A nurse is providing nutrition teaching to a client who has hyperlipidemia. Which of the following instructions should the nurse give to help the client lower cholesterol levels?

Select meat that is 50% lean.

Substitute frozen custard for ice cream.

Eat fatty fish once a week.

Choose cheese containing 3 g of fat per serving.

Answer and Explanation

The Correct Answer is C

A. Select meat that is 50% lean: Meats that are 50% lean are still high in fat and should be avoided in a diet aimed at lowering cholesterol. The nurse should encourage the client to choose lean cuts of meat or plant-based protein sources instead.

B. Substitute frozen custard for ice cream: Both frozen custard and ice cream are high in fat and sugar, making them poor choices for lowering cholesterol. The nurse should suggest alternatives like low-fat or non-fat frozen yogurt or fruit-based desserts.

C. Eat fatty fish once a week: Fatty fish, such as salmon, mackerel, or sardines, is rich in omega-3 fatty acids, which have been shown to help lower cholesterol levels and improve heart health. This is an appropriate recommendation for clients with hyperlipidemia.

D. Choose cheese containing 3 g of fat per serving: Even cheese with 3 grams of fat per serving can be high in saturated fat, which can increase cholesterol levels. The nurse should recommend lower-fat cheese options or suggest limiting cheese intake to help lower cholesterol.

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Correct Answer is B

Explanation

A. Meconium staining of amniotic fluid: Meconium staining of amniotic fluid is a sign of fetal distress, but it is not a known risk factor for sudden infant death syndrome (SIDS). SIDS is primarily associated with environmental and biological factors after birth.

B. Maternal smoking during pregnancy: Maternal smoking during pregnancy is a significant risk factor for SIDS. It increases the likelihood of preterm birth, low birth weight, and respiratory issues in the infant, which are all linked to a higher risk of SIDS.

C. Newborn who is large for gestational age: Being large for gestational age is not considered a risk factor for SIDS. While LGA infants may have other health challenges, SIDS is more strongly associated with other factors like sleep position and environmental influences.

D. Staying current on scheduled immunizations: Immunization is considered protective against SIDS. Infants who are up to date on their vaccinations have a lower risk of SIDS. Therefore, staying current on immunizations is not a risk factor for SIDS, but a preventive measure.

A. "A parent is supposed to pass before their child." B. "I have put all the pictures of my child in the attic." C. "My partner says I seem to forget things frequently." D. "My partner and I have plans to open a small business."

Correct Answer is D

Explanation

A. "A parent is supposed to pass before their child.": The client is struggling with the reality of the loss and may still be in the early stages of grief. This reflects a more traditional view of grief, where the client is questioning the natural order of life, rather than accepting the loss.

B. "I have put all the pictures of my child in the attic.": Putting away pictures of the child may indicate avoidance or denial, rather than reorganization and acceptance. Reorganization usually involves finding a way to remember the loved one while continuing to engage in life.

C. "My partner says I seem to forget things frequently.": Forgetfulness can be a sign of stress or ongoing grief, and it may reflect difficulty coping with the loss. This statement suggests that the client may still be processing grief rather than having entered the stage of acceptance.

D. "My partner and I have plans to open a small business.": The client is looking toward the future and engaging in new activities, which suggests a shift toward rebuilding their life after the loss. It indicates that the client is moving forward, accepting the loss, and planning for a new chapter.

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A nurse is providing nutrition teaching to a client who has hyperlipidemia. Which of the following instructions should the nurse give to help the client lower cholesterol levels?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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