A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?
"Limit sodium intake to 3,200 milligrams per day."
"Consume foods that are high in calcium."
"Increase intake of refined carbohydrates."
"Consume ten percent of total calories from saturated fat."
The Correct Answer is B
A. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day for most individuals and further reducing it to 1,500 milligrams per day for those with hypertension or at high risk for it. Therefore, the instruction to limit sodium intake to 3,200 milligrams per day is not consistent with DASH diet recommendations.
B. The DASH diet emphasizes consumption of foods rich in calcium, such as low-fat dairy products, as part of its overall approach to promoting heart health and lowering blood pressure.
C. The DASH diet encourages consumption of whole grains and limits intake of refined carbohydrates, as these can contribute to hypertension and other cardiovascular risk factors.
D. The DASH diet recommends limiting saturated fat intake to less than 6% of total calories, rather than ten percent, as part of its emphasis on heart-healthy eating patterns.
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Related Questions
Correct Answer is A
Explanation
A. Vitamin C deficiency, also known as scurvy, can lead to impaired collagen synthesis, which is essential for maintaining the integrity of connective tissues, including the skin. Without an adequate supply of vitamin C, the skin becomes fragile and prone to breakdown, leading to the development of ulcers and wounds.
B. Hypertension is not directly associated with vitamin C deficiency. However, vitamin C deficiency may indirectly contribute to hypertension due to its role in maintaining blood vessel health and endothelial function.
C. Tachycardia is not directly associated with vitamin C deficiency. However, severe vitamin C deficiency (scurvy) can lead to fatigue and weakness, which may result in an increased heart rate as the body tries to compensate for reduced oxygen delivery to tissues.
D. Kidney stones are not typically associated with vitamin C deficiency. However, excessive intake of vitamin C supplements may increase the risk of kidney stone formation in susceptible individuals due to the conversion of vitamin C into oxalate, which can contribute to stone formation.
Correct Answer is A
Explanation
A. Eating cold or room temperature foods can help reduce nausea and may be better tolerated by individuals undergoing chemotherapy.
B. Lying down after eating may worsen nausea, particularly in individuals undergoing chemotherapy. It is generally recommended to remain upright for at least 30 minutes after eating to aid digestion.
C. Carbohydrates are often easier to tolerate than fatty or greasy foods when experiencing nausea. Therefore, reducing carbohydrates in the diet may not be advisable for managing chemotherapy-induced nausea.
D. Eating before chemotherapy may exacerbate nausea, as chemotherapy can cause nausea and vomiting shortly after administration. It is generally recommended to eat light, bland foods and avoid heavy meals before chemotherapy.
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