The nurse is educating a client diagnosed with congestive heart failure on appropriate food choices.

Which food choice should the client avoid eating?

Scrambled egg whites with whole grain bread.

Green leafy vegetables such as kale and spinach.

Fruit platter with blackberries, oranges, and grapes.

Grilled cheese sandwich with a side of pickles.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Scrambled egg whites and whole grain bread are generally acceptable food choices for a client with heart failure as egg whites are a low-sodium and high-quality protein source, and whole grain bread provides essential fiber and complex carbohydrates. These foods align with the low-sodium dietary restrictions necessary for managing fluid retention and reducing cardiac workload in heart failure.

Choice B rationale

Green leafy vegetables such as kale and spinach are excellent food choices for heart failure clients because they are naturally low in sodium and high in essential nutrients like potassium and magnesium, which support cardiac function. These nutrients help to counterbalance the effects of sodium, promote healthy blood pressure, and are generally encouraged in a heart-healthy diet.

Choice C rationale

A fruit platter with blackberries, oranges, and grapes is a highly appropriate food selection, as fruits are naturally low in sodium and rich in antioxidants, vitamins, and dietary fiber. The high potassium content in fruits like oranges can also help regulate fluid balance and blood pressure, aligning perfectly with the nutritional goals for a client managing congestive heart failure.

Choice D rationale

A grilled cheese sandwich with a side of pickles should be strictly avoided by a client with congestive heart failure due to its extremely high sodium content, particularly from the processed cheese, bread, and pickles. Excessive sodium intake causes fluid retention, which increases circulating blood volume and significantly raises the workload on the already compromised heart, leading to exacerbation of heart failure symptoms.

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Correct Answer is D

Explanation

Choice A rationale

Dioctyl sodium sulfosuccinate, or docusate sodium, is a stool softener that works by lowering the surface tension of stool, allowing water and lipids to penetrate the fecal mass more easily. This action helps to soften the stool and ease its passage, promoting regular bowel movements, not decreasing the frequency of diarrhea, which is already characterized by loose stools.

Choice B rationale

Docusate sodium is a type of laxative and is not indicated or effective for the relief of nausea. Nausea is a symptom of many underlying conditions and is treated with antiemetic medications. The mechanism of action for stool softeners relates purely to water absorption and softening the stool in the large intestine.

Choice C rationale

Docusate sodium works to prevent constipation and facilitate easier bowel elimination by softening the stool, thereby promoting more frequent and comfortable defecation. The intended effect is an increase in the ease and regularity of bowel movements, not a decrease in the number of bowel movements, which would be an undesirable outcome.

Choice D rationale

As a stool softener, the intended therapeutic effect of docusate sodium is to make bowel movements easier and more consistent. By drawing water into the stool, it prevents the formation of hard, dry stools that cause constipation, thereby achieving the desired outcome of regular, soft, and easily passed bowel movements without stimulating peristalsis.

Correct Answer is ["2"]

Explanation

Step 1 is: (0.25 mg ÷ 0.125 mg/tab) × 1 tablet.

Step 2 is: 2 × 1 tablet. The nurse should administer 2 tablets. .

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The nurse is educating a client diagnosed with congestive heart failure on appropriate food choices. Which food choice should the client avoid eating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is about to start taking dioctyl sodium sulfosuccinate (Colace). The nurse should make sure that the client understands that this medication should result in which of the following?

Correct Answer is D

Explanation

A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily. Available is digoxin 0.125 mg/tab. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) — . . .

Correct Answer is ["2"]

Explanation

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The nurse is educating a client diagnosed with congestive heart failure on appropriate food choices. Which food choice should the client avoid eating?

The nurse is educating a client diagnosed with congestive heart failure on appropriate food choices.

Which food choice should the client avoid eating?