A nurse is providing nutritional education to a client recently diagnosed with high cholesterol. The nurse should provide the client with which statements regarding their diet restrictions?

"Your daily intake of fats should be limited to no more than 35% of your daily caloric intake

"You should avoid trans-fat as much as possible"

"Your main sources of protein should be red meat"

"Fats provide the highest amount of energy per gram"

"Your intake of fats should be unsaturated fats"

Answer and Explanation

The Correct Answer is B

A) "Your daily intake of fats should be limited to no more than 35% of your daily caloric intake":

Current dietary guidelines typically recommend limiting fat intake to less than 30% of total daily calories, not 35%, for optimal heart health. This recommendation is slightly higher than what is generally advised for managing high cholesterol.

B) "You should avoid trans-fat as much as possible":

Trans fats significantly increase LDL cholesterol (bad cholesterol) levels and decrease HDL cholesterol (good cholesterol). Avoiding trans fats is crucial in managing high cholesterol and reducing cardiovascular risk, making this the most important recommendation.

C) "Your main sources of protein should be red meat":

Red meat, particularly processed red meat, is associated with higher cholesterol levels and cardiovascular risk. It is generally recommended to choose lean proteins, such as fish, poultry, and plant-based sources, over red meat.

D) "Fats provide the highest amount of energy per gram":

While fats do provide more energy per gram than carbohydrates or proteins, this statement does not directly address the management of cholesterol levels. The focus should be on the type of fats consumed rather than their energy content.

E) "Your intake of fats should be unsaturated fats":

While consuming unsaturated fats is beneficial, avoiding trans fats specifically addresses a more immediate concern for those with high cholesterol. Option B emphasizes the importance of eliminating harmful fats.

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Correct Answer is D

Explanation

A. 8 hr - Infusing one unit of packed red blood cells (PRBCs) over 8 hours is too long. Typically, PRBCs are infused over a shorter period to avoid complications.

B. 4 hr - Infusing PRBCs over 4 hours is still within acceptable limits, but the standard time for PRBC transfusion is usually shorter.

C. 6 hr - Infusing PRBCs over 6 hours is longer than usual. The recommended duration for infusing one unit of PRBCs is generally shorter.

D. 2 hr - The standard time to infuse one unit of PRBCs is typically between 1.5 to 2 hours. This duration helps ensure the effective delivery of red blood cells while minimizing the risk of transfusion reactions.

A. They must also take a vitamin D supplement. B. Reduce sodium intake. C. Decrease the amount of fiber in your diet. D. Take the medication with orange juice to increase absorption.

Correct Answer is A

Explanation

A) They must also take a vitamin D supplement: Calcium absorption is highly dependent on vitamin D, which facilitates the absorption of calcium in the intestines. Taking a vitamin D supplement alongside calcium ensures effective utilization of calcium, improving bone health and preventing deficiencies.

B) Reduce sodium intake: While reducing sodium intake can benefit overall health and reduce fluid retention, it is not directly related to the absorption of calcium supplements. The focus should be on ensuring adequate vitamin D levels for proper calcium absorption.

C) Decrease the amount of fiber in your diet: High fiber diets do not necessarily hinder calcium absorption to a significant extent. In fact, maintaining a balanced diet with adequate fiber is important for overall health. Fiber does not need to be reduced specifically for better calcium absorption.

D) Take the medication with orange juice to increase absorption: Orange juice is high in vitamin C, which does not significantly impact calcium absorption. Calcium supplements are best taken with vitamin D or with meals to enhance absorption, rather than with orange juice alone.

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A nurse is providing nutritional education to a client recently diagnosed with high cholesterol. The nurse should provide the client with which statements regarding their diet restrictions?

Nursing Test Bank

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