A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

Macaroni and cheese.

Turkey salad sandwich.

Bacon, lettuce, and tomato sandwich.

Clam chowder.

Answer and Explanation

The Correct Answer is B

A.   Macaroni and cheese. Macaroni and cheese can be high in sodium, especially if it's prepared from a boxed mix or includes processed cheese. It is not typically recommended for a low- sodium diet.

B.   Turkey salad sandwich. Turkey is a lean protein, and a salad sandwich can be made with low- sodium ingredients such as whole-grain bread, fresh vegetables, and low-sodium mayonnaise or mustard.

C.   Bacon, lettuce, and tomato sandwich. Bacon is high in sodium and not suitable for a low- sodium diet. Other ingredients in the sandwich may also contribute to sodium intake, depending on their preparation.
D.   Clam chowder. Clam chowder is often high in sodium due to the use of clam juice and added salt in the broth. It is not recommended for a low-sodium diet.

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Correct Answer is C

Explanation

A. Nutritional meal planning for older adults should only be planned by a dietitian. While a dietitian can provide valuable expertise in meal planning, it is not necessary for them to be the sole planner. Clients and their spouses can also learn and understand nutritional guidelines to plan meals effectively.
B. Socioeconomics should not be an issue in planning nutritional meals for older adults.

Socioeconomic factors can impact access to and affordability of nutritious foods, making them an important consideration in meal planning.
C. Dietary needs for older adults over and under age 70 are different. Nutritional needs may vary depending on factors such as age, health status, activity level, and underlying medical conditions. It's important for clients and their spouses to understand these differences to plan meals that meet individualized needs.

D. Age is not a factor in determining dietary needs for older adults. Age can indeed influence dietary needs, as nutritional requirements may change with aging, including considerations for maintaining muscle mass, bone health, and managing chronic conditions.

A. Call the healthcare provider to clarify if the client may have ice cream as requested. B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. C. Provide the chocolate ice cream after determining the presence of bowel sounds. D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream.

Correct Answer is A

Explanation

A. Call the healthcare provider to clarify if the client may have ice cream as requested. Ice cream is not a clear liquid and may not be appropriate for a client scheduled for surgery. The nurse should clarify the client's dietary restrictions with the healthcare provider before providing ice cream.
B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. While this option may provide some chocolate flavor, it may not satisfy the client's request for ice cream.
Additionally, the nurse should confirm with the healthcare provider before offering any alternative to the prescribed clear liquid diet.
C. Provide the chocolate ice cream after determining the presence of bowel sounds. This action does not address the appropriateness of ice cream for a clear liquid diet before surgery. The nurse should clarify with the healthcare provider before providing ice cream.
D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream. While popsicles and gelatin are clear liquids and may be appropriate for the client's clear liquid diet, this option does not address the client's specific request for chocolate ice cream. The nurse should clarify with the healthcare provider before providing any alternatives.

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A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?

Correct Answer is C

Explanation

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

Correct Answer is A

Explanation

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

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The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?

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