A client who is transferred to the medical unit following a myocardial infarction has a prescription for a cardiac diet. The client points to the lunch tray and tells the nurse, “This hamburger has no flavor, it makes it hard to eat.” Which selection is best for the nurse to suggest the client use to improve the taste of the hamburger?

Choice C reason:

Avocados and bananas are high in potassium, which clients with stage 4 chronic kidney disease need to limit. As kidney function declines, the ability to excrete potassium decreases, leading to the risk of hyperkalemia. High potassium levels can cause serious heart problems, so it is important for these clients to avoid foods that are high in potassium.

Choice A reason:

Cherries and cranberries are generally low in potassium and can be included in the diet of clients with chronic kidney disease. They do not pose the same risk as high-potassium foods.

Choice B reason:

Carrots and green beans are also low in potassium and are safe for clients with chronic kidney disease to consume. They provide essential nutrients without contributing to high potassium levels.

Choice D reason:

Apples and blueberries are low in potassium and are safe for clients with chronic kidney disease. They can be included in the diet without increasing the risk of hyperkalemia.

Choice A reason:

Fatigue in a professional dancer can be a sign of inadequate nutrition, overtraining, or underlying health issues. Dancers require a high level of energy and proper nutrition to maintain their performance and health. Persistent fatigue could indicate that the client is not consuming enough calories or nutrients to meet their energy demands, or it could be a symptom of overtraining or other medical conditions. Further assessment is necessary to identify the cause of the fatigue and to develop an appropriate intervention plan to ensure the client’s health and performance are not compromised.

Choice B reason:

Sweaty palms can be a sign of anxiety or hyperhidrosis, but it is not as critical as fatigue in the context of a professional dancer’s nutritional assessment. While it may warrant further investigation, it does not directly indicate a nutritional deficiency or overtraining.

Choice C reason:

Bunions are a common issue for dancers due to the physical demands placed on their feet. However, they are more related to the physical impact of dancing rather than nutritional status. Addressing bunions is important for the dancer’s comfort and performance, but it does not require immediate nutritional assessment.

Choice D reason:

Dry skin can be a sign of dehydration or nutritional deficiencies, but it is not as urgent as fatigue. While it is important to address, it does not pose an immediate threat to the dancer’s performance and overall health. The primary focus should be on assessing and addressing the cause of fatigue.