A client wants to increase intake of Vitamin E. Which snack should the nurse encourage?

Choice A reason:

Emphasizing the need to reduce caloric intake, rather than increasing it, is not appropriate for a client with hyperthyroidism. Hyperthyroidism increases the body’s metabolic rate, leading to higher energy expenditure. Reducing caloric intake could result in weight loss and muscle wasting, which are already concerns for individuals with hyperthyroidism.

Choice B reason:

Encouraging the client to continue these changes in a dietary plan is appropriate. Increasing protein and calorie intake helps meet the higher metabolic demands associated with hyperthyroidism. Adequate protein supports muscle maintenance and repair, while increased calories help prevent unintentional weight loss. This approach ensures that the client meets their nutritional needs and maintains a healthy weight.

Choice C reason:

Advising the client to include aerobic exercise along with dietary changes can be beneficial for overall health, but it should be tailored to the individual’s energy levels and physical condition. While exercise is important, the primary focus should be on meeting the increased nutritional needs caused by hyperthyroidism.

Choice D reason:

Instructing the client to also increase the daily intake of dietary fiber is beneficial for overall health, but it is not the primary concern for managing hyperthyroidism. The focus should be on ensuring adequate protein and calorie intake to meet the increased metabolic demands.

Choice A reason:

Unpasteurized milk poses significant health risks because it can contain harmful bacteria such as E. coli, Salmonella, and Listeria. These pathogens can cause serious illness, especially in vulnerable populations such as children, the elderly, and those with weakened immune systems. It is crucial for the nurse to inform the client about the risks associated with consuming unpasteurized milk and to recommend pasteurized alternatives to ensure food safety.

Choice B reason:

Organically grown fruits are generally safe and can be a healthy choice. While they may have lower pesticide residues compared to conventionally grown fruits, they do not pose the same immediate health risks as unpasteurized milk. The focus should be on ensuring the client washes all fruits thoroughly before consumption.

Choice C reason:

Wheat germ is a nutritious food that provides vitamins, minerals, and fiber. It does not pose significant health risks and can be safely included in a balanced diet. The primary concern should be on educating the client about the benefits of including such nutrient-dense foods in their diet.

Choice D reason:

Range-fed beef can be a healthy option as it is often lower in fat and higher in omega-3 fatty acids compared to conventionally raised beef. While it is important to ensure proper cooking to avoid foodborne illnesses, it does not pose the same level of risk as unpasteurized milk.