Electrolytes Question #30


The nurse is preparing diet teaching for a client with an electrolyte imbalance. Which should the nurse include when the client’s sodium level is 158 mEq/L? (Select all that apply)


  1. Pretzels
    • Rationale:
  2. Baked chicken
    • Rationale:
  3. Chicken bouillon
    • Rationale:
  4. Baked potato
    • Rationale:



The correct answers are B and D. A normal serum sodium is between 135 and 145 mEq/L. A sodium level of 158 mEq/L is elevated and a low sodium diet should be prescribed. A peanut butter sandwich, pretzels, chicken bouillon, and baked ham are all foods high in sodium. Baked chicken and baked potato are low-sodium food choices.

NCLEX TIP: When answering select all that apply (SATA) questions, look at each answer option and ask yourself if the response is true or false. When looking at the questions, watch for any negative NCLEX words, which will lead the nurse to do the “wrong” tasks. These words may include always, never, ever, no, don’t, do not, etc. Always remember the ABC’s and Maslow’s hierarchy of needs. Common words and phrases in the question should always be noted, and note when to delegate and not to delegate. Never delegate a nursing task that requires an order, requires a higher intervention, or is providing care to an unstable client. And always remember an unstable client before a stable client.

Learning Outcomes

Test Taking Tip

Video Rationale