HESI Registered Nurse EXIT Practice Exam

Which lunch selection indicates a client with congestive heart failure has learned about sodium restriction?

1. Cheese sandwich with a glass of 2% milk

2. Sliced turkey sandwich and canned pineapple

3. Cheeseburger and baked potato

4. Mushroom pizza and ice cream

The correct answer is: Sliced turkey sandwich and canned pineapple

The selection of a sliced turkey sandwich and canned pineapple indicates a suitable choice for a client with congestive heart failure who has learned about sodium restriction. This meal focuses on lean protein from the turkey, which is typically lower in sodium compared to processed meats, and the canned pineapple can be chosen if it is low-sodium or packed in its own juice, making it a better option for heart health. In managing congestive heart failure, clients are encouraged to limit sodium intake to help reduce fluid retention and manage blood pressure. Foods high in sodium, like processed cheese, fast food, and creamy or salty items like ice cream can contribute to fluid buildup, making them less appropriate choices for someone managing this condition. Thus, the other options incorporate higher sodium items that would not align with the dietary needs of someone with congestive heart failure.