Author Question: A patient needs nutritional counseling after a myocardial infarction to assist in reducing ... (Read 62 times)

kaid0807 · **on:** Jul 22, 2018

A patient needs nutritional counseling after a myocardial infarction to assist in reducing cholesterol level. The nurse would recommend that the patient should eat foods that are high in which type of fat?

a. Animal fat
b. Trans fat
c. Triglyceride fat
d. Vegetable fat

Question 2

Only one nurse was scheduled to care for 12 postsurgical patients with a nursing assistant. The nurse is concerned for the safety of the patients and the nursing license. What is the most appropriate first step in this situation?

a. Contacting the nursing supervisor and documenting the action
b. Refusing to care for the patients without appropriate help and leaving
c. Contacting the State Board of Nursing and documenting the action
d. Contacting the hospital administrator on call to complain and documenting the action

frre432 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Most vegetable fats have higher amounts of unsaturated and polyunsaturated fatty acids, which have a minimal effect on blood cholesterol. Animal fats are high in saturated fatty acids, which increase blood cholesterol. Approximately 98 of all lipids in food and 90 of all lipids in the human body are in the form of triglycerides, which have been linked to cardiovascular disease. Trans fatty acids are created when vegetable oils are hydrogenated in food processing; they raise bad cholesterol while lowering good cholesterol.

Answer to Question 2

A
If a nurse is assigned to care for more patients than is reasonable for safe care, he or she should notify the nursing supervisor. If the nurse is required to accept the assignment, he or she must document this information in writing and provide the document to nursing administrators. Although documentation does not relieve a nurse of responsibility if patients suffer harm because of inattention, it shows that the nurse attempted to act appropriately. Refusing to care for the patients without appropriate help and leaving could be regarded as abandonment. Complaining to the administrator is not the first step, nor is calling the Board of Nursing.