During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Plain, air-popped popcorn.

Cheddar cheese cubes.

Lightly salted potato chips.

Natural whole almonds.

Canned fruit in heavy syrup.

Answer and Explanation

Correct Answer : A,D

A.   Plain, air-popped popcorn is a low-calorie, low-sodium snack that is suitable for clients with heart failure.
B.   Cheddar cheese cubes are high in fat and sodium, which is not ideal for heart failure management.

C.   Lightly salted potato chips still contain significant sodium, which should be limited in heart failure diets.
D.   Natural whole almonds are a good source of healthy fats and protein, making them a suitable option.
E.   Canned fruit in heavy syrup contains added sugars and unnecessary calories, which should be avoided.

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Correct Answer is A

Explanation

A. Abdominal rigidity in a client with a bowel obstruction due to a volvulus indicates possible peritonitis, which is a medical emergency.
B. Paralytic ileus with absent bowel sounds is concerning but not immediately life- threatening.
C. A nasogastric tube draining greenish fluid is expected in small bowel obstruction.

D. Abdominal distention in large intestine obstruction is concerning but less urgent than potential peritonitis.

A. Chew food slowly and thoroughly before attempting to swallow. B. Sip fluids slowly with each meal and between meals. C. Eliminate or reduce intake of fatty and gas forming foods. D. Plan volume-controlled, evenly-spaced meals throughout the day.

Correct Answer is D

Explanation

A. While chewing food well is important to aid digestion and prevent discomfort, meal timing and portion control are the primary concerns in gastric bypass patients.

B. Sipping fluids slowly is important, but fluids should generally be taken between meals rather than with meals to prevent stretching the stomach pouch and to avoid dumping syndrome.
C. Reducing fatty and gas-forming foods can help avoid discomfort, but this is less critical than ensuring proper food breakdown through thorough chewing.
D. After gastric bypass surgery, small, frequent meals help prevent dumping syndrome, a condition in which food moves too quickly from the stomach to the small intestine, causing nausea, dizziness, and diarrhea. Portion control is essential to avoid overstretching the reduced stomach pouch and ensure adequate nutrient absorption.

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During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving report on an inpatient acute care unit, which client should the nurse assess first?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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