Test Question?

  1. Hi all,
    What would you make of this question?

    In doing diet teaching for the client with congestive heart failure, which of the following foods should you tell them to avoid?
    a. cooked cereal
    b. catsup
    c. sherbet
    d. green leafy vegetables

    It was on a recent test and I had no clue and wanted to get your feedback. We do not get our tests back, just the grades, so I don't know if I got it right or not, or what the right answer is- just wondering your thoughts.

    Thanks!
    •  
  2. 22 Comments

  3. by   Kudra
    i'm probably going out on a limb here, but i would say B. is the right answer... just because it's really high in sodium...

    ETA: although i could see sherbet being right too, just because of the extra liquid factor...

    beth
    Last edit by Kudra on Apr 7, '04
  4. by   jenrninmi
    Quote from Rayrae
    Hi all,
    What would you make of this question?

    In doing diet teaching for the client with congestive heart failure, which of the following foods should you tell them to avoid?
    a. cooked cereal
    b. catsup
    c. sherbet
    d. green leafy vegetables

    It was on a recent test and I had no clue and wanted to get your feedback. We do not get our tests back, just the grades, so I don't know if I got it right or not, or what the right answer is- just wondering your thoughts.

    Thanks!
    I would pick B. Catsup because of the sodium content.
  5. by   Love-A-Nurse
    b, the sodium content.
  6. by   chris_at_lucas_RN
    Me too. And for the same reasons.

    Ask an instructor and let us know, wouldja? It's a good question.
  7. by   LeesieBug
    I'm going to be the oddball and guess D. The question doesn't give much info, but I know that there are many cardiovascular medications that recommend avoiding green leafy vegetables due to potassium content.
  8. by   Spidey's mom
    I'm going to guess D also and for the same reason.

    steph
  9. by   HyperRNRachel
    My first thought was to avoid "B" because of the sodium and its potential to cause fluid retention which would be a further strain on a CHF client.
  10. by   LauraLou
    B. Catsup because of the sodium content. Patients with CHF need to avoid foods high in sodium because fluid retention causes the heart to work harder.
  11. by   Jennerizer
    It's B - the sodium. CHF patients are on a low-sodium diet & ketchup is high in sodium.

    As far as D goes, patients on Coumadin need to avoid green leafy vegetables.
  12. by   belladelicious
    Quote from Rayrae
    Hi all,
    What would you make of this question?

    In doing diet teaching for the client with congestive heart failure, which of the following foods should you tell them to avoid?
    a. cooked cereal
    b. catsup
    c. sherbet
    d. green leafy vegetables

    It was on a recent test and I had no clue and wanted to get your feedback. We do not get our tests back, just the grades, so I don't know if I got it right or not, or what the right answer is- just wondering your thoughts.

    Thanks!
    At first I thought, of course it's B b/c that's just filled w/sugar.

    But, nooo, it's D! You can't have Vitamin K, you can't have any green vegies. My grandmother had a miinor heart attack recently, and this has been an issue everytime we go out, she's always complaining that she can't have a salad. I'm not sure what medication she's on, it's a common drug..can't think of the name, a blood thinner I guess. Actually, you can have a tiny amount of it, but it has to be consistent. So, that's something you will definetely have to teach your patient.
  13. by   Shed13911
    I strongly believe it is "B" also as the others have said for the sodium content. Please let us know which answer is the right one and the rationel behind it. Good luck!!
  14. by   lovinghands
    Hi,
    I'd say catsup for the same reason, high sodium content (always remember salt draws water)

    I think the confusion about green leafy vegs stems from vitamin K and coumadin. The question does not state anything about coumadin therapy. Pts on coumadin can eat their regular diet of green leafy vegs, just not in excess.

    Just my opinion - let us know what you find out.

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