Page 361 - Saunders Comprehensive Review For NCLEX-RN

Reference: Ignatavicius, Workman, Rebar (2018), p. 175.

89. Answer: 1, 2, 4

Rationale: The normal serum sodium level is 135 to 145 mEq/L (135 to 145
mmol/L). A serum sodium level of 150 mEq/L (150 mmol/L) indicates
hypernatremia. On the basis of this finding, the nurse would instruct the client to
avoid foods high in sodium. Peas, nuts, and cauliflower are good food sources of
phosphorus and are not high in sodium (unless they are canned or labeled salted).
Peas and cauliflower are also a good source of magnesium. Processed foods such as
cheese and processed oat cereals are high in sodium content.
Test-Taking Strategy: Focus on the subject, foods acceptable to be consumed by a
client with a sodium level of 150 mEq/L (150 mmol/L). First, you must determine
that the client has hypernatremia. Select peas and cauliflower first because these are
vegetables. From the remaining options, note the word processed in option 5 and
recall that cheese is high in sodium. Remember that processed foods tend to be
higher in sodium content.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Foundations of Care: Therapeutic Diets
Health Problem: N/A
Priority Concepts: Client Education; Nutrition
Reference: Ignatavicius, Workman, Rebar (2018), p. 173.

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