Author Question: The nurse is helping a client prepare menus to reflect dietary changes the physician has ordered due ... (Read 81 times)

mrsjacobs44 · **on:** Aug 2, 2018

The nurse is helping a client prepare menus to reflect dietary changes the physician has ordered due to the recent diagnosis of CHD. The nurse recognizes whole grains are essential in this diet change.

Which of the following components of whole grains have been implicated in providing benefits for clients with CHD? Select all that apply. A) Vitamin K D) Fiber
B) B vitamins E) Phytochemicals
C) Vitamin C

Question 2

A client recently had surgery to remove 8 inches of the transverse colon. What teaching related to protein digestion will the nurse need to do for this client?

1. The client will need to have teaching related to complementary protein to make sure all amino acids are consumed daily.
2. Soft sources of complete protein, such as eggs, will be preferable to meet protein needs.
3. There will be minimal teaching regarding protein needs since proteins are digested mostly in the small intestine.
4. The client should avoid eating meat and dairy products together because this may cause indigestion.

14vl19 · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

B, D, E
Feedback:
Whole grains provide B vitamins, vitamin E, fiber, folate, minerals, phytochemicals, and fatty acids. They have been implicated in providing benefits such as improvements in glucose-insulin homeostasis; decreasing LDL cholesterol; and lowering the incident of CHD, diabetes, and possibly strokes.

Answer to Question 2

3
Rationale: Protein digestion and absorption take place in the stomach and small intestine; therefore the nurse will not need to be concerned that this client will be unable to digest protein. There are some religious prohibitions about consuming meat and dairy together, but eating them at the same meal does not cause indigestion. The client will need to consume additional protein during the post-operative period to promote healing, but special teaching about digestion will not be necessary.