The nurse incorporates dietary teaching into the plan for a client with a low-density lipoprotein (LDL) level of 158 mg/dL. What dietary instruction by the nurse is most appropriate?
a. "You should keep your saturated fat intake below 10% of your total calories."
b. "This result is normal, so continue your current dietary practices."
c. "Your total cholesterol intake should be less than 300 mg/day."
d. "You should restrict protein sources to fish and chicken only."
A
An LDL level of 158 mg/dL is borderline high. American Heart Association (AHA) dietary guidelines advise clients to have a total saturated fat intake of less than 10% of the total caloric intake. A decrease in saturated fat intake is considered more important than decreasing the total cholesterol number because saturated fat is a main determinant of cholesterol synthesis in the body. Teaching the client the best sources of low-fat protein is a good idea, but this is too vague by itself to be the best answer. The client needs more specific information on managing the diet to keep the LDL from becoming even higher.
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