A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?

"I will use canola oil when making salad dressing."

"I will increase my intake of canned vegetables."

"I will limit my portions of meat to 8 ounces."

"I will drink whole milk with my cereal."

Answer and Explanation

The Correct Answer is A

A Canola oil is a healthier choice compared to saturated fats like butter or coconut oil because it is lower in saturated fat and high in unsaturated fats (monounsaturated and polyunsaturated fats). Using canola oil can help lower LDL (bad) cholesterol levels and reduce the risk of heart disease.

B. Canned vegetables often contain added sodium as a preservative, which can contribute to hypertension (high blood pressure), a risk factor for cardiovascular disease. Therefore, increasing intake

of canned vegetables is not recommended for someone with cardiovascular disease unless they are choosing low-sodium or no-added-salt varieties.

C. Limiting portions of meat helps reduce intake of saturated fats, which can raise LDL cholesterol levels and increase the risk of heart disease. A portion size of 8 ounces is appropriate as part of a heart-healthy diet that emphasizes lean proteins and plant-based sources of protein.

D. Whole milk is higher in saturated fat compared to low-fat or skim milk. Consuming saturated fats increases LDL cholesterol levels, which can contribute to cardiovascular disease. Therefore, drinking whole milk is not recommended for someone with cardiovascular disease who should focus on reducing saturated fat intake.

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Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

The nurse should first address the client pain level followed by the client's ECG results

Rationale

Pain level: Addressing the client's pain level is crucial because it directly affects their comfort and can be indicative of ongoing myocardial ischemia or infarction. The client initially reported chest pain as 7/10, which is significant. Although it has decreased to 5/10 after nitroglycerin, ongoing assessment of pain is essential to ensure it does not worsen or change in nature.

ECG results: The 12-lead electrocardiogram (ECG) shows tachycardia with ST segment elevation and T wave changes. These findings indicate acute myocardial ischemia or infarction, which is a critical concern. The ECG results guide further diagnosis and treatment decisions, such as determining the need for immediate reperfusion therapy (like thrombolytics or angioplasty).

A. "I will increase the amount of fresh fruits and vegetables I consume." B. "I will need to take my clothes to the dry cleaners to sterilize them." C. "I will be sure to wear gloves and wash my hands when I change my cat's litter box." D. "I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash."

Correct Answer is C

Explanation

C. This statement shows understanding of precautions to prevent exposure to toxoplasmosis, a common opportunistic infection in individuals with compromised immune systems, including those with AIDS. Toxoplasmosis can be transmitted through handling cat feces.

A This statement suggests a general intention to improve nutrition, which is beneficial for overall health but does not specifically address infection control or prevention of opportunistic infections related to AIDS. While a healthy diet supports immune function indirectly, it does not directly demonstrate understanding of specific precautions needed due to AIDS.

B. This statement reflects a misunderstanding because HIV (Human Immunodeficiency Virus), which causes AIDS, does not survive long outside the body and cannot be transmitted through clothing.

Sterilizing clothes at a dry cleaner is unnecessary for preventing the spread of HIV.

D HIV can be effectively killed with regular household cleaners (such as bleach solutions), but alcohol alone may not be sufficient. Proper disposal of contaminated materials is important, but the method described does not accurately reflect infection control measures for HIV.

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A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client dropdown followed by the client's dropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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