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."
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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Related Questions
Correct Answer is D
Explanation
A. Preschoolers have short attention spans, so a 30-minute instructional session may not be effective and may overwhelm the child.
B. Scheduling the instructional session for 24 to 36 hours before the procedure may not be appropriate for a preschooler, as they may not retain the information for that length of time.
C. Taking the child on a tour of the surgery and recovery areas may be overwhelming and frightening for a preschooler, potentially increasing anxiety about the procedure.
D. Helping the child put a dressing on a doll is a developmentally appropriate technique for preparing a preschooler for a procedure. It allows the child to engage in hands-on learning and role-playing, helping them understand what will happen during the procedure and providing an opportunity to express any fears or concerns.
Correct Answer is ["A","B","C","E"]
Explanation
A. Documenting urine color is essential after a transurethral resection of the prostate to monitor for bleeding and ensure that the bladder irrigation is effective in clearing out blood clots.
B. Monitoring for bladder spasms is important as they can indicate the presence of blood clots or other complications, and they can be very painful for the client.
C. Checking the drainage tubing for obstructions is crucial to maintain the patency of the catheter and ensure continuous irrigation. Obstructions can lead to complications such as bladder distention or increased bleeding.
D. Maintaining the client in a left side-lying position is not specifically required for continuous bladder irrigation and is not typically part of postoperative care for a client who had a transurethral resection of the prostate.
E. Using clean technique for intermittent irrigation is important to prevent infection. While sterile technique is ideal, clean technique can be used for the client's own catheter care at home or in settings where sterile technique is not feasible. However, in a clinical setting, sterile technique is usually preferred to minimize infection risk.
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