A 5 ft 3 in (1.6 m), 113 lb (51.3 kg) client has a lipid profile of a total cholesterol of 267 mg/dL (6.92 mmol/L), a low-density lipoprotein (LDL) of 167 mg/dL (4.33 mmol/L), a high-density lipoprotein (HDL) of 85 mg/dL (2.2 mmol/L), triglycerides 79 mg/dL (0.89 mmol/L), and a very low-density lipoprotein (VLDL) of 16 mg/dL (0.41 mmol/L). Based on these findings, it is most important for the nurse to teach the client to make every effort to completely avoid which foods?

Reference Range: Total Cholesterol [less than 200 mg/dL (less than 5.2 mmol/L)] LDL [less than 130 mg/dL (less than 3.4 mmol/L)] HDL [greater than 45 mg/dL (greater than 0.75 mmol/L)] VLDL [12 to 30 mg/dL (0.31 to 0.78 mmol/L)] Triglycerides [40 to 160 mg/dL (0.45 to 1.81 mmol/L)]

Cheese.

Eggs.

Nuts.

Shellfish.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Cheese is high in saturated fats and cholesterol, which can significantly impact lipid levels. For a client with elevated total cholesterol and LDL levels, it is crucial to avoid foods that can exacerbate these conditions. Saturated fats found in cheese can increase LDL cholesterol, contributing to the risk of cardiovascular diseases. Therefore, avoiding cheese can help manage and reduce these lipid levels, promoting better heart health.

Choice B reason:

Eggs, particularly egg yolks, contain cholesterol, but recent studies suggest that dietary cholesterol has a smaller impact on blood cholesterol levels than previously thought. While moderation is key, eggs are not the primary concern compared to foods high in saturated fats like cheese. Therefore, while eggs should be consumed in moderation, they are not as critical to avoid as cheese for managing high cholesterol levels.

Choice C reason:

Nuts contain healthy fats, including unsaturated fats, which can actually help improve lipid profiles by lowering LDL cholesterol and raising HDL cholesterol. They are also a good source of protein and other nutrients. Therefore, nuts are not only safe but beneficial for someone managing their cholesterol levels, making them a good dietary choice.

Choice D reason:

Shellfish contain cholesterol, but like eggs, they have less impact on blood cholesterol levels compared to saturated fats. Additionally, shellfish are low in saturated fats and can be part of a heart-healthy diet when consumed in moderation. The primary dietary focus should be on reducing saturated fat intake, making shellfish less of a concern compared to cheese.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice C reason:

A ham and cheese sandwich is the best recommendation for a client with moderate hyponatremia because it contains higher levels of sodium, which can help address the sodium deficiency. Hyponatremia is a condition characterized by low sodium levels in the blood, and consuming foods with higher sodium content can help restore balance.

Choice A reason:

A fruit salad with bananas is healthy but does not provide sufficient sodium to address hyponatremia. While bananas are rich in potassium, they do not help with the sodium deficiency that needs to be corrected.

Choice B reason:

A lettuce and tomato salad is low in sodium and does not address the client’s need for increased sodium intake. While it is a healthy choice, it is not suitable for managing hyponatremia.

Choice D reason:

A baked sweet potato is nutritious but does not provide the necessary sodium to correct hyponatremia. The focus should be on foods that can help increase sodium levels in the blood.

A. Alert the adult protection agency. B. Call the client’s nearest relative. C. Provide budgeting strategies. D. Consult with social services.

Correct Answer is D

Explanation

Choice D reason:

Consulting with social services is the best action because social services can provide comprehensive support, including financial assistance, access to meal programs, and other resources to help the client manage both their nutritional and medical needs. Social workers are equipped to address the underlying issues causing the client to skip meals, ensuring they receive the necessary support to improve their health and well-being.

Choice A reason:

Alerting the adult protection agency is a serious step that is typically reserved for situations involving abuse or neglect. While the client’s situation is concerning, it does not necessarily indicate abuse or neglect. The focus should be on providing support and resources to address the client’s needs.

Choice B reason:

Calling the client’s nearest relative may provide some immediate support, but it does not address the root cause of the client’s financial difficulties. Relatives may not have the resources or knowledge to provide the necessary assistance. Consulting with social services offers a more comprehensive solution.

Choice C reason:

Providing budgeting strategies can be helpful, but it may not be sufficient to address the client’s financial challenges. The client may need more substantial support, such as access to food assistance programs or financial aid, which social services can provide.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

Correct Answer is C

Explanation

An older adult client with unintentional weight loss and a decline in physical health reports to the nurse of skipping meals to save money for prescribed medications. Which action is best for the home health nurse to implement?

Correct Answer is D

Explanation

A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

When conducting diet teaching for a client who was diagnosed with iron-deficiency anemia, what food(s) should the nurse encourage the client to eat? Select all that apply.

To help prevent urinary tract infections, which instruction should the nurse provide?

The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

A client who has migraine headaches wants to decrease the intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which food should the nurse recommend that the client eliminate?

When conducting diet teaching for a client who has iron-deficiency anemia, which foods should the nurse encourage the client to eat? (Select all that apply.)

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?