The nurse is caring for an African-American client who had a myocardial infarction and is receiving atorvastatin (Lipitor). The nurse assesses the client's diet to be very high in fat
Which is the best plan by the nurse to improve the client's diet and reduce the risk that the client may need additional medications?
A) Ask another nurse to speak to him about a low-fat diet.
B) With the client's permission, discuss the dietary with whoever prepares meals for the family.
C) Consult a dietician to teach the client about low-fat diets.
D) Give the client information specific to African Americans about low-fat diets.
Answer: B
Every culture has culture-specific diets; the nurse must include the individual in the family who does the meal preparation if a different diet is to be successful. Asking the client about having an African-American nurse speak to him is racist and implies that the nurse cannot understand the dietary needs of an African-American client. At this point, a consult by dietary services is premature. Providing information is a good idea, but the nurse must also teach the client.
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