Exhibit 1. 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 diet sodas over bottled water.
Choose bottled salad dressings.
Read labels on foods before eating.
Correct Answer : A,C,D,E
A, C, D, and E.
Choice A rationale:
Canned soups are often high in sodium content, which can be detrimental to individuals on a low-sodium diet.
Choice C rationale:
Bottled salad dressings can be high in sodium, so the nurse should recommend making homemade dressings with reduced salt or using low-sodium alternatives.
Choice D rationale:
Reading labels on foods is crucial for identifying their sodium content, enabling the client to make informed choices that align with a low-sodium diet.
Choice E rationale:
Processed meats, such as bacon and deli meats, are generally high in sodium, and replacing them with fresh meat products can help reduce sodium intake.
Choice B rationale:
While diet sodas may be low in sodium, they often contain artificial sweeteners, which might not be ideal for individuals on a low-sodium diet. Bottled water without added sodium or other minerals is a more suitable choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client with a phosphate level of 5.7 mg/dL likely has a manifestation of hypoparathyroidism. Hypoparathyroidism leads to decreased parathyroid hormone (PTH) secretion, which causes increased renal phosphate reabsorption, leading to elevated phosphate levels in the blood.
Choice B rationale:
A calcium level of 9.8 mg/dL is within the normal range (8.5-10.2 mg/dL) and does not indicate hypoparathyroidism.
Choice C rationale:
A vitamin D level of 25 ng/mL is within the normal range (30-100 ng/mL) and does not suggest hypoparathyroidism.
Choice D rationale:
A magnesium level of 1.8 mEq/L is within the normal range (1.7-2.2 mEq/L) and does not directly indicate hypoparathyroidism.
Correct Answer is B
Explanation
Respiratory acidosis.
Choice A rationale:
Metabolic alkalosis occurs when there is an increase in pH and bicarbonate (HCO₃⁻) levels, which is not the case here. The pH value in this scenario is 7.22, indicating acidosis.
Choice B rationale:
Respiratory acidosis results from the retention of carbon dioxide (PaCO₂) in the blood, leading to a decrease in pH. In this case, the pH is low (7.22), and the PacO₂ is elevated (68 mm Hg), supporting the diagnosis of respiratory acidosis.
Choice C rationale:
Metabolic acidosis is characterized by a decrease in pH and bicarbonate levels, along with a possible negative base excess. However, in this scenario, the base excess is -2, which does not indicate metabolic acidosis.
Choice D rationale:
Respiratory alkalosis occurs when there is a decrease in PaCO₂, leading to an increase in blood pH. The ABG values provided (pH 7.22, PacO₂ 68 mm Hg) are not consistent with respiratory alkalosis.
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