The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

Cholesterol level.

Motivation for change.

Hypertension.

Dairy allergy.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

Choice C reason:

Adding aromatic seasonings to improve taste is a practical recommendation for older adults. As people age, their sense of taste and smell can diminish, making food less appealing. Using aromatic seasonings can enhance the flavor of meals, encouraging better appetite and nutritional intake. This approach helps ensure that older adults enjoy their food and maintain a balanced diet.

Choice A reason:

Consuming primarily soft mechanical foods is not necessary for all older adults unless they have specific dental or swallowing issues. A varied diet with different textures is important for overall nutrition and enjoyment of food.

Choice B reason:

Taking rest periods in between meals is not a standard recommendation for improving nutritional intake. While rest is important, it does not directly address the nutritional needs or preferences of older adults.

Choice D reason:

Drinking a glass of water with every meal is beneficial for hydration but does not address the issue of improving the taste and appeal of food. Hydration is important, but enhancing the flavor of meals is more directly related to improving nutritional intake.

A. Increased proteins rich in iron. B. Potassium-rich fruits. C. Reduced cholesterol and fats. D. Foods rich in Vitamin K.

Correct Answer is D

Explanation

Choice D reason:

Foods rich in Vitamin K are essential for blood clotting and can help address the issue of bruising. Antibiotics can sometimes interfere with the gut bacteria that produce Vitamin K, leading to deficiencies. By recommending foods high in Vitamin K, such as leafy greens, the nurse can help improve the client’s clotting ability and reduce bruising.

Choice A reason:

Increased proteins rich in iron are beneficial for overall health and can help with anemia, but they do not directly address the issue of bruising. The primary concern here is the client’s clotting ability, which is more directly impacted by Vitamin K levels.

Choice B reason:

Potassium-rich fruits are important for maintaining electrolyte balance, especially if the client has experienced diarrhea. However, they do not directly address the issue of bruising and clotting. The focus should be on replenishing Vitamin K to improve clotting.

Choice C reason:

Reduced cholesterol and fats can be part of a healthy diet, but they do not address the immediate concern of bruising. The nurse’s priority should be to recommend dietary changes that directly impact the client’s clotting ability, such as increasing Vitamin K intake.

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The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to review nutritional guidelines with older adult clients. Which action should the nurse recommend to this age group?

Correct Answer is C

Explanation

A client who is taking an antibiotic develops diarrhea. As the client resumes a regular diet, the nurse offers yogurt and buttermilk but also observes that the client has several small bruises. Which additional dietary change should the nurse offer?

Correct Answer is D

Explanation

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