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

Broccoli.

Ground sirloin.

Cottage cheese.

Bananas.

Answer and Explanation

The Correct Answer is C

A. Broccoli. Broccoli is a low-sodium vegetable and is a good choice for a low-sodium diet.

B.   Ground sirloin. While not completely free of sodium, fresh meat like ground sirloin has relatively low sodium content compared to processed or cured meats.
C.   Cottage cheese. Cottage cheese is high in sodium, especially processed varieties, and should be limited on a low-sodium diet.
D.   Bananas. Bananas are very low in sodium and are safe for a low-sodium diet.

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Correct Answer is C

Explanation

A. Bread. Plain bread is typically well-tolerated for individuals with cholelithiasis, as it is low in fat.
B. Beef broth. Beef broth is low in fat and should be well-tolerated for someone with cholelithiasis.

C. Ice cream. Ice cream is high in fat and may exacerbate symptoms of cholelithiasis by triggering gallbladder contractions.
D. Ketchup. Ketchup is low in fat and should not pose a significant risk for someone with cholelithiasis.

A. The urine meter attached to the urinary drainage bag is completely full. B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. C. There is a large dependent loop in the client's urinary drainage tubing. D. Purulent drainage is present around the insertion site of the feeding tube.

Correct Answer is C

Explanation

A. The urine meter attached to the urinary drainage bag is completely full. While this observation requires attention, it does not pose an immediate risk to the client's safety. The nurse should
empty the urine meter promptly to prevent overflow.

B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. This rate of infusion is within the typical range for enteral feedings and does not indicate an immediate safety concern. However, the nurse should assess the client's tolerance to the feeding.
C. There is a large dependent loop in the client's urinary drainage tubing. A large dependent loop in the urinary drainage tubing can lead to urinary stasis and increase the risk of urinary tract
infections or catheter-associated complications. It requires immediate intervention to prevent complications.
D. Purulent drainage is present around the insertion site of the feeding tube. While purulent drainage indicates a potential infection at the insertion site, it may not require immediate
intervention unless the client exhibits signs of systemic infection such as fever or increased white blood cell count.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal from the menu. Which food choice should the nurse advise the client to omit?

Correct Answer is C

Explanation

When entering a client's room, the nurse observes that the unlicensed assistive personnel (UAP) has lowered the head of the bed to change the linens for a client who is bedfast. Which observation requires the most immediate intervention by the nurse?

Correct Answer is C

Explanation

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