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A person needing to lower his intake of saturated fat should avoid:


A) nuts.
B) baked goods.
C) fish.
D) legumes.

E) None of the above
F) All of the above

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The client asks the nurse about the effects of physical activity on CHD risk.The nurse states that:


A) physical activity is not important in a program to reduce CHD risk.
B) weight training can dramatically raise HDL if undertaken regularly.
C) diet, rather than physical activity, should be the primary focus of reducing CHD risk.
D) 30 minutes of moderate exercise on most days can reverse many risk factors for CHD.

E) A) and B)
F) A) and C)

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The formation of plaque is:


A) unrelated to high blood pressure.
B) an inflammatory response.
C) an autoimmune disorder.
D) limited to smaller blood vessels.

E) A) and C)
F) None of the above

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A common nutritional problem among people with disabilities is:


A) increased micronutrient needs.
B) increased protein needs.
C) inadequate food intake.
D) increased fluid needs.

E) A) and D)
F) B) and C)

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Which of the following is not a risk factor for hypertension?


A) aging
B) salt sensitivity
C) alcohol abuse
D) excessive calcium intake

E) None of the above
F) A) and B)

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The TLC diet to reduce elevated LDL cholesterol includes a total fat intake of _____ of daily kcalories.


A) 20-25%
B) 25-35%
C) 35-40%
D) 10-15%

E) C) and D)
F) B) and D)

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A common side effect of diuretic medications is:


A) dry mouth.
B) nausea.
C) increased taste perception.
D) increased appetite.

E) None of the above
F) A) and B)

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Matching Matching     Matching

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2.e
3.c
4.i
5.j
6.g
7.d
8....

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The primary dietary recommendation for heart failure is a protein restriction.

A) True
B) False

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Describe the appropriate dietary intervention for a heart attack victim once he or she has been stabilized.

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Once a heart attack victim has been stab...

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In working with clients with disabilities, a valuable assessment method for health care professionals is:


A) interviewing the clients.
B) directly observing clients during mealtimes.
C) conducting nutrition histories.
D) talking with the occupational therapist.

E) A) and D)
F) None of the above

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A fiber that may be taken in supplement form to reduce cholesterol levels is:


A) oat fiber.
B) wheat bran.
C) psyllium seed husks.
D) fruit skins.

E) A) and D)
F) All of the above

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Patients who have had a stroke may develop nutritional problems due to their inability to communicate their food preferences.

A) True
B) False

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Niacin taken in large doses:


A) lowers blood triglycerides and raises HDL.
B) lowers HDL and increases LDL.
C) lowers blood triglycerides and lowers HDL.
D) has no effect on blood lipid levels.

E) All of the above
F) A) and B)

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Mrs.Winslow's physician has asked her to try a three-month trial of TLC before he prescribes medications to lower her blood lipids.An alternate choice for the butter that Mrs.Winslow uses that could help lower her cholesterol is:


A) strawberry jam.
B) margarine that contains plant sterols or stanols.
C) cream cheese.
D) margarine made from corn oil.

E) None of the above
F) A) and B)

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The nurse is instructing a client on a diet for the treatment of his hypertension.The nurse recognizes that the client understands his diet when he says:


A) "I can freely use salt substitutes and low-sodium products."
B) "I can eat any foods I want in moderate amounts."
C) "I need to increase my intake of fresh fruits, vegetables, whole grains, and milk and milk products."
D) "I don't need to be concerned about the amount of alcohol I drink."

E) All of the above
F) A) and D)

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Which of the following increases the effectiveness of the DASH diet?


A) low sodium intake
B) high protein intake
C) supplements of the water-soluble vitamins
D) low potassium intake

E) A) and B)
F) A) and C)

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Lifestyle modifications that help in the treatment of hypertension include all of the following except:


A) reducing weight, if overweight.
B) reducing sodium intake.
C) increasing calcium intake.
D) restricting fluid intake.

E) C) and D)
F) All of the above

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Severe malnutrition that develops as a consequence of heart failure is called _____.


A) CHF
B) cardiomegaly
C) cardiac cachexia
D) tachycardia
Use the following case study to answer questions 40-45.
Betsy Winslow is a 62-year-old retired school teacher.She is 5'3" tall and weighs 155 pounds.Mrs.Winslow is a member of a walking group that meets three mornings a week.She walks two miles each morning.After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician.Her laboratory results are as follows: total cholesterol: 251 mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs) Winslow's 24-hour recall reveals the following intake:
\bullet Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
\bullet Lunch: Hamburger pizza, salad with Italian dressing, Coke
\bullet Snack: 3 chocolate cookies, 2% milk
\bullet Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
\bullet Snack: Ice cream

E) A) and D)
F) A) and C)

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Low HDL levels:


A) are highly predictive of CHD risk.
B) are associated with underweight.
C) are not a good predictor of CHD risk.
D) are more prevalent in females.

E) A) and B)
F) A) and C)

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