A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis.
Which of the following responses by the client indicates an understanding of the teaching?

"I will use palm oil in my cooking.”.

"I will increase my consumption of 2-percent milk.”.

"I will limit meat portions to 3 ounces per meal.”.

"I will limit baked goods to those containing trans fats.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Palm oil is high in saturated fats, which contribute to an increase in low-density lipoprotein (LDL) cholesterol levels. Elevated LDL levels are a risk factor for atherosclerosis, making palm oil unsuitable for lowering fat and cholesterol.

Choice B rationale

Two-percent milk contains a significant amount of saturated fats. Consuming it can lead to increased LDL cholesterol levels, which are detrimental for individuals with atherosclerosis aiming to lower fat and cholesterol in their diet.

Choice C rationale

Limiting meat portions to 3 ounces per meal is consistent with dietary guidelines for controlling fat intake. This practice helps decrease saturated fat consumption, thereby reducing LDL cholesterol and lowering the risk of worsening atherosclerosis.

Choice D rationale

Trans fats are known to increase LDL cholesterol and decrease high-density lipoprotein (HDL) cholesterol levels, leading to a higher risk of cardiovascular disease. Limiting baked goods to those containing trans fats does not align with recommendations to avoid trans fats altogether.

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Correct Answer is C

Explanation

Choice A rationale

Eggs are high in sulfur-containing amino acids such as methionine, which bacteria in the gut break down to produce hydrogen sulfide gas. This gas significantly contributes to odor in individuals with colostomies. Thus, eggs are not recommended for controlling odor.

Choice B rationale

Asparagus contains a compound known as asparagusic acid, which breaks down into sulfur-containing byproducts during digestion. These compounds are excreted and can lead to malodorous output in colostomy patients, making asparagus less suitable for controlling odor.

Choice C rationale

Potatoes are low in sulfur-containing compounds and high in fiber, which promotes healthy digestion and decreases gas formation. They are considered a low-odor food, making them ideal for inclusion in the diet of colostomy patients aiming to minimize odor.

Choice D rationale

Dried beans are rich in complex carbohydrates such as raffinose and stachyose that ferment in the large intestine. This fermentation process generates excessive gas, leading to increased odor in colostomy patients. Therefore, dried beans are not advisable.

A. I will pull the glove cuff over the wrist of the gown. B. After completing the suctioning, I should remove my gloves. C. I will need to wear an N95 respiratory mask while suctioning the client. D. I should limit my conversation with the client while wearing my mask.

Correct Answer is D

Explanation

Choice A rationale

Pulling the glove cuff over the wrist of the gown ensures a proper seal, reducing the risk of exposure to pathogens during respiratory suctioning. This technique is a standard practice in PPE protocols to maintain contamination prevention and does not indicate improper teaching.

Choice B rationale

Removing gloves after completing suctioning is an essential step in infection control. Gloves are contaminated during the procedure, and removing them first prevents cross-contamination when handling other parts of PPE or surfaces.

Choice C rationale

An N95 respiratory mask is required to protect the healthcare worker from inhaling airborne pathogens during suctioning for clients with pneumonia. It is essential for respiratory protection in procedures involving potential aerosolization of infectious particles.

Choice D rationale

Limiting conversation with the client while wearing a mask is not scientifically grounded as an infection control measure. Masks are designed to prevent pathogen transmission without restricting verbal communication, making this statement incorrect and in need of correction.

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A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis.Which of the following responses by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about measures to control odor with a client who has a new colostomy.Which of the following foods should the nurse recommend the client include in their diet?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis.
Which of the following responses by the client indicates an understanding of the teaching?