The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?
Milk and organ meats.
Cheese, lunch meats, and canned vegetables
Alcohol and fried foods
Green leafy vegetables and salt sub
The Correct Answer is B
A. Milk and organ meats. These foods do not contain excessive sodium.
B. Cheese, lunch meats, and canned vegetables: These foods are high in sodium, which can worsen hypernatremia by increasing serum sodium levels. Processed meats and canned vegetables contain excess salt and preservatives.
C. Alcohol and fried foods. Alcohol can cause dehydration, but not necessarily high sodium levels.
D. Green leafy vegetables and salt substitutes. Green leafy vegetables are low in sodium, and some salt substitutes contain potassium, not sodium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E","G"]
Explanation
A. Abdomen rigid with decreased bowel sounds: A rigid, tender abdomen suggests peritonitis, a life-threatening complication of peritoneal dialysis requiring immediate intervention.
B. Glucose 220 mg/Dl: Elevated glucose is concerning but not immediately life-threatening compared to the other findings.
C. No dialysis for 24 hours: Missing dialysis leads to toxin accumulation, hyperkalemia, and fluid overload, all of which can be life-threatening.
D. Crackles throughout the lungs: Fluid overload can cause pulmonary edema, leading to respiratory distress. Immediate intervention is needed to prevent respiratory failure.
E. WBC 17,000 mm³: Leukocytosis suggests infection, possibly peritonitis, which requires urgent antibiotic therapy.
F. Hemoglobin 10 g/dL: Mild anemia is expected in CKD and not an emergency.
G. Potassium 7 mEq/L: Severe hyperkalemia is a medical emergency due to the risk of life-threatening cardiac arrhythmias.
H. Creatinine 3 mg/dl: Creatinine is chronically elevated in CKD and not an acute concern.
Correct Answer is A
Explanation
A. Chloride level would be decreased: Metabolic alkalosis is often associated with hypochloremia, especially when caused by vomiting or diuretics. However, hypokalemia is more clinically significant.
B. Sodium level would be elevated: Sodium levels are not directly affected by metabolic alkalosis.
C. Magnesium level would be elevated: Magnesium levels are not significantly altered in metabolic alkalosis.
D. Potassium level would be decreased: A bicarbonate level of 30 mEq/L indicates metabolic alkalosis. In alkalosis, hydrogen ions shift out of the cells, and potassium moves into the cells, leading to hypokalemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.