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 A

Explanation

Choice A rationale

Inspiratory stridor reflects airway obstruction, potentially life-threatening following bronchoscopy. Causes include vocal cord edema or laryngospasm. Prompt intervention ensures airway patency and oxygenation. Audible stridor indicates urgent escalation.

Choice B rationale

Sore throat is anticipated due to irritation from the bronchoscope. This resolves without treatment, differentiating it from alarming symptoms like respiratory difficulty.

Choice C rationale

Post-bronchoscopy fever is common due to airway manipulation. Low-grade fever under 38.6°C does not necessitate urgent evaluation unless persistent or accompanied by other symptoms.

Choice D rationale

Bloody sputum results from mucosal trauma during the procedure. Minimal streaking is benign and resolves spontaneously. It does not indicate complications. .

A. LDL. B. BUN. C. Hct. D. INR.

Correct Answer is D

Explanation

Choice A rationale

LDL (low-density lipoprotein) levels are relevant to cardiovascular risk assessment but not directly impacted by warfarin therapy, making it irrelevant for monitoring its effects.

Choice B rationale

BUN (blood urea nitrogen) reflects renal function but does not indicate coagulation status. Therefore, it is not a parameter used to guide warfarin therapy.

Choice C rationale

Hct (hematocrit) represents the proportion of red blood cells in blood and is unrelated to monitoring anticoagulation therapy. It does not reflect warfarin's therapeutic effects.

Choice D rationale

INR (international normalized ratio) measures blood coagulation and is used to monitor warfarin efficacy. Maintaining therapeutic INR prevents thromboembolic events and minimizes bleeding risks. A target INR range for atrial fibrillation is typically 2.0 to 3.0.

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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

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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?