A client is taking a diuretic for treatment of hypertension. Which of the following foods selected by the client reflects understanding of the nurse's teaching regarding this medication?
Navy beans and ham
Cheddar cheese
Beef broth
Baked potato
The Correct Answer is A
Choice A reason: Navy beans and ham are good sources of potassium, which can help prevent hypokalemia, a common side effect of some diuretics. Hypokalemia can cause muscle weakness, cramps, fatigue, and cardiac arrhythmias.
Choice B reason: Cheddar cheese is high in sodium, which can cause fluid retention and increase blood pressure. Sodium intake should be limited when taking diuretics, as they can also cause hyponatremia, a condition of low sodium levels in the blood.
Choice C reason: Beef broth is also high in sodium, which can have the same effects as cheddar cheese. In addition, beef broth is high in purines, which can increase uric acid levels and cause gout, another possible side effect of some diuretics.
Choice D reason: Baked potato is high in carbohydrates, which can raise blood glucose levels and worsen diabetes, a risk factor for hypertension. Some diuretics can also cause hyperglycemia, a condition of high blood glucose levels in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A pump is usually needed to administer intermittent tube feedings, as it can control the flow rate and volume of the formula. A pump can also prevent overfeeding, aspiration, or diarrhea.
Choice B reason: Administering feedings over 10 to 20 minutes is too fast, as it can cause abdominal cramps, nausea, vomiting, or dumping syndrome. Intermittent tube feedings should be administered over 30 to 60 minutes.
Choice C reason: Administering feedings while sleeping at night is not recommended, as it can increase the risk of aspiration, reflux, or infection. Intermittent tube feedings should be administered during waking hours and with the head of the bed elevated at least 30 degrees.
Choice D reason: Advancing the rate of feedings slowly is advisable, as it can help the body adjust to the formula and prevent intolerance or complications. The rate should be increased gradually until the desired goal is reached.
Correct Answer is D
Explanation
Choice A reason: Increasing vitamin C intake while taking this medication is not necessary, as vitamin C does not interact with tetracycline. Vitamin C is important for immune function, wound healing, and collagen synthesis.
Choice B reason: Eliminating raw fruits and vegetables until 2 weeks after completing this medication is not required, as raw fruits and vegetables do not interfere with tetracycline. Raw fruits and vegetables are good sources of fiber, vitamins, minerals, and antioxidants.
Choice C reason: Taking a folic acid supplement while on this medication is not advised, as folic acid can reduce the absorption and effectiveness of tetracycline. Folic acid is essential for DNA synthesis, cell division, and red blood cell production.
Choice D reason: Avoiding taking this medication with milk products is important, as milk products contain calcium, which can bind to tetracycline and form insoluble complexes that decrease its absorption and activity. Milk products also increase the risk of gastrointestinal side effects such as nausea, vomiting, and diarrhea.
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