One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are “cold foods.” Which intervention should the nurse implement first?
Request the dietary unit bring a new tray and provide it prior to the food getting cold.
Ask the client about her nutritional preferences and beliefs.
Teach the client the importance of a well-balanced diet.
Place the client’s tray in the microwave and heat it to a hotter temperature.
The Correct Answer is B
Choice B reason:
Asking the client about her nutritional preferences and beliefs is the first intervention the nurse should implement. Understanding the client’s cultural and personal preferences is crucial for providing culturally competent care. This approach shows respect for the client’s beliefs and helps the nurse tailor dietary recommendations that the client is more likely to accept and follow.
Choice A reason:
Requesting the dietary unit to bring a new tray and provide it prior to the food getting cold addresses the immediate issue of the food being perceived as “cold,” but it does not address the underlying cultural beliefs and preferences. It is important to first understand the client’s needs before making changes to the meal.
Choice C reason:
Teaching the client the importance of a well-balanced diet is important, but it should come after understanding the client’s cultural preferences and beliefs. Providing education without considering the client’s perspective may not be effective and could be perceived as dismissive.
Choice D reason:
Placing the client’s tray in the microwave and heating it to a hotter temperature may address the immediate concern but does not consider the client’s cultural beliefs about “cold foods.” It is essential to first understand the client’s preferences before making adjustments.
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Related Questions
Correct Answer is D
Explanation
Choice D reason:
Reviewing the client’s history for a dairy allergy is the most important step before starting whey protein concentrate because whey is derived from milk. If the client has a dairy allergy, consuming whey protein could cause severe allergic reactions, including anaphylaxis. Ensuring the client does not have a dairy allergy is crucial for their safety and to prevent any adverse health effects. This step is essential to determine if whey protein is a suitable and safe option for the client.
Choice A reason:
Checking the client’s cholesterol level is important for overall health management, especially in obese clients. However, it is not the most critical factor when considering the safety of whey protein concentrate. The primary concern should be ensuring the client can safely consume the protein without allergic reactions.
Choice B reason:
Assessing the client’s motivation for change is important for long-term success in weight management and dietary changes. However, it does not directly impact the immediate safety of starting whey protein concentrate. The focus should be on identifying any potential allergies that could cause harm.
Choice C reason:
Reviewing the client’s history of hypertension is important for managing their overall health. However, it is not the most critical factor in determining the safety of whey protein concentrate. The primary concern should be ensuring the client does not have a dairy allergy, which could lead to severe allergic reactions.
Correct Answer is A
Explanation
Choice A reason:
Cheese is high in saturated fats and cholesterol, which can significantly impact lipid levels. For a client with elevated total cholesterol and LDL levels, it is crucial to avoid foods that can exacerbate these conditions. Saturated fats found in cheese can increase LDL cholesterol, contributing to the risk of cardiovascular diseases. Therefore, avoiding cheese can help manage and reduce these lipid levels, promoting better heart health.
Choice B reason:
Eggs, particularly egg yolks, contain cholesterol, but recent studies suggest that dietary cholesterol has a smaller impact on blood cholesterol levels than previously thought. While moderation is key, eggs are not the primary concern compared to foods high in saturated fats like cheese. Therefore, while eggs should be consumed in moderation, they are not as critical to avoid as cheese for managing high cholesterol levels.
Choice C reason:
Nuts contain healthy fats, including unsaturated fats, which can actually help improve lipid profiles by lowering LDL cholesterol and raising HDL cholesterol. They are also a good source of protein and other nutrients. Therefore, nuts are not only safe but beneficial for someone managing their cholesterol levels, making them a good dietary choice.
Choice D reason:
Shellfish contain cholesterol, but like eggs, they have less impact on blood cholesterol levels compared to saturated fats. Additionally, shellfish are low in saturated fats and can be part of a heart-healthy diet when consumed in moderation. The primary dietary focus should be on reducing saturated fat intake, making shellfish less of a concern compared to cheese.
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