The nurse is caring for a client prescribed a low sodium diet. Which food, identified as a client favorite, will the nurse discourage?
A grilled chicken sandwich with mayonnaise
A hot dog with ketchup
A natural fruit salad with nuts
A fresh grilled tuna entrée with fresh asparagus
The Correct Answer is B
A. A grilled chicken sandwich with mayonnaise: While some sodium is present in bread and condiments, grilled chicken and mayonnaise generally contain moderate sodium levels. With portion control and low-sodium ingredients, this can fit into a restricted sodium diet.
B. A hot dog with ketchup: Hot dogs are highly processed and contain high amounts of sodium and preservatives. Ketchup adds even more sodium, making this combination unsuitable for clients on a low sodium diet.
C. A natural fruit salad with nuts: Fresh fruits are naturally low in sodium, and unsalted nuts can be included as well. This option is both heart-healthy and supportive of a low sodium dietary plan.
D. A fresh grilled tuna entrée with fresh asparagus: When prepared without canned or pre-seasoned components, fresh tuna and vegetables are low in sodium. This meal provides lean protein and nutrients without excess salt.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An angiotensin receptor blocker (ARB): ARBs, such as losartan or valsartan, block the angiotensin II receptor but are pharmacologically distinct from ACE inhibitors. Captopril is not classified in this drug group.
B. A calcium channel blocker: Calcium channel blockers, such as amlodipine, reduce blood pressure by relaxing vascular smooth muscle. Captopril does not function through calcium channel modulation and is unrelated to this class.
C. An angiotensin converting enzyme inhibitor (ACE) inhibitor: Captopril is an ACE inhibitor that lowers blood pressure and reduces afterload by inhibiting the conversion of angiotensin I to angiotensin II. It is commonly prescribed for heart failure management to improve cardiac output and prevent fluid overload.
D. A thiazide diuretic: Thiazide diuretics like hydrochlorothiazide promote sodium and water excretion. They help manage hypertension but work differently from captopril, which targets the renin-angiotensin-aldosterone system.
Correct Answer is B
Explanation
A. "There are many other medications that can be offered.": This prematurely suggests changing the medication without allowing adequate time for therapeutic effect. Buspirone requires consistent use over time to evaluate effectiveness.
B. "It may take up to 4 weeks for full therapeutic response.": Buspirone is a non-benzodiazepine anxiolytic that works gradually, with therapeutic effects typically developing over 2 to 4 weeks. This response provides accurate information and helps manage expectations.
C. "Call back in one week if the symptoms continue.": While follow-up is important, this response delays giving the client valuable information about the expected time frame for symptom relief, which could lead to premature discontinuation.
D. "Buspar will not eliminate all symptoms associated with anxiety.": While it's true that the goal of anxiety treatment is often symptom management rather than complete elimination, this response doesn't address the client's concern about the lack of any symptom relief after one week. It also doesn't provide information about when they might start to experience benefits.
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