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 B

Explanation

Choice A rationale

Oatmeal is not rich in vitamin C, which is needed to enhance the absorption of ferrous sulfate. While it provides fiber, its role in iron therapy is limited compared to vitamin C-rich options, which significantly improve iron solubility and uptake.

Choice B rationale

Raw oranges are an excellent source of vitamin C, which significantly enhances the absorption of non-heme iron like ferrous sulfate. Vitamin C reduces ferric iron to ferrous iron, promoting absorption in the duodenum, a critical factor in anemia management.

Choice C rationale

Baked potatoes contain minimal vitamin C compared to other food options like citrus fruits. While they have nutritional benefits, they do not significantly enhance iron absorption, making them less effective for optimizing ferrous sulfate therapy.

Choice D rationale

Cheese is calcium-rich, and calcium competes with iron for absorption in the gastrointestinal tract. Consuming calcium alongside ferrous sulfate can decrease its bioavailability, making cheese an unsuitable choice for improving iron absorption. .

A. Use the palm of your hand to detect the presence of any large masses under the skin. B. Perform small, circular motions, working vertically up and down across the breast. C. Perform breast self-examinations during the middle of your cycle. D. Perform breast self-examinations while lying on your side.

Correct Answer is B

Explanation

Choice A rationale

Using the palm of the hand is not an effective method for detecting masses. The fingertips provide better sensitivity due to their high density of sensory nerve endings, allowing for more precise identification of abnormalities such as lumps or masses.

Choice B rationale

Small circular motions allow for thorough examination of breast tissue, covering all areas including superficial and deep tissue layers. This systematic vertical pattern ensures no area is overlooked, improving detection rates for abnormalities.

Choice C rationale

Performing self-examinations during the middle of the cycle is inappropriate as hormonal fluctuations cause breast tenderness and swelling, leading to potential misinterpretation. Post-menstrual timing minimizes these effects, ensuring more accurate detection.

Choice D rationale

Lying on the side does not provide adequate support for the breast tissue, potentially limiting detection of abnormalities. Lying flat with one arm raised helps to evenly distribute and expose breast tissue for more effective palpation.

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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 with a client who has anemia and has a prescription for ferrous sulfate.Which of the following foods should the nurse recommend that the client consume to increase the absorption of this medication?

Correct Answer is B

Explanation

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Correct Answer is B

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?