Nokea
A nurse is reinforcing dietary teaching with a client who tells the nurse she would like to reduce her solid fat intake and increase oil intake in her diet. Which of the following instructions should the nurse include in the teaching?
- A. Replace tub margarine with stick margarine.
- B. Use safflower oil instead of butter when baking.
- C. Consume 2% or whole milk.
- D. Choose ground beef that is at least 80% lean meat.
Correct Answer: B
Rationale: The correct answer is B: Use safflower oil instead of butter when baking. Safflower oil is a healthier option than butter as it is a plant-based oil that is lower in solid fats and higher in unsaturated fats. Solid fats like butter contain more saturated fats which can raise cholesterol levels. By substituting safflower oil for butter, the client can reduce solid fat intake and increase oil intake in a heart-healthy way.
Incorrect answers:
A: Replace tub margarine with stick margarine - Both tub and stick margarine are solid fats and should be limited in the diet to reduce solid fat intake.
C: Consume 2% or whole milk - Whole milk contains more solid fats compared to low-fat or skim milk, so this would not be a good choice to reduce solid fat intake.
D: Choose ground beef that is at least 80% lean meat - While lean meats are a good choice to reduce solid fat intake, ground beef still contains saturated fats.
You may also like to solve these questions
A nurse is preparing to perform wound care and remove staples from a client's surgical incision following a hip replacement. Identify the sequence the nurse should follow. (Move the steps of staple removal into the box on the right, placing them in the selected order of performance. All steps must be used.)
- A. Remove every other staple.
- B. Wipe cleansing solution directly over the surgical incision.
- C. Remove remaining staples.
- D. Remove the wound dressing.
- E. Clean the skin along the sides of the incision.
Correct Answer: D, E, A, C, B
Rationale: First, remove the wound dressing to expose the incision. Then, clean the skin along the sides to reduce infection risk. Next, remove every other staple to maintain stability before removing the remaining ones. Finally, wipe cleansing solution to keep the site clean.
A young adult tells the nurse in the provider's office that he is concerned about the amount of sleep he is getting. The nurse should explain that which of the following durations is the average recommendation for sleep for a young adult?
- A. 8 hr
- B. 11 hr
- C. 12 hr
- D. 14 hr
Correct Answer: A
Rationale: The correct answer is A: 8 hr. The average recommendation for sleep for a young adult is typically around 7-9 hours per night. This amount allows for adequate rest and helps maintain overall health and well-being. Choice B (11 hr), C (12 hr), and D (14 hr) are excessive amounts of sleep that are not necessary for young adults and could potentially lead to negative effects such as grogginess or difficulty waking up. Therefore, option A is the most appropriate and balanced choice for a young adult's sleep duration.
A nurse is caring for a client who expresses anxiety about his impending surgery. Which of the following actions should the nurse take?
- A. Explore the client's feelings.
- B. Discuss the competency of the surgeon.
- C. Review another individual's similar surgical experience.
- D. Talk with the client's partner.
Correct Answer: A
Rationale: Encouraging the client to express their feelings provides emotional support and helps alleviate anxiety.
A nurse is collecting data from a client who has Bell's palsy. Which of the following findings should the nurse expect? (Select all that apply.)
- A. Muscle distortion
- B. Pain behind the ear
- C. Hearing loss
- D. Facial twitching
- E. Impaired taste
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Bell's palsy is characterized by muscle distortion due to facial nerve paralysis, leading to asymmetry in facial expressions (A). Pain behind the ear may occur due to inflammation or compression of the facial nerve (B). Impaired taste can result from altered function of the chorda tympani nerve, affecting taste sensation on the anterior two-thirds of the tongue (E). Choices C, D, F, G are incorrect as hearing loss is not a typical feature of Bell's palsy (C), facial twitching is more characteristic of conditions like hemifacial spasm (D), and there are no specific findings associated with F and G in Bell's palsy.
A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?
- A. To regulate blood pressure
- B. To promote digestion
- C. To enhance the immune system
- D. To reduce inflammation
Correct Answer: B
Rationale: The correct answer is B: To promote digestion. Ginger tea is commonly used in Chinese culture to aid digestion and alleviate gastrointestinal issues, making it a suitable choice for a client recovering from a bowel obstruction. Ginger has natural properties that can help stimulate digestive enzymes and improve digestion. This can be beneficial for the client to ease any potential digestive discomfort after the bowel obstruction.
Other choices are incorrect because:
A: Ginger tea is not typically used to regulate blood pressure.
C: While ginger can have some immune-boosting properties, the primary purpose in this scenario is related to digestion.
D: Ginger does have anti-inflammatory properties, but the client's request for ginger tea is more likely for digestive purposes.