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A client has a new diagnosis of hyperlipidemia and is receiving teaching from a nurse about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of trans fats.
- B. You should decrease your intake of fiber-rich foods.
- C. You should avoid foods that are high in cholesterol.
- D. You should increase your intake of high-fat foods.
Correct Answer: C
Rationale: The correct statement the nurse should include in teaching the client with hyperlipidemia is to avoid foods that are high in cholesterol. Foods high in cholesterol, like those high in saturated and trans fats, can contribute to elevated lipid levels and increase cardiovascular risk. Decreasing intake of these foods can help improve lipid profiles and reduce the risk of complications. Choices A, B, and D are incorrect because increasing intake of trans fats, decreasing fiber-rich foods, and increasing intake of high-fat foods can exacerbate hyperlipidemia and worsen the lipid profile.
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A client with a new diagnosis of diverticulitis is being taught dietary management by a healthcare provider. Which of the following statements should the provider include in the teaching?
- A. You should increase your intake of high-fiber foods.
- B. You should avoid foods that contain lactose.
- C. You should decrease your intake of high-fiber foods.
- D. You should increase your intake of dairy products.
Correct Answer: A
Rationale: Increasing intake of high-fiber foods is essential in managing diverticulitis as it promotes regular bowel movements and prevents constipation, reducing the risk of complications and improving overall digestive health. Choice B is incorrect because lactose intolerance is different from diverticulitis and avoiding lactose is not a standard recommendation for diverticulitis. Choice C is incorrect as decreasing high-fiber foods would be counterproductive for managing diverticulitis. Choice D is wrong because increasing dairy products is not a primary dietary recommendation for diverticulitis management.
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
- A. Tremulousness
- B. Slow pulse
- C. Nausea
- D. Flushed skin
Correct Answer: A
Rationale: Tremulousness is a classic sign of hypoglycemia in insulin-dependent diabetes, resulting from the autonomic nervous system's response to low glucose, triggering adrenaline release shakiness signals urgent need for sugar. Slow pulse, nausea, or flushed skin align more with other conditions or hyperglycemia. Nurses teach this symptom for self-recognition, enabling rapid intervention with glucose sources, preventing severe outcomes like seizures, critical for diabetes management.
A client with a new diagnosis of cirrhosis is receiving dietary management education from a nurse. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of sodium-rich foods.
- B. You should decrease your intake of sodium-rich foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: Reducing the intake of sodium-rich foods is beneficial for managing fluid retention and symptoms of cirrhosis. Excessive sodium can lead to fluid buildup in the body, worsening edema and ascites commonly associated with cirrhosis. Therefore, advising the client to decrease their intake of sodium-rich foods is crucial in the dietary management of cirrhosis. Option A is incorrect as increasing sodium intake would exacerbate fluid retention. Option C is irrelevant to cirrhosis management unless the client has lactose intolerance. Option D is incorrect as increasing dairy product intake may not be suitable for all patients with cirrhosis, especially if they have complications like hepatic encephalopathy.
A client with a new diagnosis of chronic kidney disease is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. Increase your intake of protein-rich foods.
- B. Decrease your intake of phosphorus-rich foods.
- C. Avoid foods that contain lactose.
- D. Increase your intake of potassium-rich foods.
Correct Answer: B
Rationale: In chronic kidney disease, decreasing the intake of phosphorus-rich foods is essential as impaired kidney function can lead to difficulty in excreting phosphorus, causing an imbalance. This can result in bone and heart complications. Therefore, educating the client to reduce phosphorus intake is crucial for managing the disease and preventing further complications. Option A is incorrect because excessive protein intake can burden the kidneys. Option C is not directly related to the management of chronic kidney disease. Option D is also incorrect as potassium intake may need to be limited in certain stages of kidney disease.
The nurse encouraged Mr. Gary to make his own care decisions. This is an example of?
- A. Empowerment
- B. Advocacy
- C. Coping
- D. Quality improvement
Correct Answer: A
Rationale: Encouraging care decisions is empowerment (A) control to patient, per definition. Advocacy (B) supports, coping (C) manages, QI (D) enhances not decision-specific. A fits patient autonomy, making it correct.