The nurse is evaluating a client's response to teaching about managing dyslipidemia. Which statement by this client indicates that additional teaching is needed?
1. "I will read labels carefully so my daily cholesterol intake is no more than 200 mg."
2. "I will include several servings of soybeans in what I eat each week, since they provide lecithin."
3. "I will switch to using olive oil for cooking."
4. "I will decrease my intake of both cholesterol and saturated fat."
Correct Answer: 2
Rationale 1: The recommended daily dietary intake of cholesterol is 200 mg or less.
Rationale 2: Once promoted as a natural treatment for high cholesterol levels, controlled studies have not shown lecithin (which is found in soybeans) to be of benefit for high cholesterol.
Rationale 3: Olive oil is a good source of plant sterols, which reduce absorption of dietary cholesterol from the gastrointestinal tract.
Rationale 4: Cholesterol is essential for synthesis of other steroid compounds in the body, including hormones and bile acids. Additionally, limiting cholesterol intake without limiting saturated fat can lead to excess hepatic synthesis of cholesterol. Limiting both indicates understanding.
Global Rationale: Once promoted as a natural treatment for high cholesterol levels, controlled studies have not shown lecithin (which is found in soybeans) to be of benefit for high cholesterol. The recommended daily dietary intake of cholesterol is 200 mg or less. Olive oil is a good source of plant sterols, which reduce absorption of dietary cholesterol from the gastrointestinal tract. Cholesterol is essential for synthesis of other steroid compounds in the body, including hormones and bile acids. Additionally, limiting cholesterol intake without limiting saturated fat can lead to excess hepatic synthesis of cholesterol. Limiting both indicates understanding.
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