, making this the most effective intervention for monitoring fluid status in both conditions.
D. Measure the patients' blood pressures every 4 hours: Blood pressure monitoring can provide some insight into fluid status, but it is not as directly indicative of fluid volume as daily weights. BP changes may not be as sensitive to small fluctuations in fluid volume.
Correct Answer is B
Explanation
A. They become acidic: Acidity is defined by a higher concentration of hydrogen ions (H+), so a decreased concentration of hydrogen ions would not lead to acidity. Acidic fluids have a higher H+ concentration, not a lower one.
B. They become alkaline: A decreased concentration of hydrogen ions (H+) leads to an increase in pH, making the fluids more alkaline. Alkaline conditions are characterized by a lower H+ concentration, resulting in a higher pH level.
C. Carbon ions are retained: Carbon ions do not directly relate to the concentration of hydrogen ions in body fluids. The primary ions involved in acid-base balance are hydrogen ions and bicarbonate ions, not carbon ions.
D. Oxygen ions are released into the blood: Oxygen ions do not have a direct relationship with the concentration of hydrogen ions in the body. The release of oxygen into the blood is related to respiratory function and hemoglobin, not hydrogen ion concentration.
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