Nokea
A client who has hypertension makes all of the following statements. Which statement indicates a need for more teaching?
- A. I eat fresh fruit every day.
- B. I just love dill pickles with my sandwich at lunch.
- C. I prefer broiled meats to fried food.
- D. I enjoy one cup of decaffeinated coffee at lunch.
Correct Answer: B
Rationale: Dill pickles are high in sodium, which should be limited in hypertension. Fresh fruit, broiled meats, and decaf coffee align with a low-sodium, heart-healthy diet.
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Which of these meals would the nurse recommend to provide the highest amount of protein and calories?
- A. Vegetable soup, cottage cheese on crackers, applesauce, and a hot chocolate
- B. Cheeseburger, French-fried potatoes, carrot sticks, cantaloupe balls, and milk
- C. Fresh fruit plate with sherbert, buttered muffin, slice of watermelon, and a fruit-flavored milk drink
- D. Chicken noodle soup, cream cheese and jelly sandwich, buttered whole-kernel corn, orange sherbert, and a cola drink
Correct Answer: B
Rationale: A cheeseburger with milk provides high protein (meat, dairy) and calories (meat, bun, fries), compared to the other options with lower protein or calorie content.
The nurse knows that the client understands a low-sodium diet when the client selects which of the following menus?
- A. Lobster salad, corn bread, and milk
- B. Hot roast beef sandwich, celery sticks, and coffee
- C. Sliced chicken, fresh tomatoes, and beets
- D. Liver and onions, creamed carrots, and a biscuit
Correct Answer: C
Rationale: Lobster, cornbread, roast beef sandwich, and liver are high in sodium. Sliced chicken, fresh tomatoes, and beets are low-sodium choices.
A pregnant woman tells the nurse that she is constipated. What suggestion is best for the nurse to give the woman?
- A. Reduce your fluid intake.
- B. Reduce your intake of fruits.
- C. Increase your intake of raw vegetables.
- D. Increase your intake of rice.
Correct Answer: C
Rationale: Raw vegetables are high in fiber, which promotes bowel regularity and alleviates constipation, a common issue in pregnancy.