A nurse is teaching a client who is on a low-sodium diet. Which of the following instructions should the nurse include? (Select all that apply.)
Limit intake of canned soups.
Choose botled salad dressings.
Choose diet sodas over botled water.
Replace processed meats with fresh meat products.
Read labels on foods before eating.
Correct Answer : A,D,E
Choice A: Limit intake of canned soups is correct because canned soups are high in sodium and can increase blood
pressure and fluid retention. The nurse should advise the client to choose low-sodium or homemade soups instead.
Choice B: Choose botled salad dressings is incorrect because botled salad dressings are also high in sodium and can have added sugars and fats. The nurse should advise the client to make their own salad dressings with vinegar, oil, herbs, and spices.
Choice C: Choose diet sodas over botled water is incorrect because diet sodas are not a healthy alternative to water. Diet sodas contain artificial sweeteners, caffeine, and phosphoric acid, which can affect the body's pH balance and calcium absorption. The nurse should advise the client to drink plain water or flavored water with natural ingredients.
Choice D: Replace processed meats with fresh meat products is correct because processed meats such as bacon, ham, sausage, and hot dogs are high in sodium and preservatives. The nurse should advise the client to choose fresh meat products such as chicken, turkey, fish, or lean beef.
Choice E: Read labels on foods before eating is correct because reading labels can help the client identify the sodium content and other ingredients in foods. The nurse should advise the client to look for foods that have less than 140 mg of sodium per serving and avoid foods that have salt, sodium, or monosodium glutamate (MSG) in the ingredient list.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason: This is correct because almonds are a rich source of magnesium, which is a mineral that is essential for nerve and muscle function, blood pressure regulation, and bone health. A serum magnesium level of 1.4 mg/dL indicates hypomagnesemia, which is a low level of magnesium in the blood. Hypomagnesemia can cause muscle weakness, cramps, tremors, seizures, and cardiac arrhythmias. The nurse should encourage the patient to eat foods high in magnesium, such as almonds, which contain about 80 mg of magnesium per ounce.
Choice B Reason: This is incorrect because white rice is a poor source of magnesium, as most of the magnesium is lost during the refining process. White rice contains only about 19 mg of magnesium per cup, which is not enough to meet the daily requirement of 310 to 420 mg for adults. The nurse should advise the patient to choose whole grains instead of refined grains, as they have more magnesium and other nutrients.
Choice C Reason: This is incorrect because seafood is a moderate source of magnesium, but not as high as almonds or other nuts and seeds. Seafood contains about 30 to 50 mg of magnesium per 3-ounce serving, depending on the
type and preparation method. The nurse should inform the patient that seafood can be part of a balanced diet, but it
is not the best choice for increasing magnesium intake.
Choice D Reason: This is incorrect because lean red meat is a low source of magnesium, as most of the magnesium is found in the bones and organs of animals. Lean red meat contains only about 20 mg of magnesium per 3-ounce serving, which is less than 10% of the daily requirement. The nurse should caution the patient that lean red meat can also be high in saturated fat and cholesterol, which can increase the risk of cardiovascular disease.
Choice E Reason: This is incorrect because romaine letuce is a very low source of magnesium, as most leafy greens have low mineral content due to their high water content. Romaine letuce contains only about 7 mg of magnesium per cup, which is negligible compared to the daily requirement. The nurse should suggest the patient to add other vegetables that are higher in magnesium, such as spinach, broccoli, or potatoes, to their salads.
Correct Answer is C
Explanation
Choice A: Corticosteroid is incorrect because it does not directly affect the potassium level in the blood, although it can cause sodium and water retention, which can dilute the potassium concentration. Corticosteroid is a type of anti- inflammatory medication that can be used to treat conditions such as asthma, arthritis, or allergic reactions.
Choice B: Narcotic is incorrect because it does not directly affect the potassium level in the blood, although it can cause respiratory depression, which can lead to respiratory acidosis and hyperkalemia, or high potassium level. Narcotic is a type of analgesic medication that can be used to treat moderate to severe pain.
Choice C: Thiazide diuretic is correct because it is a type of medication that increases urine output and sodium excretion, but also causes potassium loss in the urine. Thiazide diuretic can be used to treat conditions such as hypertension, edema, or heart failure.
Choice D: Muscle relaxer is incorrect because it does not directly affect the potassium level in the blood, although it can cause muscle weakness, which can mimic the symptoms of hypokalemia. Muscle relaxer is a type of medication that can be used to treat conditions such as muscle spasms, back pain, or fibromyalgia.
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