When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Limit alcohol intake to two beverages daily.

Make half of your plate fruits and vegetables.

Switch to organic milk and dairy products.

Eliminate products containing gluten in the daily diet.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Making half of your plate fruits and vegetables is a key dietary recommendation for promoting heart health. Fruits and vegetables are rich in vitamins, minerals, fiber, and antioxidants, which help reduce the risk of cardiovascular disease. This recommendation supports a balanced diet that can lower blood pressure, reduce cholesterol levels, and improve overall heart health.

Choice A reason:

Limiting alcohol intake to two beverages daily is a general guideline for moderate alcohol consumption, but it is not the most impactful dietary change for promoting heart health. Reducing alcohol intake is important, but increasing the intake of fruits and vegetables has more direct benefits for cardiovascular health.

Choice C reason:

Switching to organic milk and dairy products may reduce exposure to pesticides and hormones, but it does not have a significant impact on cardiovascular health compared to other dietary changes. The focus should be on overall dietary patterns rather than specific organic products.

Choice D reason:

Eliminating products containing gluten is necessary for individuals with celiac disease or gluten sensitivity, but it is not specifically related to cardiovascular health. The primary focus for promoting heart health should be on increasing the intake of fruits and vegetables and reducing saturated fats and processed foods.

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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.

A. Inform the client that oatmeal contains gluten. B. Encourage the client to choose decaffeinated coffee. C. Commend the client for selecting fat-free milk. D. Advise the client that too much fruit can irritate the colon.

Correct Answer is A

Explanation

Choice A reason:

Informing the client that oatmeal contains gluten is crucial because individuals with celiac disease must avoid gluten to prevent damage to their intestines. Oats are often contaminated with gluten during processing, making them unsafe for those with celiac disease unless they are specifically labeled gluten-free. This information is vital for the client to make safe dietary choices and avoid potential health complications.

Choice B reason:

Encouraging the client to choose decaffeinated coffee is beneficial but not the most critical action. While decaffeinated coffee can reduce caffeine intake, which might be helpful for some individuals, it does not address the immediate concern of gluten consumption. The primary focus should be on ensuring the client avoids gluten-containing foods to manage their celiac disease effectively.

Choice C reason:

Commending the client for selecting fat-free milk is positive reinforcement but not the most important action. Fat-free milk can be a healthy choice, but it does not directly impact the management of celiac disease. The nurse’s priority should be to inform the client about the potential gluten content in their meal to prevent any adverse reactions.

Choice D reason:

Advising the client that too much fruit can irritate the colon is relevant for individuals with certain digestive conditions, but it is not the primary concern for someone with celiac disease. The immediate priority is to ensure the client avoids gluten, which poses a direct risk to their health. Once gluten avoidance is addressed, other dietary considerations can be discussed.

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When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

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?

Correct Answer is A

Explanation

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