When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Limit alcohol intake to two beverages daily.

Make half of your plate fruits and vegetables.

Switch to organic milk and dairy products.

Eliminate products containing gluten in the daily diet.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Making half of your plate fruits and vegetables is a key dietary recommendation for promoting heart health. Fruits and vegetables are rich in vitamins, minerals, fiber, and antioxidants, which help reduce the risk of cardiovascular disease. This recommendation supports a balanced diet that can lower blood pressure, reduce cholesterol levels, and improve overall heart health.

Choice A reason:

Limiting alcohol intake to two beverages daily is a general guideline for moderate alcohol consumption, but it is not the most impactful dietary change for promoting heart health. Reducing alcohol intake is important, but increasing the intake of fruits and vegetables has more direct benefits for cardiovascular health.

Choice C reason:

Switching to organic milk and dairy products may reduce exposure to pesticides and hormones, but it does not have a significant impact on cardiovascular health compared to other dietary changes. The focus should be on overall dietary patterns rather than specific organic products.

Choice D reason:

Eliminating products containing gluten is necessary for individuals with celiac disease or gluten sensitivity, but it is not specifically related to cardiovascular health. The primary focus for promoting heart health should be on increasing the intake of fruits and vegetables and reducing saturated fats and processed foods.

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Correct Answer is B

Explanation

Choice B reason:

Reviewing the chest x-ray report for central line placement is crucial to ensure that the central venous catheter is correctly positioned before starting TPN. Proper placement of the CVC is essential to prevent complications such as pneumothorax, incorrect infusion, or damage to surrounding structures. Confirming the placement through a chest x-ray ensures the safety and effectiveness of the TPN administration.

Choice A reason:

Starting 10% dextrose IV at the TPN prescribed rate is not appropriate until the correct placement of the CVC is confirmed. Administering dextrose without verifying the catheter placement can lead to serious complications if the catheter is not correctly positioned.

Choice C reason:

Instructing UAP to obtain hourly blood glucose levels is important once TPN is initiated, as TPN can significantly affect blood glucose levels. However, this step should come after confirming the correct placement of the CVC.

Choice D reason:

Redressing the central line site using sterile technique is important for preventing infection, but it is not the immediate priority. Ensuring the correct placement of the CVC through a chest x-ray is the first step before any other actions are taken.

A. “Drinking cranberry juice does not prevent infection.” B. “Excess cranberry juice can be constipating.” C. “Be sure to drink sugar-free cranberry juice.” D. “Cranberries may increase the effect of insulin.”

Correct Answer is C

Explanation

Choice C reason:

Be sure to drink sugar-free cranberry juice is the most appropriate instruction because it addresses the potential benefits of cranberry juice in preventing urinary tract infections (UTIs) without the added sugars that can contribute to other health issues. Cranberries contain compounds that may help prevent bacteria from adhering to the urinary tract, reducing the risk of UTIs. Choosing sugar-free options helps avoid unnecessary sugar intake, which is beneficial for overall health.

Choice A reason:

Stating that drinking cranberry juice does not prevent infection is not entirely accurate. While the evidence on cranberry juice’s effectiveness in preventing UTIs is mixed, some studies suggest it can be beneficial. Therefore, dismissing its potential benefits outright is not the best approach.

Choice B reason:

Mentioning that excess cranberry juice can be constipating is a valid point, but it is not the most important instruction for preventing UTIs. The focus should be on the potential benefits of cranberry juice and how to consume it healthily, such as choosing sugar-free options.

Choice D reason:

Cranberries may increase the effect of insulin is not directly relevant to preventing UTIs. While cranberries can have an impact on insulin sensitivity, this information is not the most critical for someone looking to prevent UTIs. The primary focus should be on the potential benefits of cranberry juice for urinary health.

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When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A healthcare provider inserts a subclavian central venous catheter (CVC) and prescribes total parenteral nutrition (TPN) for infusion via the line. While waiting for the pharmacy to deliver the TPN, which action should the nurse take?

Correct Answer is B

Explanation

To help prevent urinary tract infections, which instruction should the nurse provide?

Correct Answer is C

Explanation

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When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

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A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?