Author Question: The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet. The patient ... (Read 141 times)

Shelles · **on:** Jul 22, 2018

The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet. The patient asks the nurse, How much fat should I have? I guess the less fat, the better.

Which information will the nurse include in the teaching session?
a. Cholesterol intake needs to be less than 300 mg/day.
b. Fats have no significance in health and the incidence of disease.
c. All fats come from external sources so this can be easily controlled.
d. Deficiencies occur when fat intake falls below 10 of daily nutrition.

Question 2

A nurse is caring for a patient with a postsurgical wound. When planning care, which goal will be the priority?

a. Reduce dependent nitrogen balance.
b. Maintain negative nitrogen balance.
c. Promote positive nitrogen balance.
d. Facilitate neutral nitrogen balance.

SAUXC · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
Deficiency occurs when fat intake falls below 10 of daily nutrition. While keeping cholesterol below 300 mg is correct according to the American Heart Association, it does not answer the patient's question about fat. Various types of fatty acids have significance for health and for the incidence of disease and are referred to in dietary guidelines. Linoleic acid and arachidonic acid are important for metabolic processes but are manufactured by the body when linoleic acid is available from the diet.

Answer to Question 2

ANS: C
When intake of nitrogen is greater than output, the body is in positive nitrogen balance. Positive nitrogen balance is required for growth, normal pregnancy, maintenance of lean muscle mass and vital organs, and wound healing. Negative nitrogen balance occurs when the body loses more nitrogen than the body gains. Neutral nitrogen balance occurs when gain equals loss and is not optimal for tissue healing. There is no such term as dependent nitrogen balance.