A nurse is providing teaching to a client who has a prescription for a low-saturated fat diet. Which of the following statements by the client indicates an understanding of the teaching?
"I can choose an avocado dip instead of salsa."
"I can eat the skin on poultry if it is broiled."
"I will use margarine on my waffles."
"I will include 7 ounces of fish in my diet weekly."
The Correct Answer is A
Choice A rationale:
The client's statement, "I can choose an avocado dip instead of salsa," indicates an understanding of the teaching about a low-saturated fat diet. Avocado is a source of healthy monounsaturated fats, which are preferred over saturated fats. This choice aligns with the goal of reducing saturated fat intake, which is important for cardiovascular health. Avocado dip is a better choice than salsa in this context due to its healthier fat content.
Choice B rationale:
The statement "I can eat the skin on poultry if it is broiled" is not indicative of an understanding of a low-saturated fat diet. Poultry skin is high in saturated fat, and even though broiling is a healthier cooking method compared to frying, the saturated fat content in the skin remains a concern.
Choice C rationale:
The statement "I will use margarine on my waffles" is not aligned with the teaching of a low-saturated fat diet. Most margarines contain trans fats or unhealthy saturated fats, which can be detrimental to cardiovascular health. Using margarine on waffles would likely contribute to the intake of unhealthy fats.
Choice D rationale:
The statement "I will include 7 ounces of fish in my diet weekly" does not reflect an understanding of a low-saturated fat diet. While fish is generally a healthy protein source, this statement doesn't specifically address saturated fat reduction. The type of fish and its preparation method can influence the saturated fat content, so simply including a certain amount of fish does not guarantee adherence to a low-saturated fat diet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Total albumin is a valuable indicator of a client's nutritional status, but it has a longer half-life and is slower to reflect short-term changes. It may not accurately reflect the immediate effectiveness of total parenteral nutrition (TPN).
Choice B rationale:
Transferrin is a protein that transports iron in the body and is often used to assess iron deficiency. It is not a specific indicator of the effectiveness of TPN in the short term.
Choice C rationale:
Hemoglobin is a protein found in red blood cells and is responsible for oxygen transport. While it can be affected by nutritional status, it is not the most specific indicator of the effectiveness of TPN in the short term.
Choice D rationale:
Prealbumin (also known as transthyretin) is the best indicator for the nurse to monitor for the short-term effectiveness of TPN. Prealbumin has a short half-life of approximately 2 days, making it sensitive to changes in nutritional status and response to TPN. A decrease in prealbumin levels indicates inadequate nutritional support, while an increase suggests improved nutritional intake.
Correct Answer is A
Explanation
Choice A rationale:
Limiting protein intake (Choice A) is the correct recommendation for a client with a new diagnosis of chronic kidney disease. In chronic kidney disease, the kidneys have reduced filtration capacity, and excess protein intake can lead to the accumulation of waste products that the kidneys struggle to eliminate. Restricting protein intake helps reduce the strain on the kidneys and minimizes the buildup of waste.
Choice B rationale:
Increasing potassium intake (Choice B) is not a suitable recommendation for a client with chronic kidney disease. In fact, individuals with kidney disease often need to closely monitor and restrict their potassium intake because impaired kidney function can lead to hyperkalemia, a condition characterized by elevated levels of potassium in the blood.
Choice Drationale:
Increasing phosphorus intake (Choice D) is not a proper recommendation for a client with chronic kidney disease. Similar to potassium, individuals with kidney disease typically need to limit phosphorus intake because the kidneys play a role in regulating phosphorus levels in the body. Elevated phosphorus levels can lead to bone and cardiovascular complications.
Choice Crationale:
Limiting calcium intake (Choice C) might be relevant in specific cases, such as if a client has hypercalcemia, but it is not a common recommendation for all clients with chronic kidney disease. Calcium and phosphorus metabolism are closely linked, and imbalances in these minerals can have negative effects on bone health. Therefore, it's important to manage calcium and phosphorus intake together.
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