A nurse is planning dietary teaching for a client who adheres to a vegan diet. The nurse should identify that the client is at greatest risk for which of the following nutrient deficiencies?
Omega-3 fatty acids
Magnesium
Potassium
Vitamin A
The Correct Answer is A
Omega-3 fatty acids, specifically eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are mainly found in fatty fish. Since vegans avoid animal products, they may not consume adequate amounts of EPA and DHA. Plant-based sources of omega-3 fatty acids, such as flaxseeds, chia seeds, and walnuts, provide a different type of omega-3 called
alpha-linolenic acid (ALA), which can be converted to EPA and DHA in the body to some extent. However, this conversion is not very efficient, and the amount of EPA and DHA obtained from plant-based sources may be insufficient to meet the body's needs. Therefore, vegan individuals are at greater risk of omega-3 fatty acid deficiency.
Magnesium, potassium, and vitamin A deficiencies are not specifically associated with a vegan diet. These nutrients can be obtained from various plant-based sources. Magnesium can be found in foods such as legumes, nuts, seeds, whole grains, and leafy green vegetables.
Potassium is abundant in fruits, vegetables, legumes, and whole grains.
Vitamin A can be obtained from plant-based sources like carrots, sweet potatoes, spinach, and other dark leafy greens. However, it is important for individuals following a vegan diet to ensure they consume a varied and balanced diet to meet their nutritional needs for these and other essential nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should include the instruction to "allow the toddler to feed himself" in the teaching. Allowing toddlers to self-feed promotes independence and helps develop their fine motor skills.
It also allows them to explore different textures and tastes of food, which can contribute to their overall development and acceptance of a variety of foods.
"Set meal times immediately after physical activity": It is not necessary to schedule meals immediately after physical activity. It is more important to focus on regular meal and snack times throughout the day to ensure the toddler's nutritional needs are met.
"Avoid snacks between meals": Snacks are an important part of a toddler's diet as they have small stomachs and may not be able to consume enough food during regular meal times.
Nutritious snacks can provide additional energy and nutrients to support their growth and development. However, it is important to choose healthy snacks and avoid excessive consumption of sugary or high-calorie snacks.
"Provide different food for the toddler than the parents": It is generally recommended to offer the same types of healthy foods to both the toddler and the rest of the family. This helps promote family meals and exposes the child to a variety of flavors and textures. However, the food may need to be prepared or served in a way that is suitable for the toddler's age and developmental stage (e.g., cut into small pieces or mashed).
Correct Answer is A
Explanation
Recommend that the client eliminate the intake of carbonated beverages: Carbonated beverages, such as soda or sparkling water, can exacerbate diarrhea symptoms by increasing gas production and potentially causing abdominal discomfort. Eliminating carbonated beverages can help alleviate symptoms and improve the client's condition.
Instruct the client to increase consumption of beans: While beans are a good source of dietary fiber and can promote regular bowel movements in some individuals, they can also worsen diarrhea in others. Since the client is experiencing chronic diarrhea, increasing consumption of beans may not be advisable as it could contribute to loose stools and increased frequency.
Provide sugar-free candy for the client between meals: Sugar-free candies often contain artificial sweeteners like sorbitol or mannitol, which can have a laxative effect and worsen diarrhea. Offering sugar-free candy may not be helpful and can potentially exacerbate the client's symptoms.
Encourage the client to drink 4 oz of milk after each loose stool: Drinking milk after each loose stool is not recommended for clients experiencing chronic diarrhea. Milk contains lactose, and some individuals may have difficulty digesting it, leading to increased gas production and loose stools. Assessing the client's tolerance to milk and considering lactose-free alternatives, if needed, would be more appropriate.
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