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.

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Correct Answer is C

Explanation

Choice C reason:

Maintaining a low-fat diet for 6 weeks is crucial after a laparoscopic cholecystectomy because the gallbladder, which stores bile to help digest fats, has been removed. Without the gallbladder, the body needs time to adjust to digesting fats directly from the liver. A low-fat diet helps prevent digestive discomfort and complications such as diarrhea and bloating. This dietary adjustment supports the healing process and ensures the client can gradually return to a normal diet without experiencing significant digestive issues.

Choice A reason:

Avoiding adding salt to food for 4 weeks is not directly related to the recovery process after a laparoscopic cholecystectomy. While reducing salt intake can be beneficial for overall health, it does not address the specific dietary needs following gallbladder removal. The primary focus should be on managing fat intake to aid digestion and recovery.

Choice B reason:

Maintaining a low-residue diet for 6 weeks is not necessary for clients who have undergone a laparoscopic cholecystectomy. A low-residue diet is typically recommended for individuals with certain gastrointestinal conditions to reduce bowel movements and allow the intestines to heal. However, this is not relevant to gallbladder removal recovery, where the emphasis should be on fat intake management.

Choice D reason:

Avoiding complex sugars for 4 weeks is not a standard recommendation for clients recovering from a laparoscopic cholecystectomy. While managing sugar intake can be part of a healthy diet, it does not specifically address the digestive changes and needs following gallbladder removal. The key dietary focus should be on reducing fat intake to support digestion and recovery.

A. Clients who are between the ages of 19 and 64 years old. B. Older adult clients who are receiving dialysis twice a week. C. Lactating mothers who are breastfeeding. D. Adolescent females who are menstruating.

Correct Answer is C

Explanation

Choice C reason:

Lactating mothers who are breastfeeding need to drink the most amount of water to remain adequately hydrated. Breastfeeding increases a mother’s fluid needs because a significant amount of water is used to produce breast milk. Adequate hydration is essential to maintain milk production and overall health. Lactating mothers are advised to drink more fluids than the average adult to compensate for the fluid loss through breastfeeding.

Choice A reason:

Clients who are between the ages of 19 and 64 years old have standard hydration needs based on their activity level, climate, and overall health. While staying hydrated is important for this age group, their fluid requirements are not as high as those of lactating mothers.

Choice B reason:

Older adult clients who are receiving dialysis twice a week need to manage their fluid intake carefully. Dialysis patients often have fluid restrictions to prevent fluid overload, which can lead to complications. Therefore, they do not need to drink the most amount of water compared to other groups.

Choice D reason:

Adolescent females who are menstruating may experience increased fluid needs due to blood loss and hormonal changes, but their hydration requirements are not as high as those of lactating mothers. While it is important for them to stay hydrated, they do not need to drink the most amount of water.

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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

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

Correct Answer is C

Explanation

The nurse is planning a nutritional class for adequate daily intake of water. Which population of clients should drink the most amount of water to remain adequately hydrated?

Correct Answer is C

Explanation

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