A nurse is planning to teach a group of clients about heart healthy food choices at a community health fair. Which of the following instructions should the nurse plan to include in the teaching?
Limit egg yolks to five per week.
Limit meat intake to 10 oz per day.
Choose oily fish for two meals each week.
Choose ground beef that is 70% lean.
The Correct Answer is C
A. Limit egg yolks to five per week: Egg yolks are high in cholesterol, which can contribute to an increased risk of heart disease if consumed in large quantities. While limiting egg yolks can be beneficial, most current guidelines suggest a more flexible approach. Restricting them to five per week may not be the most accurate advice for a general heart-healthy diet.
B. Limit meat intake to 10 oz per day: 10 oz of lean meat a day is generally considered an acceptable amount for a heart-healthy diet however the recommendation could vary depending on the type of meat and its fat content. Instead, the focus should be on choosing lean proteins and limiting processed meats, rather than setting a strict limit on all meat consumption.
C. Choose oily fish for two meals each week: Oily fish are rich in omega-3 fatty acids, which have been shown to reduce the risk of heart disease by lowering triglycerides, reducing inflammation, and improving overall heart health. Consuming oily fish twice a week is consistent with current dietary guidelines aimed at promoting cardiovascular health.
D. Choose ground beef that is 70% lean: Ground beef that is only 70% lean is considered too fatty for a heart-healthy diet, as it is high in saturated fats which can increase cholesterol levels and contribute to heart disease. It is more beneficial to choose leaner options like 90% lean ground beef or plant-based alternatives, which are lower in unhealthy fats and better for heart health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You should limit your consumption of seafood to avoid exposure to mercury. Certain fish contain high levels of mercury, which can negatively impact fetal brain development. Pregnant individuals are advised to limit consumption of high-mercury seafood and choose safer options like salmon, shrimp, and cod, keeping weekly intake within recommended limits.
B. "You should not eat hard cheeses, such as Romano, Parmesan, and Asiago, to avoid listeriosis."
Hard cheeses are typically safe to eat during pregnancy because they are low in moisture and unlikely to support Listeria growth. It is soft, unpasteurized cheeses like brie and queso fresco that pose a higher listeriosis risk.
C. "You should decrease your salt intake to avoid preeclampsia." There is no strong evidence that reducing salt intake prevents preeclampsia. Pregnant individuals should follow normal dietary guidelines unless otherwise directed by a healthcare provider due to existing hypertension or kidney conditions.
D. "You should start using artificial sweeteners to decrease the risk of gestational diabetes."
Artificial sweeteners do not prevent gestational diabetes and some types may have unclear safety profiles in pregnancy. Emphasis should be placed on balanced nutrition and managing total carbohydrate intake rather than replacing sugar with artificial alternatives.
Correct Answer is ["A","B","C","D"]
Explanation
- Preschooler unable to bear weight on legs when walking: This is a concerning physical limitation in a child of this age and suggests a possible musculoskeletal or nutritional disorder. In vitamin D deficiency, it may indicate bone pain or weakness due to poor mineralization, requiring prompt evaluation and intervention.
- Preschooler refuses all dairy products: Dairy products are a primary source of dietary calcium and often fortified with vitamin D, both essential for healthy bone development. A prolonged lack of dairy in a young child's diet can lead to nutritional deficiencies, particularly if the overall diet is limited or unbalanced.
- Legs are bowed bilaterally: Bowed legs in a preschool-aged child are a classic sign of rickets, a condition resulting from vitamin D deficiency. This skeletal deformity reflects impaired bone development and mineralization and warrants immediate medical follow-up to prevent further complications.
- Vitamin D 5 ng/mL (25 to 80 ng/mL): This level is critically low and indicates a severe vitamin D deficiency. Such a deficiency impairs calcium absorption, leading to weakened bones and increasing the risk for rickets, fractures, and long-term skeletal issues if not corrected.
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