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A nurse is teaching a client who is on a low-sodium diet. Which of the following instructions should the nurse include? (Select All that Apply.).

A.

Limit intake of canned soups.

B.

Choose diet sodas over bottled water.

C.

Choose bottled salad dressings.

D.

Read labels on foods before eating.

Answer and Explanation

Correct Answer : A,D

 

The correct answer is A. Limit intake of canned soups and D. Read labels on foods before eating.

 

Choice A rationale:

 Canned soups often contain high levels of sodium, which can contribute to exceeding the recommended daily sodium intake. Limiting these can help manage sodium levels effectively.

 

Choice B rationale:

 Choosing diet sodas over bottled water is not advisable. Diet sodas can still contain sodium and other additives that are not beneficial for a low-sodium diet. Bottled water is a better choice as it typically contains no sodium.

 

Choice C rationale:

 Bottled salad dressings often contain high amounts of sodium. Opting for homemade or low-sodium versions is a better strategy for maintaining a low-sodium diet.

 

Choice D rationale:

 Reading labels on foods before eating is crucial for identifying hidden sources of sodium and making informed dietary choices. This practice helps in adhering to a low-sodium diet by avoiding foods with high sodium content.

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Related Questions

Correct Answer is B

Explanation

Hypernatremia.

Choice A rationale:

Hypernatremia is the most likely condition the client is experiencing based on the laboratory result of Sodium 144 mEq/L, which is above the normal range of 136 to 145 mEq/L. Hypernatremia is an elevated sodium level in the blood and can cause various symptoms like extreme thirst, dry mucous membranes, and altered mental status.

Choice B rationale:

To address hypernatremia, the nurse should take two actions. Action 1: Prepare to check a serum albumin level. This is important as hypernatremia can be caused by a relative water deficit due to excess solutes, and measuring serum albumin helps assess the body's water balance. Action 2: Request a STAT ECG. Hypernatremia can lead to cardiac arrhythmias, so an ECG is essential to monitor the patient's heart rhythm. Parameters to Monitor: Parameter 1 - Serum bicarbonate level: Monitoring bicarbonate levels helps evaluate acid-base balance and assess the impact of hypernatremia on the body's buffering systems. Parameter 2 - Intake and Output: Monitoring the patient's fluid intake and output is crucial to ensure proper hydration and track response to treatment.

Correct Answer is A

Explanation

Choice A rationale:

The client with a phosphate level of 5.7 mg/dL likely has a manifestation of hypoparathyroidism. Hypoparathyroidism leads to decreased parathyroid hormone (PTH) secretion, which causes increased renal phosphate reabsorption, leading to elevated phosphate levels in the blood.

Choice B rationale:

A calcium level of 9.8 mg/dL is within the normal range (8.5-10.2 mg/dL) and does not indicate hypoparathyroidism.

Choice C rationale:

A vitamin D level of 25 ng/mL is within the normal range (30-100 ng/mL) and does not suggest hypoparathyroidism.

Choice D rationale:

A magnesium level of 1.8 mEq/L is within the normal range (1.7-2.2 mEq/L) and does not directly indicate hypoparathyroidism.

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