A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

"I can have mustard on my sandwiches."

"I can season foods with celery salt."

"I can have a frozen juice bar for dessert!"

"I can drink vegetable juice with my meals."

Answer and Explanation

The Correct Answer is C

- A. Mustard often contains a high amount of sodium, which is not recommended for a client trying to limit sodium intake.
- B. Celery salt is primarily composed of salt and should be avoided when trying to reduce sodium consumption.
- C. Frozen juice bars are generally low in sodium, making them a suitable choice for dessert for someone with cardiomyopathy looking to limit sodium intake.
- D. Many vegetable juices are high in sodium, especially if they are canned or bottled, and should be limited in a low-sodium diet.

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Correct Answer is D

Explanation

A. Falling asleep 5 minutes after starting a feeding may indicate that the newborn is not effectively breastfeeding and may not be getting enough milk.
B. Having three wet diapers each day is an important indicator of hydration but does not directly correlate with effective breastfeeding.
C. Having a bowel movement every other day may vary depending on the newborn's age and feeding patterns and is not necessarily an indicator of effective breastfeeding.
D. Audible swallowing sounds during breastfeeding indicate that the newborn is effectively latching onto the breast and extracting milk. This suggests that the newborn is receiving an adequate amount of milk during feeding sessions.

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 B

Explanation

A. Encourage the client to gain 2.3 kg (5 lb) per week. This is not appropriate. Weight gain should be gradual in clients with anorexia nervosa, typically around 0.5 to 1 kg (1 to 2 pounds) per week, to prevent refeeding syndrome and support psychological adjustment.

B. Monitor the client for 15 min after meals. This is the correct intervention. Clients with anorexia nervosa may engage in purging behaviors (such as vomiting or excessive exercise) after meals. Monitoring for a period of time after eating helps prevent these behaviors and ensures safety.

C. Weigh the client each morning after voiding. Weighing clients with anorexia nervosa can be distressing and should be done consistently at the same time each day (ideally, before breakfast) but does not need to be after voiding. This may not be the priority intervention compared to monitoring post-meal behavior.

D. Reinforce teaching about healthy eating during meals. While teaching about healthy eating is important, it should not be done during meals, as clients with anorexia nervosa may have difficulty focusing on this information when under stress during eating. Instead, nutrition education should be provided outside of meals.

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A nurse is reinforcing discharge teaching about limiting sodium intake with a client who has a new diagnosis of cardiomyopathy. Which of the following client responses indicates an understanding of the teaching?

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