A nurse is teaching a class about dietary guidelines to promote cardiovascular health. Which of the following recommendations should the nurse include in the teaching?
Decrease intake of omega-3 fatty acids.
Increase intake of whole grains.
Decrease intake of potassium.
Increase intake of refined carbohydrates.
The Correct Answer is B
Choice A rationale:
Decreasing intake of omega-3 fatty acids would not be recommended for promoting cardiovascular health. Omega-3 fatty acids are essential fats that have been shown to have various heart-protective effects, such as reducing inflammation, lowering triglyceride levels, and improving overall cardiovascular health.
Choice B rationale:
Increasing the intake of whole grains is a sound recommendation for promoting cardiovascular health. Whole grains are rich in dietary fiber, vitamins, and minerals. They can help lower cholesterol levels, improve blood sugar control, and contribute to a healthy cardiovascular system.
Choice C rationale:
Decreasing the intake of potassium is not advisable for cardiovascular health. Potassium is a mineral that plays a crucial role in maintaining proper heart and muscle function. Adequate potassium intake can help regulate blood pressure and reduce the risk of stroke.
Choice D rationale:
Increasing the intake of refined carbohydrates is not a suitable recommendation for cardiovascular health. Refined carbohydrates, such as sugary snacks and white bread, can lead to spikes in blood sugar levels, weight gain, and an increased risk of heart disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Obtaining the client's electrolyte levels every 4 hours is not standard practice when initiating continuous enteral feedings via a gastrostomy tube. While monitoring electrolytes is important, it's not done at such a high frequency unless there's a specific indication or concern.
Choice B rationale:
Measuring the client's gastric residual every 12 hours is a crucial action when initiating continuous enteral feedings. Gastric residual volume helps to assess the client's tolerance to the feeding, the rate of digestion and absorption, and the risk of aspiration. If the residual volume is too high, it could indicate feeding intolerance or delayed gastric emptying.
Choice Crationale:
Keeping the client's head elevated at 15 degrees during feedings is not standard practice for continuous enteral feedings. This angle could potentially promote reflux and increase the risk of aspiration. Instead, the head of the bed is usually elevated at least 30 degrees to help prevent reflux and aspiration.
Choice Drationale:
Flushing the client's tube with 30 mL of water every 4 hours is not a standard practice for continuous enteral feedings. Flushing the tube helps maintain its patency, but it's usually done before and after medication administration or as needed to prevent clogs, not on such a frequent schedule.
Correct Answer is C
Explanation
Choice A rationale:
Peanut oil is a good choice for cooking due to its high smoke point and heart-healthy monounsaturated fats. However, when it comes to decreasing saturated fats, canola oil is a better choice.
Choice B rationale:
Stick margarine often contains trans fats, which are known to increase the risk of heart disease. It is not a recommended option, especially for those trying to decrease saturated fats in their diet.
Choice C rationale:
Canola oil is a suitable choice for cooking, especially for individuals at risk for heart disease. It has a high smoke point, is low in saturated fats, and contains heart-healthy monounsaturated fats.
Choice D rationale:
Palm oil is high in saturated fats and is not recommended for cooking when trying to decrease saturated fat intake. It is associated with raising LDL cholesterol levels, which can contribute to heart disease risk.
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