Which of the following food options is considered safe for a pregnant client to consume in order to minimize the risk of listeriosis?"

Soft cheeses

Seafood salad from the grocery store

Grilled chicken bun

Hot dogs

Answer and Explanation

The Correct Answer is C

Listeriosis is a foodborne illness that can have severe consequences during pregnancy. To minimize the risk of listeriosis, a pregnant client should avoid certain foods that are more likely to be contaminated with the bacteria Listeria. The correct statement that indicates an understanding of the teaching is:

C) "I can eat grilled chicken on a bun at lunchtime."

Grilled chicken is a safe option, and as long as it's properly cooked, it's a suitable choice during pregnancy. The other options are not recommended during pregnancy:

A) Soft cheeses, like Brie or feta, can carry a risk of Listeria contamination, so they should be avoided.

B) Seafood salad from the grocery store may not be safe as it could contain seafood that's been sitting at improper temperatures, which can increase the risk of foodborne illness.

D) Hot dogs can also be a risk as they are often not served steaming hot, which is necessary to kill any potential Listeria contamination.

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Correct Answer is C

Explanation

This is because potassium sparing diuretics do not lower potassium levels in the blood, unlike other types of diuretics.Potassium is an essential electrolyte that serves nerve and muscular functions and is regulated by the kidneys.Low potassium levels can cause irregular heartbeats and other problems. Therefore, patients taking potassium sparing diuretics should avoid food sources that are high in potassium, such as bananas, avocados, spinach, and potatoes.

Choice A is wrong because thiazide diuretics, such as hydrochlorothiazide, can cause low potassium levels in the blood.

Patients taking thiazide diuretics may need to take potassium supplements or eat more potassium-rich foods to prevent hypokalemia.

Choice B is wrong because osmotic diuretics, such as mannitol, do not affect potassium levels in the blood.

They work by increasing the amount of water in the urine, but do not alter the electrolyte balance.

Osmotic diuretics are mainly used to treat cerebral edema and glaucoma.

Choice D is wrong because loop diuretics, such as furosemide, can also cause low potassium levels in the blood.

They work by inhibiting the reabsorption of sodium and water in the loop of Henle, a part of the kidney.

Loop diuretics are used to treat edema and heart failure.

Normal ranges for potassium in the blood are 3.5 to 5.0 millimoles per liter (mmol/L).

A. They are a part of the initial diuretic therapy. B. They decrease the risk of hypokalemia while still excreting sodium. C. Little follow up is needed after the initial treatment. D. They increase the risk of hypokalemia.

Correct Answer is B

Explanation

Diuretics are drugs that increase the amount of urine and salt (sodium) excreted by the kidneys. They are used to treat high blood pressure, heart failure, and edema (fluid retention). However, some diuretics can cause low levels of potassium in the blood (hypokalemia), which can lead to muscle weakness, cramps, and arrhythmias. To prevent this, a combination of diuretics acting on different parts of the kidney (such as a loop diuretic and a thiazide diuretic) may be prescribed.This way, the potassium-sparing effect of one diuretic can balance the potassium-wasting effect of the other, while still achieving a net sodium loss.

Choice A is wrong because they are not a part of the initial diuretic therapy.Combination diuretic therapy is usually reserved for patients who are resistant to or intolerant of monotherapy.

Choice C is wrong because little follow up is not needed after the initial treatment.Patients on combination diuretic therapy require close monitoring of their blood pressure, electrolytes, renal function, and weight to avoid adverse effects such as dehydration, hyponatremia, hypotension, and worsening renal function.

Choice D is wrong because they do not increase the risk of hypokalemia.As explained above, combination diuretic therapy aims to reduce the risk of hypokalemia by using a potassium-sparing diuretic along with a potassium-wasting diuretic.

Normal ranges for serum potassium are 3.5 to 5.0 mmol/L and for serum sodium are 135 to 145 mmol/L.

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Which of the following food options is considered safe for a pregnant client to consume in order to minimize the risk of listeriosis?"​​​​​​

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following diuretic agents will the nurse teach the patient to avoid food sources that are high in potassium?

Correct Answer is C

Explanation

A nurse understands that a common reason why a patient is prescribed a combination of diuretics is because?

Correct Answer is B

Explanation

The prescriber orders furosemide 80 mg for a patient who has been retaining extra fluid after surgery. The nurse notes the following: BP of 142/88 (lying) and 108/60 (sitting); daily weight of 154 lb, a 1-lb drop from day before; serum potassium of 2.8 mEq/L. What should the nurse do?

If the patient PTT lab level is too long and greater than 80 seconds, the nurse should notify the doctor. Which doctor’s order should the nurse anticipate?

A client is prescribed a thiazide diuretic for the management of hypertension. The nurse plans to assess the client for allergy to?

A patient is diagnosed with hypertension. What is the initial recommendation for this patient likely to be?

A patient with peripheral vascular disease has been on pentoxifylline (Trental) for 2 weeks. Which statements by the patient indicate no need for further patient teaching about the disease? Select all that apply.

Which of the following should be avoided for clients taking ACE Inhibitors?

In which condition is leg pain produced upon increased activity and ischemia to tissues, but then the pain is reduced with rest?

The use of diuretics in the treatment of heart failure may lead to what condition?

Which of the following food options is considered safe for a pregnant client to consume in order to minimize the risk of listeriosis?"