The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.
The nurse knows that the client understands the teaching when they state:
My diet will include more unsaturated fats and low carbohydrates.
My diet will include increased amounts of carbohydrates and protein.
My diet will include moderate amounts of protein and omega-3 oils.
My diet will include foods rich in sodium and carbohydrates.
The Correct Answer is A
Choice A rationale
A ketogenic diet includes high fats, moderate protein, and low carbohydrates, with unsaturated fats emphasized for health. This metabolic state reduces seizure frequency by enhancing ketone production as an alternative energy source for the brain.
Choice B rationale
Increasing carbohydrates disrupts ketosis, the fundamental principle of the ketogenic diet. This would counteract the therapeutic goal of reducing seizure activity by providing glucose as a primary brain fuel instead of ketones.
Choice C rationale
While omega-3 oils support brain health, the ketogenic diet focuses on low carbohydrate intake and high fat. Moderate protein intake is essential, but excess omega-3 emphasis neglects the diet’s structure.
Choice D rationale
Foods high in sodium and carbohydrates contradict the ketogenic diet's principles. Elevated carbohydrate intake halts ketosis, while excess sodium intake is unrelated to ketogenic mechanisms or seizure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A ketogenic diet includes high fats, moderate protein, and low carbohydrates, with unsaturated fats emphasized for health. This metabolic state reduces seizure frequency by enhancing ketone production as an alternative energy source for the brain.
Choice B rationale
Increasing carbohydrates disrupts ketosis, the fundamental principle of the ketogenic diet. This would counteract the therapeutic goal of reducing seizure activity by providing glucose as a primary brain fuel instead of ketones.
Choice C rationale
While omega-3 oils support brain health, the ketogenic diet focuses on low carbohydrate intake and high fat. Moderate protein intake is essential, but excess omega-3 emphasis neglects the diet’s structure.
Choice D rationale
Foods high in sodium and carbohydrates contradict the ketogenic diet's principles. Elevated carbohydrate intake halts ketosis, while excess sodium intake is unrelated to ketogenic mechanisms or seizure management.
Correct Answer is A
Explanation
Choice A rationale
Kaposi's Sarcoma is a vascular malignancy associated with AIDS caused by human herpesvirus 8. It presents as purple or brown skin lesions due to abnormal angiogenesis and endothelial proliferation in immunocompromised patients.
Choice B rationale
Candidiasis stomatitis typically manifests as white patches on the mucosa due to fungal overgrowth, not purple or brown spots. It is caused by Candida species, commonly seen in immunosuppressed individuals.
Choice C rationale
Cryptosporidiosis primarily leads to gastrointestinal symptoms such as watery diarrhea due to parasitic infection in AIDS patients, but does not cause purple or brown spots on the skin.
Choice D rationale
Meningitis causes inflammation of the meninges, leading to symptoms like headache, stiff neck, and fever. It does not present with purple or brown lesions on the skin.
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