The nurse has completed nutritional teaching with the patient who has a high low density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective when the patient makes which menu choice?

Question

1. Beef tenderloin with gravy and noodles, fruit salad with apples and grapefruit, slice of rye bread, and apple pie
2. Grilled chicken salad with strawberries and pecans, baked macaroni and cheese, and low-fat brownie
3. Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding
4. Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and olive oil, and raisin-oatmeal cookie

Answer 1

3
Rationale 1: The menu that includes beef tenderloin has some healthy choices, but the gravy is too high in fat, as is the apple pie.
Rationale 2: The menu that includes the grilled chicken salad has no healthy choices except for the pecans; the baked macaroni and cheese would be high in fat.
Rationale 3: A lipid-reducing diet should include soluble fiber and plant sterols and stanols in the diet. The best menu choice includes rice, broccoli, walnuts, apples, and whole-wheat bread.
Rationale 4: The menu that includes low-fat hamburger has some healthy choices, but the low-fat hamburger is too high in fat, as is a raisin-oatmeal cookie.
Global Rationale: A lipid-reducing diet should include soluble fiber and plant sterols and stanols in the diet. The best menu choice includes rice, broccoli, walnuts, apples, and whole-wheat bread. The menu that includes beef tenderloin has some healthy choices, but the gravy is too high in fat, as is the apple pie. The menu that includes low-fat hamburger has some healthy choices, but the low-fat hamburger is too high in fat, as is a raisin-oatmeal cookie. The menu that includes the grilled chicken salad has no healthy choices except for the pecans; the baked macaroni and cheese would be high in fat.