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 is the best snack choice for a preschool-age child?

A. Fruit snacks
B. Mini wheat bagel with peanut butter
C. White toast with jelly
D. Sports drink

Correct answer: B

Rationale: The best snack choice for a preschool-age child is a mini wheat bagel with peanut butter as it provides a good balance of carbohydrates, protein, and healthy fats. Fruit snacks, although they contain some fruit flavor, are often high in added sugars and lack essential nutrients. White toast with jelly may provide quick energy but lacks protein and healthy fats, which are important for a balanced snack choice. Sports drinks are typically high in sugar and unnecessary for a preschool-age child's snack, as they are designed for rehydration during intense physical activity, not as a regular snack option.

3. With which of the following should fluoride supplements never be taken?

A. Water
B. Juice
C. Milk
D. Soda

Correct answer: C

Rationale: Fluoride supplements should never be taken with milk because the fluoride binds with the calcium in the milk, thereby reducing the effectiveness of the fluoride supplement. Other beverages like water, juice, or soda do not share this characteristic as they do not contain the same level of calcium as milk. The rationale behind choosing milk as the correct answer is that it hampers the effectiveness of fluoride supplements, whereas the other choices do not.

4. What laboratory value would be considered a high-risk measure for coronary heart disease assessment?

A. triglycerides > 150 mg/dL
B. BMI > 31
C. LDL cholesterol < 128 mg/dL
D. blood pressure of 128/82 mmHg

Correct answer: B

Rationale: The correct answer is B: BMI > 31. A BMI over 31 is considered a high-risk factor for coronary heart disease as it indicates obesity, which is strongly linked to cardiovascular issues. Triglycerides > 150 mg/dL (choice A) can contribute to heart disease risk but are not as specific as BMI in assessing overall risk. LDL cholesterol < 128 mg/dL (choice C) is actually a desirable level, indicating lower risk. A blood pressure of 128/82 mmHg (choice D) is within normal range and not a high-risk measure specifically for coronary heart disease.

5. Which type of lipid is solid at room temperature?

A. Cholesterol
B. Phospholipid
C. Saturated fat
D. Trans fat

Correct answer: C

Rationale: Saturated fats, such as those found in butter and lard, are typically solid at room temperature due to the lack of double bonds, which allows the fat molecules to pack closely together. Cholesterol (Choice A) is a steroid, not a fat, and while it's solid at room temperature, it doesn't fit the general category of 'lipid' in the context of this question. Phospholipids (Choice B) are a major component of all cell membranes and can be both solid and liquid at room temperature depending on their composition. Trans fats (Choice D) can also be solid or liquid at room temperature, but they are not typically referred to as 'lipids' in a general sense.