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. 

   About perfectbluebuildings, BSN, RN

   Joined: Feb '03; Posts: 1,717; Likes: 424

   22 Comments

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3. 
   Apr 7, '04

   Joined: Mar '04; Posts: 169; Likes: 17

   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. 
   Apr 7, '04

   Joined: Oct '03; Posts: 1,980; Likes: 95

   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. 
   Apr 7, '04

   Occupation: ADON-LTC Specialty: 19 year(s) of experience in LTC, ER, ICU, ; Joined: Feb '01; Posts: 5,856; Likes: 36

   b, the sodium content.
6. 
   Apr 7, '04

   Occupation: RN/LMFT Specialty: 7 year(s) of experience ; From: US ; Joined: Nov '03; Posts: 3,081; Likes: 233

   Me too. And for the same reasons.
   
   Ask an instructor and let us know, wouldja? It's a good question.
7. 
   Apr 7, '04

   Specialty: ER ; Joined: Apr '03; Posts: 806; Likes: 93

   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. 
   Apr 7, '04

   Joined: Dec '02; Posts: 41,761; Likes: 48,081

   I'm going to guess D also and for the same reason.
   
   steph
9. 
   Apr 7, '04

   Joined: Oct '03; Posts: 501; Likes: 67

   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. 
    Apr 7, '04

    Joined: Oct '02; Posts: 549; Likes: 19

    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. 
    Apr 7, '04

    Joined: Nov '02; Posts: 729; Likes: 118

    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. 
    Apr 7, '04

    Occupation: future RN Joined: Oct '03; Posts: 113; Likes: 4

    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. 
    Apr 7, '04

    Occupation: Pedi telephone triage RN Joined: Jul '03; Posts: 308; Likes: 11

    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. 
    Apr 7, '04

    Joined: Mar '04; Posts: 226; Likes: 3

    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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