The nurse is caring for an older adult who needs to limit sodium intake.

Which food
should the nurse encourage the client to avoid?

Cottage cheese

Broccoli.

Ground sirloin.

Bananas.

Answer and Explanation

The Correct Answer is A

Choice A: cottage cheese has about 364 mg of sodium per 100 g, which is much higher than the other options.

Choice B: Broccoli is a generally healthy vegetable and does not need to be avoided solely for sodium intake unless heavily salted. Broccoli has only 33 mg of sodium per 100g.

Choice C: Ground sirloin has 75 mg of sodium per 100g which is much lower than that contained by cottage cheese.

Choice D: Bananas are a low-sodium food and do not need to be avoided for sodium intake.

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Correct Answer is B

Explanation

Choice A: Fats are an important component of the diet, but they do not typically require specific counting for meal planning in the same way that carbohydrates do for clients with type 1 diabetes mellitus.

Choice B: Carbohydrates are essential for the client to count for each meal and snack. Monitoring carbohydrate intake is a key aspect of managing blood glucose levels in clients with diabetes, especially for those using short-acting insulin to cover meals.

Choice C: Dairy products, while they contain carbohydrates, are not the primary nutrient that requires counting for meal planning in diabetes management.

Choice D: Protein is an important nutrient in the diet, but it does not require the same level of counting and monitoring as carbohydrates for clients with type 1 diabetes mellitus.

A. Strict intake and output. B. Maintain a large bore IV. C. Keep NPO except for ice. D. Monitor laboratory values

Correct Answer is D

Explanation

Choice A: Strict intake and output monitoring is important in the care of clients with DKA, but it is not the most critical intervention among the choices provided.

Choice B: Maintaining a large bore intravenous (IV) is important for providing the necessary fluids and medications in DKA treatment, but it is not the highest priority.

Choice C: Keeping the client NPO except for ice may be part of the initial management of DKA to address fluid and electrolyte imbalances, but it is not the most important intervention in the client's overall plan of care.

Choice D: Monitoring laboratory values is the most important intervention for a client with diabetic ketoacidosis (DKA). Regular assessment of blood glucose levels, electrolytes (e.g., potassium, sodium), and arterial blood gases (ABGs) is crucial for guiding treatment and ensuring that DKA is resolving. Adjustments to insulin and fluids are based on these laboratory values to prevent complications such as cerebral edema or cardiac arrhythmias.

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The nurse is caring for an older adult who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with type 1 diabetes mellitus who uses both short-acting and long-acting insulin adjusted doses throughout the day. Which nutrient is essential for the client to count for each meal and snacks?

Correct Answer is B

Explanation

The nurse is caring for a client admitted with diabetic ketoacidosis (DKA). Which intervention is most important for the nurse to include in the client's plan of care?

Correct Answer is D

Explanation

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The nurse is caring for an older adult who needs to limit sodium intake.

Which food
should the nurse encourage the client to avoid?