A nurse is reinforcing health promotion education with an adolescent diagnosed with dyslipidemia. Which of the following statements made by the patient indicates an understanding of the education? (Select all that apply)

I should decrease my intake of fruits and vegetables

I should increase my daily exercise

I should increase my protein intake from red meats

I should limit my intake of fast foods

I should increase my intake of fiber-rich foods

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Decreasing fruit and vegetable intake is incorrect, as they are low in saturated fats and high in fiber, reducing cholesterol in dyslipidemia. Increasing these foods supports heart health, making this statement incorrect, indicating a need for further teaching to correct dietary misconceptions.

Choice B reason: Increasing daily exercise is correct, as physical activity lowers LDL cholesterol and raises HDL cholesterol in dyslipidemia, improving cardiovascular health. This statement reflects understanding, as exercise promotes lipid metabolism and weight control, key components of managing dyslipidemia in adolescents.

Choice C reason: Increasing red meat protein intake is incorrect, as red meats are high in saturated fats, worsening dyslipidemia by raising LDL cholesterol. Lean proteins are preferred, making this statement incorrect, indicating a need for teaching to focus on healthier protein sources for lipid control.

Choice D reason: Limiting fast food intake is correct, as fast foods are high in saturated and trans fats, contributing to dyslipidemia. Reducing these foods lowers cholesterol, reflecting understanding of dietary management, making this a correct statement to include in health promotion education.

Choice E reason: Increasing fiber-rich foods, like whole grains and vegetables, is correct, as fiber lowers LDL cholesterol by binding bile acids. This statement shows understanding of dietary strategies for dyslipidemia, making it a correct choice to support lipid management and cardiovascular health in adolescents.

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Correct Answer is A

Explanation

Choice A reason: The DASH diet, designed for hypertension, recommends limiting sodium to 2300 mg/day or less to reduce fluid retention and blood pressure. Low sodium decreases vascular volume and resistance, improving cardiovascular outcomes, making this the correct dietary recommendation for Mr. Carter’s hypertension management.

Choice B reason: Increasing red meat intake is contrary to the DASH diet, which emphasizes lean proteins and limits saturated fats. Red meat raises cholesterol and blood pressure, worsening hypertension. This recommendation is incorrect, as it opposes the diet’s goal of reducing cardiovascular risk through healthier food choices.

Choice C reason: Full-fat dairy products are high in saturated fats, increasing cholesterol and cardiovascular risk, contrary to the DASH diet’s emphasis on low-fat dairy. This choice raises blood pressure, making it incorrect, as the DASH diet promotes low-fat options to support hypertension control and heart health.

Choice D reason: Avoiding all carbohydrates is not part of the DASH diet, which includes complex carbohydrates like whole grains for fiber and sustained energy. Eliminating carbohydrates risks nutritional imbalance and is not evidence-based for hypertension, making this an incorrect recommendation for Mr. Carter’s dietary plan.

A. Kawasaki disease is an abnormal immune response that causes injury to the body’s muscles B. Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries C. Kawasaki disease is an abnormal immune response that only affects the liver D. Kawasaki disease is an abnormal immune response in which the body attacks the skin only

Correct Answer is B

Explanation

Choice A reason: Kawasaki disease primarily causes vasculitis, not muscle injury. It affects blood vessels, particularly coronary arteries, due to an immune response, not muscles. This statement is incorrect, as it misidentifies the target of the immune response, indicating a need for further education on the disease’s effects.

Choice B reason: Kawasaki disease is an immune-mediated vasculitis that can weaken coronary arteries, risking aneurysms and cardiac complications. This statement accurately reflects the disease’s pathophysiology, showing caregiver understanding of the education provided, making it the correct choice for the nurse to recognize.

Choice C reason: Kawasaki disease does not only affect the liver; it causes systemic vasculitis, particularly impacting coronary arteries. Liver involvement is rare and not primary. This statement is incorrect, as it misrepresents the disease’s scope, requiring further teaching to clarify its cardiovascular effects.

Choice D reason: Kawasaki disease involves systemic vasculitis, not just skin. While skin rashes occur, the primary concern is vascular, especially coronary, damage. This statement is incorrect, as it limits the disease to skin, indicating a need for education on its broader, particularly cardiac, implications.

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A nurse is reinforcing health promotion education with an adolescent diagnosed with dyslipidemia. Which of the following statements made by the patient indicates an understanding of the education? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which dietary recommendation aligns with the DASH diet for Mr. Carter?

Correct Answer is A

Explanation

A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

Correct Answer is B

Explanation

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