The client who is diagnosed with a seizure disorder is prescribed a ketogenic diet.
The nurse knows that the client understands the teaching when they state:
My diet will include more unsaturated fats and low carbohydrates.
My diet will include increased amounts of carbohydrates and protein.
My diet will include moderate amounts of protein and omega-3 oils.
My diet will include foods rich in sodium and carbohydrates.
The Correct Answer is A
Choice A rationale
A ketogenic diet includes high fats, moderate protein, and low carbohydrates, with unsaturated fats emphasized for health. This metabolic state reduces seizure frequency by enhancing ketone production as an alternative energy source for the brain.
Choice B rationale
Increasing carbohydrates disrupts ketosis, the fundamental principle of the ketogenic diet. This would counteract the therapeutic goal of reducing seizure activity by providing glucose as a primary brain fuel instead of ketones.
Choice C rationale
While omega-3 oils support brain health, the ketogenic diet focuses on low carbohydrate intake and high fat. Moderate protein intake is essential, but excess omega-3 emphasis neglects the diet’s structure.
Choice D rationale
Foods high in sodium and carbohydrates contradict the ketogenic diet's principles. Elevated carbohydrate intake halts ketosis, while excess sodium intake is unrelated to ketogenic mechanisms or seizure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Childhood memory recall reflects cognitive functioning but is unrelated to the patient's rehabilitation involvement, which focuses on regaining lost functional capacities following injury. Such a goal lacks immediate functional relevance.
Choice B rationale
Returning to work as a corporate attorney may be an eventual aim but depends on higher cognitive recovery levels and is too specific. Early rehabilitation outcomes focus on participation in the recovery process.
Choice C rationale
Active participation indicates readiness and willingness to engage in therapies essential for regaining lost functions. It aligns with goals for a transition from acute care to rehabilitation emphasizing functional improvement.
Choice D rationale
Motor coordination improvements require therapy timelines extending beyond two weeks. Such a rigid short-term goal undermines individualized rehabilitation focusing on measurable progress over more realistic durations.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Proper nutrition, exercise, and stress reduction enhance psychological well-being, stimulating endorphin release, which improves mood and resilience, essential for managing chronic conditions like HIV.
Choice B rationale
These factors bolster immune function by reducing cortisol levels that impair immunity, supporting T-cell activity and promoting resistance against opportunistic infections common in HIV patients.
Choice C rationale
Maintaining strength and independence aids patients in daily functioning, reducing dependency and enhancing self-efficacy, which is critical for long-term adherence to therapeutic regimens in HIV.
Choice D rationale
Preventing virus transmission requires safe practices, not lifestyle changes alone. Nutrition and exercise cannot alter transmission mechanisms like exposure to body fluids.
Choice E rationale
Eliminating HIV completely necessitates antiretroviral therapy and advancements in medical science; lifestyle modifications alone are insufficient against viral integration within host DNA.
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