During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Plain, air-popped popcorn.

Cheddar cheese cubes.

Lightly salted potato chips.

Natural whole almonds.

Canned fruit in heavy syrup.

Answer and Explanation

Correct Answer : A,D

A.   Plain, air-popped popcorn is a low-calorie, low-sodium snack that is suitable for clients with heart failure.
B.   Cheddar cheese cubes are high in fat and sodium, which is not ideal for heart failure management.

C.   Lightly salted potato chips still contain significant sodium, which should be limited in heart failure diets.
D.   Natural whole almonds are a good source of healthy fats and protein, making them a suitable option.
E.   Canned fruit in heavy syrup contains added sugars and unnecessary calories, which should be avoided.

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Correct Answer is B

Explanation

A. Continuous bladder irrigation postoperatively is a routine procedure and does not require immediate intervention unless there are complications.

B. This client may be at risk for complications such as a transfusion reaction or hemorrhage. Close monitoring is required to ensure the client's vital signs are stable and there are no adverse reactions to the transfusion.
C. A client requesting pain medication one day postoperative from a laparoscopic cholecystectomy, would follow as effective pain management is important for recovery, but this situation is not immediately life-threatening.
D. While hip arthroplasty is a significant procedure, the client in traction is not in an acute postoperative state requiring immediate attention.

A. Progress diet slowly from ice chips to clear liquids. B. Maintain intervascular infusion rate. C. Apply intermittent pneumatic compression devices. D. Obtain frequent pain level assessments.

Correct Answer is C

Explanation

A. Progressing the diet is important but does not address immobility-related complications.
B. Maintaining the IV infusion rate is necessary but not specific to preventing complications from immobility.
C. Applying intermittent pneumatic compression devices helps prevent deep vein thrombosis (DVT), a significant risk for immobile clients post-surgery. This is a critical preventative measure for immobility-related complications.
D. Frequent pain assessments are important but do not specifically prevent complications from immobility.

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During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Nursing Test Bank

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