Which food item does the nurse instruct the client to avoid? A nurse is reviewing laboratory results and notes that a clients serum sodium level is 150 mEq/L. The nurse reports the serum sodium level to the physician and the physician prescribes dietary instructions based on the sodium level.
A. Peas B. Cauliflower C. Low-fat yogurt D. Processed OAT cereals
Rationale: The normal serum sodium level is 135 to 145 mEq/L. A serum sodium level of 150 mEq/L indicates hypernatremia. Based on this finding, the nurse would instruct the client to avoid foods high in sodium. Low-fat yogurt, cauliflower, and peas are good food sources of phosphorus. Processed foods are high in sodium content.
Test-Taking Strategy: First, you must determine that the client has hypernatremia. Next, note the strategic word AVOID in the question. Eliminate options A and B first because these are vegetables. From the remaining options, note the word PROCESSED in option D. Processed foods tend to be higher in sodium content. Review foods high in sodium content if you had difficulty with this question.