A client with congestive heart failure takes furosemide daily. Which breakfast choice should a nurse suggest for this client?
Oatmeal with a banana, milk, and orange juice.
Blueberry muffin, cranberry juice, and herbal tea.
Scrambled egg whites, whole wheat toast, and apple juice.
Bagel with low fat cream cheese and decaffeinated coffee.
The Correct Answer is C
This is because furosemide is a diuretic that makes you pee more and lose water and electrolytes such as potassium and sodium.
Therefore, you should avoid foods that are high in sodium or potassium, such as bananas, oranges, cranberries, and bagels with cream cheese.
You should also drink plenty of fluids to prevent dehydration.
Choice A is wrong because oatmeal with a banana, milk, and orange juice contains too much potassium, which can cause irregular heartbeat or muscle weakness when taking furosemide.
Choice B is wrong because blueberry muffins, cranberry juice, and herbal tea contain too much sodium and sugar, which can raise your blood pressure and worsen your heart failure.
Choice D is wrong because a bagel with low-fat cream cheese and decaffeinated coffee contains too much sodium and caffeine, which can cause fluid retention and increase your heart rate.
Normal ranges for potassium are 3.5 to 5.0 mmol/L and for sodium are 135 to 145 mmol/L.
You should monitor your electrolyte levels regularly when taking furosemide.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
TMS requires daily treatments for 4 to 6 weeks. This is because TMS is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. TMS is typically used when other depression treatments haven’t been effective. The treatment can last 30 to 60 minutes and is done 5 days a week for about 4 to 6 weeks.
Choice A is wrong because TMS does not require anesthesia prior to administration. The procedure is done without using surgery or cutting the skin and the patient is awake throughout the treatment.
Choice B is wrong because TMS does not require a muscle-relaxing medication prior to administration. The procedure does not cause muscle contractions or spasms and the patient can resume normal activities after the treatment.
Choice C is wrong because TMS does not require the patient to lay flat in bed during administration. The procedure is done in a comfortable chair and the patient can drive themselves home after the treatment.
Correct Answer is D
Explanation
This question evaluates the client’s understanding of the most important infection control measure for hepatitis A, which is hand hygiene. Hepatitis A is transmitted through ingestion of contaminated food and water or through direct contact with an infectious person’s feces.
Washing hands after using the toilet can prevent the spread of the virus to others and to oneself.
Choice A is wrong because eating raw shellfish is not a risk factor for hepatitis A unless the shellfish is contaminated with the virus from polluted water.
Choice B is wrong because cooking pork products does not affect hepatitis A transmission, as the virus is not found in pork or other meats.
Choice C is wrong because traveling out of the country is not a risk factor for hepatitis A unless the destination has poor sanitation and hygiene conditions.
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