When providing information about elevated cholesterol levels, the nurse explains that saturated fats usually are animal in origin, solid at room temperature, and should be avoided because they:
Interfere with metabolism.
Increase blood cholesterol levels.
Must be hydrogenated.
Block the absorption of nutrients.
The Correct Answer is B
Choice A rationale
While saturated fats are part of the body's metabolic processes, their primary negative impact at elevated levels isn't directly interfering with the overall metabolic pathways in a disruptive manner. The issue lies more specifically with their influence on lipid profiles rather than a broad metabolic dysfunction.
Choice B rationale
Saturated fats, primarily found in animal products, have been shown to increase low-density lipoprotein (LDL) cholesterol levels in the blood. Elevated LDL cholesterol is a major risk factor for atherosclerosis, a condition where plaque builds up in the arteries, narrowing them and increasing the risk of heart disease and stroke.
Choice C rationale
Hydrogenation is a process used to solidify unsaturated fats, creating trans fats, which are even more detrimental to cholesterol levels than saturated fats. Saturated fats themselves are naturally solid at room temperature and do not inherently need to be hydrogenated to achieve this state.
Choice D rationale
Saturated fats do not typically block the absorption of essential nutrients. The digestive system is designed to absorb a variety of fats, including saturated fats, along with other nutrients. The primary concern with high intake of saturated fats is their negative impact on blood lipid levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While prostate enlargement is common in older men, it is not typically directly associated with bilateral gynecomastia. Gynecomastia primarily involves breast tissue enlargement due to hormonal imbalances, not glandular changes related to the prostate. Recommending prostate screening solely based on gynecomastia is not the most direct or scientifically sound approach.
Choice B rationale
Acknowledging gynecomastia as benign breast enlargement without further investigation might be premature. While some cases in older men are benign and related to aging, it can also be a symptom of underlying medical conditions or medication side effects that require evaluation. Dismissing it without investigation could miss a treatable cause.
Choice C rationale
A mammogram is a screening tool for breast cancer, which is rare in men but possible. However, gynecomastia is characterized by benign glandular tissue proliferation, distinct from the tissue changes typically associated with male breast cancer. While a physician might order one to rule out malignancy, it's not the initial recommended action based solely on the finding of bilateral gynecomastia.
Choice D rationale
Gynecomastia in men can result from various hormonal changes, including a decrease in testosterone levels relative to estrogen, or an increase in estrogen production. Certain medical conditions and medications can also disrupt hormonal balance. Recommending a physician visit to investigate potential underlying causes of hormonal changes is the most appropriate initial action to determine the etiology of the gynecomastia and guide further management.
Correct Answer is ["1610"]
Explanation
Step 1: Convert ounces to milliliters for oral intake. 8 ounces of coffee × 30 mL/ounce = 240 mL. 3 ounces of juice × 30 mL/ounce = 90 mL. 12 ounces of soda × 30 mL/ounce = 360 mL.
Step 2: Calculate the amount of water consumed from the pitcher. Initial amount - Remaining amount = Consumed amount. 800 mL - 200 mL = 600 mL.
Step 3: Calculate the total oral fluid intake. Coffee + Juice + Soda + Water = Total oral intake. 240 mL + 90 mL + 360 mL + 600 mL = 1290 mL.
Step 4: Calculate the total IV fluid intake over 8 hours. IV rate × Time = Total IV fluid. 40 mL/hour × 8 hours = 320 mL.
Step 5: Calculate the total fluid intake (oral + IV). Total oral intake + Total IV fluid = Total intake. 1290 mL + 320 mL = 1610 mL.
The nurse should document 1610 mL as the client's total intake for the shift.
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