The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

Cholesterol level.

Motivation for change.

Hypertension.

Dairy allergy.

Answer and Explanation

The Correct Answer is D

Choice D reason:

Reviewing the client’s history for a dairy allergy is the most important step before starting whey protein concentrate because whey is derived from milk. If the client has a dairy allergy, consuming whey protein could cause severe allergic reactions, including anaphylaxis. Ensuring the client does not have a dairy allergy is crucial for their safety and to prevent any adverse health effects. This step is essential to determine if whey protein is a suitable and safe option for the client.

Choice A reason:

Checking the client’s cholesterol level is important for overall health management, especially in obese clients. However, it is not the most critical factor when considering the safety of whey protein concentrate. The primary concern should be ensuring the client can safely consume the protein without allergic reactions.

Choice B reason:

Assessing the client’s motivation for change is important for long-term success in weight management and dietary changes. However, it does not directly impact the immediate safety of starting whey protein concentrate. The focus should be on identifying any potential allergies that could cause harm.

Choice C reason:

Reviewing the client’s history of hypertension is important for managing their overall health. However, it is not the most critical factor in determining the safety of whey protein concentrate. The primary concern should be ensuring the client does not have a dairy allergy, which could lead to severe allergic reactions.

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Correct Answer is C

Explanation

Choice C reason:

A ham and cheese sandwich is the best recommendation for a client with moderate hyponatremia because it contains higher levels of sodium, which can help address the sodium deficiency. Hyponatremia is a condition characterized by low sodium levels in the blood, and consuming foods with higher sodium content can help restore balance.

Choice A reason:

A fruit salad with bananas is healthy but does not provide sufficient sodium to address hyponatremia. While bananas are rich in potassium, they do not help with the sodium deficiency that needs to be corrected.

Choice B reason:

A lettuce and tomato salad is low in sodium and does not address the client’s need for increased sodium intake. While it is a healthy choice, it is not suitable for managing hyponatremia.

Choice D reason:

A baked sweet potato is nutritious but does not provide the necessary sodium to correct hyponatremia. The focus should be on foods that can help increase sodium levels in the blood.

A. Salad greens with tomatoes. B. Roasted turkey sandwich. C. One slice of cheese pizza. D. Baked potato with low-fat butter.

Correct Answer is B

Explanation

Choice B reason:

A roasted turkey sandwich is a good alternative source of protein that is lower in saturated fats compared to hamburgers. Turkey is a lean protein that provides essential nutrients without the high levels of saturated fats found in red meat. This option supports the client’s goal of reducing saturated fat intake while still providing a satisfying and nutritious meal.

Choice A reason:

Salad greens with tomatoes are healthy but do not provide a significant amount of protein. While they are a good addition to a balanced diet, they do not serve as a protein-rich alternative to hamburgers.

Choice C reason:

One slice of cheese pizza contains protein but also has a high amount of saturated fats due to the cheese and possible meat toppings. This option does not align with the client’s goal of reducing saturated fat intake.

Choice D reason:

A baked potato with low-fat butter is a healthy carbohydrate option but does not provide a significant amount of protein. While it can be part of a balanced meal, it does not serve as a protein-rich alternative to hamburgers.

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The nurse is caring for a client who is obese and has been prescribed a whey protein concentrate as a dietary fat substitute. Which health history component is the most important for the nurse to review prior to the client beginning this prescription?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

Correct Answer is C

Explanation

A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?

Correct Answer is B

Explanation

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A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

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