Clients may benefit from slightly higher fat intakes than are normally recommended if they have:
- A. congestive heart failure
- B. cerebrovascular accident
- C. peripheral vascular disease
- D. chronic obstructive pulmonary disease
Correct Answer: D
Rationale: In chronic obstructive pulmonary disease (COPD), higher fat intake can be beneficial because it provides more calories with less respiratory burden compared to carbohydrates. Choices A, B, and C are incorrect because congestive heart failure, cerebrovascular accident, and peripheral vascular disease do not specifically benefit from higher fat intakes as in COPD.
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Which nutrient has the highest satiety value?
- A. Complex carbohydrates
- B. High-quality protein
- C. Low-quality protein
- D. Fat
Correct Answer: D
Rationale: Fat has the highest satiety value among the listed nutrients. It slows down digestion, stays in the stomach longer, and provides a sustained release of energy, leading to increased feelings of fullness and satisfaction. Complex carbohydrates can also contribute to satiety, but fat generally has a stronger effect. High-quality protein is important for satiety as well, but it is generally not as filling as fat. Low-quality protein does not have as significant satiating effects as high-quality protein or fat.
A dental hygienist finds several new carious lesions in a patient with chronic obstructive respiratory disease (COPD). While conducting the medical and dental histories, the dental hygienist is most likely to find an increased use of which of the following?
- A. Protein
- B. Cough drops
- C. Fluoride
- D. Xylitol
Correct Answer: B
Rationale: The correct answer is B: Cough drops. Patients with COPD often use cough drops to manage their symptoms, which can lead to an increase in carious lesions due to their sugar content. Choices A, C, and D are incorrect as protein, fluoride, and xylitol are not typically associated with an increased risk of carious lesions in patients with COPD.
Carmen discovers that the DASH diet contains more fiber and ____ compared to that of the typical American diet.
- A. vitamin C
- B. iron
- C. potassium
- D. sodium
Correct Answer: C
Rationale: The correct answer is C: 'potassium.' The DASH diet is rich in potassium, which helps lower blood pressure, making it more effective than the typical American diet, which is often low in this essential mineral. Choice A, 'vitamin C,' is incorrect as the comparison is about fiber and another nutrient, not vitamin C. Choice B, 'iron,' is incorrect as the discussion is about fiber and a mineral that helps lower blood pressure, not iron. Choice D, 'sodium,' is incorrect as the DASH diet actually focuses on reducing sodium intake for better blood pressure control, so it wouldn't be a nutrient found in higher amounts compared to the typical American diet.
Which type of bread, cereal, or pasta would most likely be recommended for a patient on a fat-restricted diet?
- A. popcorn
- B. fried rice
- C. English muffins
- D. granola
Correct Answer: C
Rationale: English muffins would be the most suitable option for a patient on a fat-restricted diet. They are typically lower in fat compared to fried rice, granola, and popcorn with butter. Popcorn, fried rice, and granola are higher in fat content and may not be the best choice for individuals on a fat-restricted diet.
During the later stages of chronic kidney disease, what is the recommended protein intake in grams per kilogram of body weight per day?
- A. 0.6 to 0.75
- B. 1.2 to 1.55
- C. 1.0 to 1.2
- D. 0.8 to 1.0
Correct Answer: A
Rationale: In the later stages of chronic kidney disease, the recommended protein intake is typically restricted to 0.6 to 0.75 grams per kilogram of body weight per day. This lower protein intake helps reduce the workload on the kidneys, as excessive protein can be challenging for the kidneys to process. Choice B (1.2 to 1.55) is incorrect as it suggests a higher protein intake, which is not recommended for individuals with advanced kidney disease. Choices C (1.0 to 1.2) and D (0.8 to 1.0) also advocate for protein intakes higher than what is typically advised for individuals in later stages of chronic kidney disease.