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 A

Explanation

Choice A reason:

Sunflower seeds are an excellent source of Vitamin E, which is important for protecting cells from oxidative damage and supporting immune function. Encouraging the client to snack on sunflower seeds helps increase their intake of this essential nutrient. Sunflower seeds are also convenient and can be easily incorporated into the diet.

Choice B reason:

Frozen yogurt is not a significant source of Vitamin E. While it can be a healthy snack option, it does not provide the necessary nutrients to increase Vitamin E intake.

Choice C reason:

Cheese and crackers are not high in Vitamin E. While they can be part of a balanced diet, they do not contribute significantly to Vitamin E intake.

Choice D reason:

Fresh orange slices are rich in Vitamin C but not in Vitamin E. While oranges are a healthy snack, they do not help increase Vitamin E intake. The focus should be on foods that are specifically high in Vitamin E.

A. Offer water to the client hourly. B. Review the intake and output record. C. Reduce dairy product intake. D. Increase daily sodium intake.

Correct Answer is B

Explanation

Choice B reason:

Reviewing the intake and output record is essential for identifying potential causes of the client’s confusion, such as dehydration or electrolyte imbalances. Monitoring fluid intake and output helps assess the client’s hydration status and detect any imbalances that could contribute to confusion. This intervention allows the nurse to make informed decisions about fluid and electrolyte management to address the underlying cause of the confusion.

Choice A reason:

Offering water to the client hourly can help maintain hydration but may not be sufficient if the client has an underlying condition affecting fluid balance. It is important to first assess the client’s overall fluid status through intake and output records before implementing hydration strategies.

Choice C reason:

Reducing dairy product intake is not directly related to addressing confusion. Unless the client has a specific intolerance or allergy to dairy, this intervention is unlikely to impact their cognitive status.

Choice D reason:

Increasing daily sodium intake can be harmful if the client does not have a sodium deficiency. Excess sodium can lead to fluid retention and exacerbate confusion, especially in older adults. It is important to assess the client’s electrolyte levels before making any changes to sodium intake.

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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

A client wants to increase intake of Vitamin E. Which snack should the nurse encourage?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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