A nurse is providing nutritional teaching to a client who has AIDS-related wasting syndrome.
Which of the following instructions should the nurse include in the teaching?
"Add butter to vegetables."
"Avoid desserts made with eggs."
Increase fluid intake with meals."
"Prepare hot chocolate with water instead of milk."
The Correct Answer is C
A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.
C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day for most individuals and further reducing it to 1,500 milligrams per day for those with hypertension or at high risk for it. Therefore, the instruction to limit sodium intake to 3,200 milligrams per day is not consistent with DASH diet recommendations.
B. The DASH diet emphasizes consumption of foods rich in calcium, such as low-fat dairy products, as part of its overall approach to promoting heart health and lowering blood pressure.
C. The DASH diet encourages consumption of whole grains and limits intake of refined carbohydrates, as these can contribute to hypertension and other cardiovascular risk factors.
D. The DASH diet recommends limiting saturated fat intake to less than 6% of total calories, rather than ten percent, as part of its emphasis on heart-healthy eating patterns.
Correct Answer is D
Explanation
Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.
Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.
Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.
Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.
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