for patients with hypertension which dietary change is most recommended

ATI RN

ATI Nutrition Practice A

1. For patients with hypertension, which dietary change is most recommended?

A. Increase salt intake
B. Reduce fiber intake
C. Increase potassium intake
D. Reduce sugar intake

Correct answer: C

Rationale: Increasing potassium intake can help reduce blood pressure in hypertensive patients.

2. What primarily determines the Dietary Reference Intake (DRI) for protein?

A. Intake of fatty acids
B. Gender
C. Height
D. Body weight

Correct answer: D

Rationale: The Dietary Reference Intake (DRI) for protein is primarily determined by an individual's body weight. This is because the body's protein requirement is proportionate to its size, which is generally reflected in the body weight. Therefore, choice D is correct. Choices A, B, and C are incorrect: While factors such as fatty acid intake, gender, and height can influence an individual's overall nutritional needs, they do not directly determine the DRI for protein.

3. Metabolic control is especially important for women with gestational diabetes to ensure the infant does not develop:

A. microsomia
B. macrosomia
C. type 1 diabetes
D. type 2 diabetes

Correct answer: B

Rationale: Metabolic control is crucial for women with gestational diabetes to prevent the development of macrosomia, which is characterized by an abnormally large baby. This condition poses risks such as birth injuries and necessitates careful management of blood sugar levels. Microsomia is not a known term related to this context. Type 1 and type 2 diabetes are not conditions the infant would develop as a result of gestational diabetes in the mother.

4. A nurse is discussing denture care with the partner of a client who is unable to perform oral hygiene. Which of the following should be included in the discussion?

A. Floss dentures as part of daily cleaning.
B. Wipe dentures before storing them in a dry container at night.
C. Wrap gloved fingers with gauze to remove dentures.
D. Use a washcloth to clean the denture surfaces.

Correct answer: C

Rationale: The correct answer is C: 'Wrap gloved fingers with gauze to remove dentures.' This method provides a safe and effective way to remove dentures without causing damage. Choice A is incorrect because flossing dentures is not recommended. Choice B is incorrect as it suggests wiping dentures and storing them dry, which is not the best practice. Choice D is incorrect because using a washcloth may not effectively clean all denture surfaces.

5. Medication for treating high blood cholesterol levels should not be used for most people unless:

A. The patient has at least three major risk factors for coronary heart disease
B. The patient has been experiencing symptoms of coronary heart disease for at least three months
C. The patient's medical insurance covers prescription drugs
D. Treatment with Therapeutic Lifestyle Changes (TLC) alone is unsuccessful after three months

Correct answer: D

Rationale: The correct answer is choice D because medication for high cholesterol is typically not considered unless Therapeutic Lifestyle Changes (TLC), which include diet and exercise, have not proven effective after a three-month period. This approach ensures that lifestyle modifications are given a fair chance to lower cholesterol levels before resorting to medication. Choice A is incorrect because the number of risk factors for coronary heart disease does not dictate when to begin medication; it is about the effectiveness of lifestyle changes. Choice B is incorrect as the duration of coronary heart disease symptoms does not determine when to start medication; the focus is on the response to TLC. Choice C is incorrect because the coverage of prescription drugs by the patient's insurance does not influence the medical decision to use medication for high cholesterol; it is based on medical necessity and effectiveness of prior interventions.