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 B
Explanation
Choice A Reason: This is incorrect because effects of rapidly infused intravenous fluids are not the cause of the patient's findings, but a possible treatment. Rapidly infused intravenous fluids are used to restore fluid volume and prevent shock in patients with fluid volume deficit. Rapidly infused intravenous fluids can cause increased blood pressure, increased urine output, and decreased heart rate.
Choice B Reason: This is correct because the body's natural compensatory mechanisms are the cause of the patient's findings. The body tries to maintain homeostasis and perfusion in response to fluid volume deficit by activating the sympathetic nervous system, the renin-angiotensin-aldosterone system, and the antidiuretic hormone system. These mechanisms cause tachycardia, vasoconstriction, pale and cool skin, sodium and water retention, and decreased urine output.
Choice C Reason: This is incorrect because cardiac failure is not the cause of the patient's findings, but a possible complication. Cardiac failure occurs when the heart is unable to pump enough blood to meet the body's needs. Cardiac failure can result from prolonged fluid volume deficit, as the heart becomes overstressed and weakened by the increased workload and decreased perfusion. Cardiac failure can cause dyspnea, edema, fatigue, and cyanosis.
Choice D Reason: This is incorrect because pharmacological effects of a diuretic are not the cause of the patient's findings, but a possible cause of fluid volume deficit. A diuretic is a medication that increases urine output and excretion of sodium and water. A diuretic can cause fluid volume deficit if it is overdosed, misused, or taken with other medications that affect fluid balance. A diuretic can cause hypotension, dehydration, and electrolyte imbalances.

Correct Answer is C
Explanation
Choice A: Intracellular fluid overload is incorrect because it is a condition where the fluid inside the cells exceeds the normal range. This can cause cellular swelling and dysfunction. Intracellular fluid overload can be caused by conditions such as hyponatremia, water intoxication, or syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Choice B: Intracellular fluid deficit is incorrect because it is a condition where the fluid inside the cells is below the normal range. This can cause cellular shrinkage and dysfunction. Intracellular fluid deficit can be caused by conditions such as hypernatremia, dehydration, or diabetes insipidus.
Choice C: Extracellular fluid deficit is correct because it is a condition where the fluid outside the cells is below the normal range. This can cause hypovolemia, hypotension, and impaired tissue perfusion. Extracellular fluid deficit can be caused by conditions such as burns, hemorrhage, vomiting, diarrhea, or excessive diuresis.
Choice D: Interstitial fluid deficit is incorrect because it is a condition where the fluid in the spaces between the cells is below the normal range. This can cause edema, impaired wound healing, and increased risk of infection. Interstitial fluid deficit can be caused by conditions such as inflammation, infection, or lymphatic obstruction.

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