Author Question: The nurse is educating a patient on a low-fat, low-cholesterol diet after a myocardial infarction ... (Read 24 times)

renzo156 · **on:** Jun 25, 2018

The nurse is educating a patient on a low-fat, low-cholesterol diet after a myocardial infarction (MI). Which food choice should the nurse recommend?

a. Avoid eating frozen foods.
b. Replace a serving of red meat with a serving of fish.
c. Use nondairy creamer in your decaffei-nated coffee.
d. Drink a serving of grapefruit juice each day.

Question 2

The nurse is caring for a patient who is undergoing plasmapheresis. The nurse should carefully monitor the patient for which potential complication(s)? (select all that apply.)

a. An allergic reaction
b. Bleeding at the puncture site
c. A bruit at the shunt site
d. Decreasing blood pressure
e. Signs of hyperkalemia

fdliggud · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Fish have a high content of omega-3 fatty acids, which are helpful in reducing cholesterol. Not all frozen foods are unhealthy. Frozen vegetables with no sodium added are a good choice for a low-fat, low-cholesterol diet. Nondairy creamer is high in trans fat and saturated fat. Grapefruit juice often interferes with metabolism of a variety of medications.

Answer to Question 2

B, C, D, E
Plasmapheresis is a therapy used in autoimmune disorders, such as acute glomerulonephritis or myasthenia gravis. It removes the autoantibodies causing the disease. This procedure can be done at the bedside by a trained technician with specialized equipment. The patient's blood is accessed through a shunt or a central IV catheter and the blood components are separated from the plasma by filtration or centrifuge. Then, the cellular components are returned to the patient and the plasma is replaced with a fluid such as normal saline or albumin. Assessment for bleeding at puncture site, bruits, hypotension, and electrolyte imbalances is essential. Allergic reactions are not anticipated.