A nurse is providing nutritional education to a client recently diagnosed with high cholesterol. The nurse should provide the client with which statements regarding their diet restrictions?
"Your daily intake of fats should be limited to no more than 35% of your daily caloric intake
"You should avoid trans-fat as much as possible"
"Your main sources of protein should be red meat"
"Fats provide the highest amount of energy per gram"
"Your intake of fats should be unsaturated fats"
The Correct Answer is B
A) "Your daily intake of fats should be limited to no more than 35% of your daily caloric intake":
Current dietary guidelines typically recommend limiting fat intake to less than 30% of total daily calories, not 35%, for optimal heart health. This recommendation is slightly higher than what is generally advised for managing high cholesterol.
B) "You should avoid trans-fat as much as possible":
Trans fats significantly increase LDL cholesterol (bad cholesterol) levels and decrease HDL cholesterol (good cholesterol). Avoiding trans fats is crucial in managing high cholesterol and reducing cardiovascular risk, making this the most important recommendation.
C) "Your main sources of protein should be red meat":
Red meat, particularly processed red meat, is associated with higher cholesterol levels and cardiovascular risk. It is generally recommended to choose lean proteins, such as fish, poultry, and plant-based sources, over red meat.
D) "Fats provide the highest amount of energy per gram":
While fats do provide more energy per gram than carbohydrates or proteins, this statement does not directly address the management of cholesterol levels. The focus should be on the type of fats consumed rather than their energy content.
E) "Your intake of fats should be unsaturated fats":
While consuming unsaturated fats is beneficial, avoiding trans fats specifically addresses a more immediate concern for those with high cholesterol. Option B emphasizes the importance of eliminating harmful fats.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Isotonic solution: Isotonic solutions, such as 0.9% sodium chloride, maintain the current sodium levels and fluid balance but do not correct hypernatremia. They are not suitable for lowering elevated sodium levels.
B) Total Parenteral Nutrition (TPN): TPN is used for providing comprehensive nutritional support and does not address electrolyte imbalances such as hypernatremia. It is not used to manage sodium levels directly.
C) Hypertonic solution: Hypertonic solutions, such as 3% sodium chloride, increase sodium levels and are used for treating hyponatremia or specific conditions requiring higher sodium concentrations. They would worsen hypernatremia.
D) Hypotonic solution: Hypotonic solutions, like 0.45% sodium chloride (half-normal saline) or Dextrose 5% in water (D5W), are appropriate for treating hypernatremia. They help dilute the sodium concentration in the blood and aid in correcting the elevated sodium levels
Correct Answer is B
Explanation
A) Hyperactive bowel sounds:
Hyperactive bowel sounds are more commonly associated with conditions like diarrhea or gastrointestinal obstruction. Hypokalemia, or low potassium levels, typically affects muscle function rather than bowel activity directly.
B) Muscle weakness:
Muscle weakness is a key manifestation of hypokalemia. Potassium is crucial for muscle function, and a deficiency can lead to significant weakness and fatigue, which is a common symptom in individuals with low potassium levels.
C) Increased thirst:
Increased thirst is more commonly associated with dehydration or hypernatremia rather than hypokalemia. While hypokalemia can cause fluid imbalances, increased thirst is not a primary symptom of low potassium levels.
D) Cerebral edema:
Cerebral edema is not typically associated with hypokalemia. It is more commonly related to conditions such as head injury, infection, or other fluid and electrolyte imbalances. Hypokalemia primarily affects muscle function and heart rhythm.
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