A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

"A weight loss program will increase my LDL cholesterol levels."

"Exercising regularly will bring down my HDL cholesterol levels."

"Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease."

"Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease."

Answer and Explanation

The Correct Answer is D

A. "A weight loss program will increase my LDL cholesterol levels." Weight loss typically reduces LDL (low-density lipoprotein) cholesterol levels, which lowers the risk of heart disease.

B. "Exercising regularly will bring down my HDL cholesterol levels." Regular exercise actually helps increase HDL (high-density lipoprotein) cholesterol levels, which is beneficial as HDL helps remove excess cholesterol from the bloodstream.

C. "Increasing the intake of foods containing trans-fatty acids in my diet can lower my risk of heart disease." Trans fats raise LDL cholesterol and lower HDL cholesterol, which significantly increases the risk of coronary artery disease.

D. "Adding foods containing omega-3 fatty acids to my diet will lower my risk of heart disease." Omega-3 fatty acids (found in fish, flaxseeds, and walnuts) are heart-healthy fats that help lower triglyceride levels and reduce inflammation, thereby reducing the risk of coronary artery disease. This statement shows correct understanding.

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Correct Answer is C

Explanation

A. "I can drink wine in moderation." Moderate wine consumption (particularly red wine) is often considered acceptable as part of the Mediterranean diet. This statement does not indicate a need for further teaching.

B. "I will limit my intake of eggs." Eggs can be consumed in moderation on the Mediterranean diet, typically no more than a few times a week. This statement reflects an understanding of the diet and does not indicate a need for further teaching.

C. "I will limit my intake of red meat to two times per week." The Mediterranean diet recommends limiting red meat consumption, but typically to less than two times per week. This statement indicates a need for further teaching as it suggests a higher frequency than recommended.

D. "I should cook with olive oil." Olive oil is a key component of the Mediterranean diet, replacing butter and other fats. This statement reflects correct understanding and does not indicate a need for further teaching.

A. CT scan without contrast dye B. Echocardiogram C. Electrocardiogram D. Nuclear stress test

Correct Answer is D

Explanation

A. CT scan without contrast dye: A CT scan without contrast dye is a non-invasive diagnostic procedure that does not require written informed consent in most cases.

B. Echocardiogram: An echocardiogram is a non-invasive ultrasound of the heart and typically does not require written informed consent.

C. Electrocardiogram: An electrocardiogram (ECG) is a simple, non-invasive test to monitor heart activity and does not require written informed consent.

D. Nuclear stress test: A nuclear stress test involves injecting a radioactive substance and placing stress on the heart. Due to its invasive nature and potential risks, written informed consent is required for this procedure.

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A nurse is reinforcing teaching to a client who is postmenopausal about reducing the risk of coronary artery disease. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about the Mediterranean diet with a client who is at risk for hypertension. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is reviewing the prescriptions for a newly admitted client who is to undergo cardiac testing. For which of the following procedures should the nurse verify that the client has given written informed consent?

Correct Answer is D

Explanation

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