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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Exophthalmos is characterized by abnormal protrusion or bulging of the eyes due to retro-orbital tissue swelling and inflammation associated with Graves’ disease. This condition is a hallmark symptom of Graves’ ophthalmopathy.
Choice B rationale
Sunken eyes are not indicative of exophthalmos and are typically associated with dehydration or aging, rather than retro-orbital tissue changes as seen in Graves’ disease.
Choice C rationale
Eyelid swelling might occur in various conditions, such as allergies or infections, but it does not specifically point to exophthalmos or Graves’ disease-related complications.
Choice D rationale
Redness and watering of the eyes are non-specific symptoms that could occur in conjunctivitis or dry eye syndrome but do not define exophthalmos uniquely.
Correct Answer is A
Explanation
Choice A rationale
Healing by primary intention occurs when wound edges are approximated, promoting direct tissue regeneration. This process minimizes scarring and involves epithelial cell migration and collagen synthesis.
Choice B rationale
Granulation tissue formation is characteristic of secondary intention healing. In this method, wounds heal from the base upward, requiring granulation tissue to fill the wound bed before epithelialization occurs.
Choice C rationale
Scab formation indicates that healing is in progress but does not specifically represent primary intention. Scabs form during secondary or tertiary healing phases to protect the underlying tissue.
Choice D rationale
Serous drainage is associated with the inflammatory phase of wound healing and does not signify primary intention. Excessive drainage may indicate impaired healing or infection.
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