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 D

Explanation

Choice A reason:

Eating fatty, sweetened snacks 1 hour before the game is not advisable. These types of snacks can cause a rapid spike in blood sugar followed by a crash, leading to decreased energy levels during the game. Additionally, fatty foods can be hard to digest and may cause gastrointestinal discomfort, which can negatively impact athletic performance.

Choice B reason:

Eating sodium-enriched foods immediately before the game is not recommended. While sodium is important for maintaining electrolyte balance, consuming high-sodium foods right before physical activity can lead to dehydration and increased thirst. It is better to maintain a balanced intake of electrolytes throughout the day rather than loading up on sodium just before the game.

Choice C reason:

Eating a high-protein meal 30 minutes before the game is not ideal. Protein takes longer to digest and does not provide the quick energy needed for immediate physical activity. Consuming a high-protein meal too close to the game can lead to discomfort and sluggishness, as the body diverts energy to digestion rather than athletic performance.

Choice D reason:

Eating a light high-carbohydrate meal 3 hours before the game is the best recommendation. Carbohydrates are the body’s primary source of energy, and consuming them a few hours before the game ensures that the body has time to digest and convert them into usable energy. This timing helps maintain steady blood sugar levels and provides sustained energy throughout the game, enhancing athletic performance.

A. Refer the client to the dietician for information on other herbal supplements. B. Ask the client about medical problems that could possibly cause indigestion. C. Validate the client’s consideration of mint products for minimizing indigestion. D. Review the client’s dietary intake that may precipitate the indigestion episodes.

Correct Answer is ["B"]

Explanation

Choice B reason:

Asking the client about medical problems that could possibly cause indigestion is the first step the nurse should take. Indigestion can be a symptom of various underlying medical conditions, such as gastroesophageal reflux disease (GERD), peptic ulcers, or even cardiac issues. Understanding the client’s medical history helps identify any serious conditions that need to be addressed before considering herbal remedies. This approach ensures that the nurse provides safe and appropriate care based on the client’s overall health status.

Choice A reason:

Referring the client to the dietician for information on other herbal supplements can be helpful, but it should not be the first step. It is important to first understand the client’s medical history and current health status to ensure that any recommendations are safe and appropriate.

Choice C reason:

Validating the client’s consideration of mint products for minimizing indigestion is supportive, but it should come after assessing the client’s medical history. While peppermint can help with indigestion, it may not be suitable for all clients, especially those with certain medical conditions.

Choice D reason:

Reviewing the client’s dietary intake that may precipitate the indigestion episodes is important, but it should follow the assessment of the client’s medical history. Identifying dietary triggers is useful, but understanding the overall health context is crucial for providing comprehensive care.

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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

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The nurse is conducting a nutrition class for a group of high school athletes. Which recommendation is best for the nurse to provide for the athletes before playing sports?

Correct Answer is D

Explanation

A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

Correct Answer is ["B"]

Explanation

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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?