A client suspected as having coronary heart disease has elevated ...

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A client suspected as having coronary heart disease has elevated cholesterol and low-density lipid (LDL) levels. Which dietary change should the nurse suggest for this client?
 
  1. Eliminate all simple sugars from the diet.
  2. Eliminate all red meat from the diet.
  3. Avoid eating eggs or any foods prepared with eggs.
  4. Switch from whole milk to skim milk.

Question 2

The nurse is checking the laboratory results on a client suspected of having a myocardial infarction (MI). Which laboratory test would provide the most specific information for this diagnosis?
 
  1. Low density lipids (LDLs)
  2. AST and ALT
  3. C-reactive protein
  4. CK-MB

[Ptupou85]

Answer to Question 1

Answer: 4

1. Simple sugars contribute to elevation of triglyceride levels.
2. Total abstinence from meat is not necessary; the total intake of cholesterol should be less than 25 to 30 of total daily calories.
3. It is recommended to restrict eggs to two per week.
4. This offers a realistic option and reduces saturated fat, which contributes to cholesterol and lipid production.

Answer to Question 2

Answer: 4

1. LDLs identify a risk factor for coronary artery disease (CAD).
2. AST and ALT are more specific to the liver.
3. C-reactive protein indicates inflammation and is another screening test for CAD risk.4. 4. The CK-MB isoenzyme is a more sensitive indicator of AMI.

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