The nurse recognizes that sometimes cultural factors will ...

[leo leo]

The nurse recognizes that sometimes cultural factors will influence food choices. While working with a Mexican American client, which of the following should the nurse encourage the client to change to improve his dietary habits?
 
  A) Substitute oil for lard.
  B) Substitute whole wheat for corn.
  C) Decrease the amount of lard used.
  D) Increase the use of vegetables.

Question 2

The nurse notes edema in the hands and legs of an elderly hospitalized client who appears undernourished. One of the things the nurse considers is that:
 
  1. The client has been drinking large amounts of water to prevent feelings of hunger.
   2. Thyroid hormones are out of balance.
   3. The kidneys are failing, causing fluid retention.
   4. Lack of adequate protein is causing a fluid shift.

[matt]

Answer to Question 1

A
Feedback:
High-fat meats and lard are commonly used in traditional Mexican American meals. Using less meat, choosing lower fat, varieties, trimming visible fat, and substituting oil for lard are heart healthy alternatives.

Answer to Question 2

4
Rationale: Oncotic pressure results in fluid balance between the tissue and the capillaries. When there is inadequate protein, the change in oncotic pressure causes fluid to shift from the blood into the tissue, resulting in edema. If the kidneys are functioning normally, drinking large amounts of fluid results in more urine. The nurse has no reason to suspect kidney failure by appearance only. Proteins are responsible for hormone synthesis, but thyroid hormone imbalance does not cause edema.

[leo leo]

TYSM

[yeungji]

Thanks for the timely response, appreciate it