A patient indicates that she enjoys eating fatty foods, but she wishes to change her diet to help lower her cholesterol levels. You suggest that she

a. use a vegetable oil, such as coconut or palm oil, which will lower her total cholesterol intake.
b. use monosaturated fats, such as olive or canola oil, which will lower the low-density lipoprotein (LDL) levels.
c. decrease intake of vegetable fats and increase intake of animal fats.
d. increase her intake of water when eating fatty foods to improve excretion of wastes.


B
Monounsaturated fats (olive and canola oils) lower LDL cholesterol; thus, option "b" is correct. Saturated fats from vegetable sources (coconut, palm, and partially hydrogenated oils) and from animal sources (butter, lard, fatty meats) have been found to raise cholesterol levels. Both vegetable fats and animal fats are saturated fats and raise cholesterol levels; therefore, option "c" is incorrect. Option "d" is incorrect because increasing water intake and eating fatty foods to improve excretion of wastes will not affect cholesterol levels.

Nursing

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A. Last bowel movement B. Palpation of fontanels C. Prenatal history D. Time of last meal

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A health care provider has ordered alendronate (Fosamax) for an older adult who has been admitted for a hip fracture. Which is the best response from the nurse when educating the patient on the new medication?

a. You will need to have your calcium checked monthly while on this medica-tion. b. If you miss a dose, you will need to take the medication as soon as you remember. c. Take on an empty stomach. d. Do not take with alcohol.

Nursing

At 35 weeks of pregnancy, a woman experiences preterm labor. Although tocolytics are administered and she is placed on bed rest, she continues to experience regular uterine contractions, and her cervix is beginning to dilate and efface

What would be an impor-tant test for fetal well-being at this time? a. Percutaneous umbilical blood sampling (PUBS) b. Ultrasound for fetal size c. Amniocentesis for fetal lung maturity d. Nonstress test

Nursing

A client is prescribed a dose of oprelvekin. Prior to administration of the drug, which nursing assessment should trigger a telephone call to the provider who wrote the order?

1. Current platelet count of 25,000 2. History of myelogenous leukemia 3. History of alcohol abuse 4. Current hemoglobin of 9.6 gm/dL

Nursing