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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While physical activity is important for overall health, it may not directly address constipation. Increasing fluid and fiber intake is a more specific intervention.
B. Stool softeners can be helpful, but dietary modifications should be attempted first before resorting to medications.
C. Gas-producing foods may not be directly related to constipation. The focus should be on promoting regular bowel movements through diet and hydration.
D. Increasing fluid and fiber intake is a recommended first-line approach for managing constipation in older adults.
Correct Answer is []
Explanation
Potential Condition: Anthrax
The client's flu-like symptoms followed by shortness of breath, cough, and chest pain align with potential inhalation anthrax. Furthermore, working in a government building and opening a suspicious package containing white powder suggests potential exposure to anthrax spores.
Actions to Take:
Place the client in isolation - Isolating the client helps prevent potential transmission of anthrax to others.
Apply oxygen via nasal cannula: The client's low oxygen saturation (88%) necessitates oxygen therapy to improve oxygen delivery to tissues.
Parameters to Monitor:
Arterial blood gases - Monitoring arterial blood gases helps assess the client's respiratory status and oxygenation levels, which may be compromised in anthrax-related respiratory distress.
Breath sounds - Monitoring breath sounds helps assess the effectiveness of respiratory interventions and detect any changes indicative of worsening respiratory status.
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