The nurse is caring for an older adult who needs to limit sodium intake.

Which food
should the nurse encourage the client to avoid?

Cottage cheese

Broccoli.

Ground sirloin.

Bananas.

Answer and Explanation

The Correct Answer is A

Choice A: cottage cheese has about 364 mg of sodium per 100 g, which is much higher than the other options.

Choice B: Broccoli is a generally healthy vegetable and does not need to be avoided solely for sodium intake unless heavily salted. Broccoli has only 33 mg of sodium per 100g.

Choice C: Ground sirloin has 75 mg of sodium per 100g which is much lower than that contained by cottage cheese.

Choice D: Bananas are a low-sodium food and do not need to be avoided for sodium intake.

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Correct Answer is B

Explanation

Choice A: Weight loss history and body surface area (BSA) are relevant factors to consider when assessing nutritional status, but they are not the most indicative parameters on their own.

Choice B: Body mass index (BMI) and serum albumin level are two of the most indicative parameters for assessing nutritional status. BMI provides information about body weight relative to height, while serum albumin level is a common marker of nutritional status and protein intake.

Choice C: Triceps skinfold and mid-arm circumference are anthropometric measurements that can provide additional information about muscle and fat stores in the body, but they are not as widely used or as indicative as BMI and serum albumin level.

Choice D: 24-hour food recall, food preferences, and allergies are important to assess but do not provide immediate indicators of nutritional status. They are valuable for understanding dietary habits and preferences.

A. Position client in left lateral recumbent position to expose buttocks. B. Chill the enema solution to help reduce the client's fever. C. Encourage client to retain solution for at least 5 minutes. D. Insert lubricated tip of tubing 3 to 4 inches into the rectum.

Correct Answer is ["A","C","D"]

Explanation

Choice A: Positioning the client in the left lateral recumbent position allows the solution to flow by gravity into the sigmoid colon and rectum.

Choice B: Chilling the enema solution is not recommended because it can cause cramping, discomfort, and vasoconstriction, which may interfere with the client's fever assessment.

Choice C: Positioning the client in the left lateral recumbent position allows the solution to flow by gravity into the sigmoid colon and rectum.

Choice D: Inserting the lubricated tip of tubing 3 to 4 inches into the rectum prevents injury to the rectal mucosa and ensures proper placement of the tubing.

Choice E: Clamping the enema administration tubing after filling the enema bag is unnecessary and may cause air to enter the tubing, which can increase the risk of abdominal distension and gas pain.

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The nurse is caring for an older adult who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

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Naxlex Comprehensive Predictor Exams

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The nurse is caring for an older adult who needs to limit sodium intake.

Which food
should the nurse encourage the client to avoid?