The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.

Reducing saturated fats.

Avoiding trans fats.

Consuming whole grains.

Limiting sugar-sweetened beverages.

Drinking whole milk.

Limiting fruit intake.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: Reducing saturated fats, which are found primarily in red meat and full-fat dairy products, can lower low-density lipoprotein (LDL) cholesterol — the "bad" cholesterol.

Choice B reason: Avoiding trans fats is crucial as they increase LDL cholesterol and decrease high-density lipoprotein (HDL) cholesterol — the "good" cholesterol.

Choice C reason: Consuming whole grains is beneficial for lowering cholesterol because they contain soluble fiber, which can reduce the absorption of cholesterol into the bloodstream⁶.

Choice D reason: Limiting sugar-sweetened beverages can help reduce cholesterol levels, as excessive sugar intake can lead to weight gain, which is a risk factor for high cholesterol.

Choice E reason: Drinking whole milk is not recommended for cholesterol control as it contains high levels of saturated fat, which can raise cholesterol levels.

Choice F reason: Limiting fruit intake is not necessary for cholesterol control; in fact, fruits can be beneficial due to their fiber content⁶.

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Correct Answer is C

Explanation

Choice A reason: Anginal pain typically does not worsen with deep inspiration; this is more characteristic of pleuritic chest pain.

Choice B reason: Anginal pain usually does not persist with rest and organic nitrates; these interventions are typically used to alleviate angina.

Choice C reason: Exertion and anxiety increase the heart's demand for oxygen, which can trigger anginal pain due to reduced blood flow in narrowed coronary arteries.

Choice D reason: Anginal pain typically lasts for a short time, usually less than 20 minutes. If the pain lasts longer, it may indicate a more serious condition like a myocardial infarction.

A. Notify the patient's family. B. Provide oxygen as prescribed. C. Notify the health care provider. D. Elevate the head of the bed.

Correct Answer is B

Explanation

Choice A Reason:Notifying the patient's family is not the immediate priority when the patient is experiencing severe respiratory distress. The nurse's primary focus should be on addressing the patient's acute symptoms.

Choice B Reason:Providing oxygen is crucial in managing respiratory distress. In a patient with myocardial infarction (heart attack), adequate oxygenation is essential to prevent further complications. The nurse should promptly administer oxygen as prescribed to improve oxygen supply and alleviate distress.

Choice C Reason:While notifying the health care provider is essential, it is not the first action in this critical situation. The nurse should prioritize interventions that directly address the patient's distress.

Choice D Reason:Elevating the head of the bed (semi-Fowler's position) is beneficial for patients with respiratory distress, but it is not the initial action. Providing oxygen takes precedence over positioning.

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The nurse is reinforcing teaching to the patient about controlling cholesterol with diet. Which of the following dietary actions help reduce cholesterol? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new diagnosis of angina pectoris. Which of the following information about anginal pain should the nurse include in the teaching?

Correct Answer is C

Explanation

A patient hospitalized with a myocardial infarction suddenly begins having severe respiratory distress with frothy red sputum. What is the first action for the nurse to take?

Correct Answer is B

Explanation

A nurse is evaluating the outcomes for a client who has depression following the death of his wife 3 months ago. Which of the following client statements indicates a need for further intervention?

The nursing interventions for a patient with major depression would include all the following except:

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A nurse is reviewing the plan of care for a client who has depression. Which of the following actions should the nurse plan to take?

A patient with heart failure is prescribed bedrest but becomes angry and walks to the bathroom independently to use the toilet. How should the nurse handle this situation?

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