NCLEX-PN® ExaminationCoordinated CareHard
A client with a history of heart failure is scheduled for discharge. The LPN is reinforcing teaching about dietary restrictions, specifically sodium intake. Which client statement indicates a need for further teaching?
- A“Fresh fruits and vegetables are good choices for my diet.”
- B“I will check food labels for sodium content, especially in processed foods.”
- C“I should avoid adding salt to my food at the table.”
- D“I can eat canned soups as long as they are labeled 'low sodium.'”
Show answer & explanationAnswer & explanation
Correct answer: D. “I can eat canned soups as long as they are labeled 'low sodium.'”
Even products labeled 'low sodium' can still contribute significantly to overall sodium intake, especially if consumed in large quantities or frequently. For a client with heart failure, strict sodium restriction is critical. This statement indicates a potential misunderstanding of what 'low sodium' truly entails in the context of their condition, requiring further education.
Why the other options are wrong
- A. Fresh fruits and vegetables are naturally low in sodium and excellent choices for a heart-healthy diet.
- B. Checking food labels for sodium content is a crucial part of managing dietary restrictions for heart failure.
- C. Avoiding table salt is a correct and important dietary restriction for heart failure.
Dietary Restrictions (Heart Failure)
Specific limitations on food and fluid intake to manage symptoms and prevent exacerbations in clients with heart failure, primarily focusing on sodium and fluid.
- Low sodium diet is critical.
- Fluid restriction may be necessary.
- Requires careful reading of food labels.
Memory trick: Low Sodium, Label Logic, Less Swelling