A nurse is caring for a client who has heart failure and reports difficulty with limiting sodium in their diet. Which of the following recommendations should the nurse provide?

Consume more prepared frozen dinners to minimize cooking with salt.

Add salt when preparing a meal instead of at the table.

Use imitation crab and lobster products for salads at home.

Replace bottled salad dressing with homemade vinegar and oil dressing.

Answer and Explanation

The Correct Answer is D

A client with heart failure should limit their sodium intake. Bottled salad dressings can be high in sodium, so replacing them with homemade vinegar and oil dressing can help reduce sodium intake.

The other options are not recommended for a client with heart failure who needs to limit their sodium intake.

a) Prepared frozen dinners are often high in sodium.

b) Adding salt when preparing a meal would increase sodium intake.

c) Imitation crab and lobster products (option can also be high in sodium.

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Correct Answer is C

Explanation

c. Veracity

The nurse is exhibiting the ethical concept of veracity by providing the client with truthful and accurate information about the purpose of the medication. Veracity refers to the obligation to tell the truth and provide information in an honest and transparent manner.

Explanation for the other options:

a .Accountability: Accountability refers to taking responsibility for one's actions and being answerable for the outcomes. While accountability is an important ethical concept for healthcare professionals, it is not directly demonstrated in this situation.

b. Autonomy: Autonomy refers to respecting an individual's right to make their own decisions and choices regarding their healthcare. While the nurse is providing information to the client, autonomy is not directly demonstrated in this situation.

d. Fidelity: Fidelity refers to being faithful and keeping promises or commitments made to clients. While

fidelity is an important ethical concept, it is not directly demonstrated in this situation.

e. Justice: Justice refers to fairness and the equitable distribution of healthcare resources. While justice is an important ethical concept, it is not directly demonstrated in this situation.

In this scenario, the nurse's action of providing truthful information to the client aligns with the ethical

concept of veracity.

A. Encourage the client to gain 2.3 kg (5 lb) per week. B. Monitor the client for 15 min after meals C. Weigh the client each morning after voiding D. Reinforce teaching about healthy eating during meals

Correct Answer is C

Explanation

Answer: C. Weigh the client each morning after voiding

Rationale:

A. Encourage the client to gain 2.3 kg (5 lb) per week:
A weight gain goal of 0.5 to 1 kg (1 to 2 lb) per week is considered safe and realistic. Gaining 2.3 kg (5 lb) weekly is too aggressive and may cause physical and psychological stress for the client.

B. Monitor the client for 15 min after meals:
Clients with anorexia nervosa are at risk for purging behaviors. Monitoring for only 15 minutes is insufficient. A 60-minute post-meal observation period is more appropriate to deter vomiting or excessive exercise.

C. Weigh the client each morning after voiding:
Daily weights, taken at the same time each morning after voiding and before eating, provide consistent and accurate data to monitor progress and detect manipulation or fluid shifts.

D. Reinforce teaching about healthy eating during meals:
Reinforcing education during meals can increase the client’s anxiety and resistance to eating. Teaching is best done separately from mealtimes to avoid associating eating with stress.

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A nurse is caring for a client who has heart failure and reports difficulty with limiting sodium in their diet. Which of the following recommendations should the nurse provide?

Nursing Test Bank

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