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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

The middle of the menstrual cycle is when hormonal fluctuations are highest, which can cause breast tenderness and lumpiness, potentially making it more difficult to distinguish normal breast tissue from abnormalities during a BSE.

Choice B rationale

Pregnancy causes significant hormonal changes that lead to breast enlargement and increased nodularity, making BSE more challenging and potentially causing unnecessary anxiety. However, it is still important for pregnant women to be aware of their breasts and report any unusual changes to their healthcare provider.

Choice C rationale

BSE should be performed monthly, not bimonthly, to ensure regular self-examination. While women with fibrocystic breast tissue may have more lumps and bumps, regular monthly BSE is still important for them to become familiar with their normal breast tissue and identify any new or changing lumps.

Choice D rationale

The optimal time to perform a BSE is 4-7 days after the start of the menstrual period. At this point in the cycle, hormone levels are typically at their lowest, and the breasts are less likely to be swollen or tender, making it easier to detect any abnormalities. .

A. Dissolve the medication in water and give it through the NG tube. B. Administer the medication under the client's tongue. C. Request a prescription for an oral formulation of the medication. D. Administer the crushed medication through the NG tube.

Correct Answer is B

Explanation

Choice A rationale

Sublingual medications are designed to be absorbed directly into the bloodstream through the highly vascular mucous membranes under the tongue. Dissolving it in water and administering it through an NG tube would bypass this route, potentially altering the drug's absorption and effectiveness, as it would then be processed through the gastrointestinal system.

Choice B rationale

Administering the medication under the client's tongue ensures that it is absorbed sublingually, bypassing the gastrointestinal tract. This is the intended route for this medication, allowing for rapid absorption and avoiding potential interactions or degradation in the digestive system. The rich blood supply under the tongue facilitates quick entry into systemic circulation.

Choice C rationale

Requesting an oral formulation might be an option if the sublingual route is absolutely contraindicated, but it doesn't address the immediate situation. Oral medications have different absorption rates and may be unsuitable for a client with an NG tube if they have swallowing difficulties or other gastrointestinal issues.

Choice D rationale

Crushing a sublingual medication and administering it through an NG tube is inappropriate. This alters the intended drug delivery mechanism and could lead to unpredictable absorption, potential blockage of the NG tube, and loss of the medication's intended effect. Sublingual formulations are not designed for enteral administration.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a class on BSE.Which statement indicates the proper BSE technique?

Correct Answer is D

Explanation

A provider prescribes a sublingual medication for a client who has an nasogastric (NG) tube in place.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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