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 drink whole milk with my cereal."
"I will increase my intake of canned vegetables."
"I will limit my portions of meat to 8 ounces."
The Correct Answer is A
A. "I will use canola oil when making salad dressing.":
Canola oil is a good choice for clients with cardiovascular disease as it is low in saturated fats and high in monounsaturated fats, which can help improve lipid profiles and reduce the risk of heart disease. This choice aligns with dietary recommendations to use healthier fats.
B. "I will drink whole milk with my cereal.":
Whole milk is high in saturated fats, which can contribute to elevated cholesterol levels and increase the risk of cardiovascular disease. Clients with cardiovascular issues are typically advised to choose lower-fat or fat-free dairy products to help manage their condition.
C. "I will increase my intake of canned vegetables.":
Canned vegetables often contain high levels of sodium, which can contribute to hypertension and worsen cardiovascular disease. It's generally recommended to choose fresh or frozen vegetables with no added salt or to look for low-sodium canned options.
D. "I will limit my portions of meat to 8 ounces.":
While portion control is important, the focus should be on the type of meat consumed. For cardiovascular health, it's advisable to choose lean meats and to limit red and processed meats, rather than just focusing on portion size. A more heart-healthy approach would involve incorporating more plant-based proteins and lean poultry or fish.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "If you don't take this medication, you will feel worse":
While this statement might be intended to convey the importance of the medication, it can come across as a threat or ultimatum. It does not engage with the client's concerns or offer a rationale for the medication's necessity.
B) "Most clients feel better after taking the antibiotic":
This response focuses on the general outcome rather than addressing the specific client's concerns or explaining why the medication is necessary for their condition. It may not provide the client with enough information to understand the importance of the medication.
C) "I will tell your provider that you do not want to take this medication":
This response shifts the responsibility to the provider without addressing the client's concerns directly. It is important to engage with the client and provide education about the medication before escalating the issue to the provider.
D) "Your provider wouldn't prescribe this medication if it weren't necessary":
This response acknowledges the client's concerns while providing a rationale for why the medication is important. It reinforces that the medication is prescribed based on medical necessity, aligning with the provider's judgment and emphasizing the importance of following the treatment plan.
Correct Answer is D
Explanation
A) "I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash":
Alcohol is not a recommended disinfectant for areas soiled with body fluids, as it is not effective against all pathogens. The correct approach would be to use a bleach solution or another suitable disinfectant. While immediate disposal of trash is appropriate, the choice of cleaning agent is crucial for proper infection control.
B) "I will need to take my clothes to the dry cleaners to sterilize them":
Sterilizing clothes at a dry cleaner is not necessary for most clients with AIDS. Regular washing with hot water and detergent is typically sufficient to clean clothes. Sterilization is reserved for specific situations involving contamination with infectious materials.
C) "I will increase the amount of fresh fruits and vegetables I consume":
For clients with AIDS, it is important to be cautious with fresh fruits and vegetables to prevent foodborne infections. They should ensure that produce is thoroughly washed or cooked to reduce the risk of infection. Increasing intake of fresh fruits and vegetables without these precautions could pose a health risk.
D) "I will be sure to wear gloves and wash my hands when I change my cat's litter box":
Wearing gloves and washing hands after handling cat litter is an appropriate practice for clients with AIDS. It helps prevent exposure to toxoplasmosis and other infections that can be particularly dangerous for immunocompromised individuals. Proper hygiene and protective measures are essential to reduce the risk of infections.
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