A low-fat diet is prescribed for a client with heart disease. The nurse is reviewing the client’s food journal that includes plums, cherries, avocado, and peaches as between-meal snacks. Which action should the nurse implement?

Eliminate fruits that have a red skin from the diet.

Tell the client to eliminate in-between meal snacks.

Have the client compare the fat content of each snack food.

Instruct the client to eat raw fruit rather than dried fruits.

Answer and Explanation

The Correct Answer is C

Choice C reason:

Having the client compare the fat content of each snack food is important for managing a low-fat diet. While fruits are generally low in fat, some, like avocados, contain higher levels of healthy fats. Educating the client on the fat content of different foods helps them make informed choices that align with their dietary goals. This approach empowers the client to understand their diet better and make adjustments as needed to manage their heart disease effectively.

Choice A reason:

Eliminating fruits that have a red skin from the diet is not necessary for managing a low-fat diet. The color of the fruit’s skin does not impact its fat content. This recommendation does not address the primary concern of managing fat intake.

Choice B reason:

Telling the client to eliminate in-between meal snacks is not the best approach. Healthy snacks can help maintain energy levels and prevent overeating during main meals. The focus should be on choosing low-fat snacks rather than eliminating them entirely.

Choice D reason:

Instructing the client to eat raw fruit rather than dried fruits can be beneficial as dried fruits often contain added sugars and higher calorie content. However, this recommendation does not directly address the fat content of the snacks. The primary focus should be on educating the client about the fat content of their food choices.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice B reason:

Reviewing the chest x-ray report for central line placement is crucial to ensure that the central venous catheter is correctly positioned before starting TPN. Proper placement of the CVC is essential to prevent complications such as pneumothorax, incorrect infusion, or damage to surrounding structures. Confirming the placement through a chest x-ray ensures the safety and effectiveness of the TPN administration.

Choice A reason:

Starting 10% dextrose IV at the TPN prescribed rate is not appropriate until the correct placement of the CVC is confirmed. Administering dextrose without verifying the catheter placement can lead to serious complications if the catheter is not correctly positioned.

Choice C reason:

Instructing UAP to obtain hourly blood glucose levels is important once TPN is initiated, as TPN can significantly affect blood glucose levels. However, this step should come after confirming the correct placement of the CVC.

Choice D reason:

Redressing the central line site using sterile technique is important for preventing infection, but it is not the immediate priority. Ensuring the correct placement of the CVC through a chest x-ray is the first step before any other actions are taken.

A. Limit alcohol intake to two beverages daily. B. Make half of your plate fruits and vegetables. C. Switch to organic milk and dairy products. D. Eliminate products containing gluten in the daily diet.

Correct Answer is B

Explanation

Choice B reason:

Making half of your plate fruits and vegetables is a key dietary recommendation for promoting heart health. Fruits and vegetables are rich in vitamins, minerals, fiber, and antioxidants, which help reduce the risk of cardiovascular disease. This recommendation supports a balanced diet that can lower blood pressure, reduce cholesterol levels, and improve overall heart health.

Choice A reason:

Limiting alcohol intake to two beverages daily is a general guideline for moderate alcohol consumption, but it is not the most impactful dietary change for promoting heart health. Reducing alcohol intake is important, but increasing the intake of fruits and vegetables has more direct benefits for cardiovascular health.

Choice C reason:

Switching to organic milk and dairy products may reduce exposure to pesticides and hormones, but it does not have a significant impact on cardiovascular health compared to other dietary changes. The focus should be on overall dietary patterns rather than specific organic products.

Choice D reason:

Eliminating products containing gluten is necessary for individuals with celiac disease or gluten sensitivity, but it is not specifically related to cardiovascular health. The primary focus for promoting heart health should be on increasing the intake of fruits and vegetables and reducing saturated fats and processed foods.

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

A low-fat diet is prescribed for a client with heart disease. The nurse is reviewing the client’s food journal that includes plums, cherries, avocado, and peaches as between-meal snacks. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?

Correct Answer is B

Explanation

When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Correct Answer is B

Explanation

The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

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?

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

A nurse is planning care for several clients. Which client(s) are at an increased risk for malnutrition? Select all that apply.

The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?