Nursing Students General Students
Published Apr 7, 2004
perfectbluebuildings, BSN, RN
1,016 Posts
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! :)
Kudra
160 Posts
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
jenrninmi, MSN, RN
1,975 Posts
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 cerealb. catsupc. sherbetd. green leafy vegetablesIt 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.
Love-A-Nurse
3,932 Posts
b, the sodium content.
chris_at_lucas_RN, RN
1,895 Posts
Me too. And for the same reasons.
Ask an instructor and let us know, wouldja? It's a good question.
LeesieBug
717 Posts
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.
Spidey's mom, ADN, BSN, RN
11,304 Posts
I'm going to guess D also and for the same reason.
steph
HyperRNRachel
483 Posts
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.
LauraLou
532 Posts
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.
Jennerizer, ASN, RN
728 Posts
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.
belladelicious
112 Posts
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.
Shed13911
212 Posts
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!!