A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?

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Behavioral Theory of Mental Health Questions

Question 1 of 5

A male client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which of the following dietary modifications is not appropriate for this client?

Correct Answer: B

Rationale: Correct Answer: B Rationale: B is not appropriate because a reduced fat intake below 30% of calories may lead to inadequate fat-soluble vitamin absorption and essential fatty acid deficiency. A, C, and D are appropriate dietary modifications that can help improve lipid profiles without risking essential nutrient deficiencies. A higher fiber intake can help reduce LDL levels, limiting cholesterol intake can help lower LDL, and reducing saturated fat intake can improve overall lipid profile.

Question 2 of 5

A 66-year-old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?

Correct Answer: D

Rationale: The correct answer is D: Hyperparathyroidism. The symptoms described are indicative of hyperparathyroidism, which is characterized by increased levels of parathyroid hormone leading to high calcium levels in the blood. The symptoms such as bone pain, weakness, irritability, and depression are associated with hypercalcemia. The other choices (A: Diabetes mellitus, B: Diabetes insipidus, C: Hypoparathyroidism) are not consistent with the symptoms described in the scenario and would not typically present with bone pain, weakness, and irritability due to high calcium levels.

Question 3 of 5

Patrick is treated in the emergency department for a Colles' fracture sustained during a fall. What is a Colles' fracture?

Correct Answer: A

Rationale: The correct answer is A: Fracture of the distal radius. A Colles' fracture specifically refers to a fracture of the distal end of the radius bone in the forearm, typically occurring due to a fall on an outstretched hand. This type of fracture is characterized by a specific anatomical location and mechanism of injury. The other choices, B: Fracture of the olecranon, C: Fracture of the humerus, and D: Fracture of the carpal scaphoid, do not correspond to a Colles' fracture based on the specific location and characteristics of this type of injury.

Question 4 of 5

After a motor vehicle accident, Armand an 22-year-old client is admitted with a pneumothorax. The surgeon inserts a chest tube and attaches it to a chest drainage system. Bubbling soon appears in the water seal chamber. Which of the following is the most likely cause of the bubbling?

Correct Answer: A

Rationale: The correct answer is A: Air leak. Bubbling in the water seal chamber indicates air is escaping from the pleural space through the chest tube, confirming the presence of an air leak. This is a common complication after chest tube insertion for pneumothorax. Adequate suction (choice B) would not cause bubbling in the water seal chamber. Inadequate suction (choice C) would result in no bubbling or fluctuation of the water in the water seal chamber. A kinked chest tube (choice D) would obstruct the drainage but not cause bubbling in the water seal chamber.

Question 5 of 5

An 18-year-old male client admitted with heat stroke begins to show signs of disseminated intravascular coagulation (DIC). Which of the following laboratory findings is most consistent with DIC?

Correct Answer: A

Rationale: The correct answer is A: Low platelet count. In DIC, there is widespread activation of coagulation leading to consumption of platelets and clotting factors. This results in a low platelet count due to their excessive use in forming microthrombi. Elevated fibrinogen levels (B) occur in response to increased clotting activity. Low levels of fibrin degradation products (C) are not consistent with DIC as there is increased fibrin breakdown in DIC. Reduced prothrombin time (D) is not indicative of DIC as it measures the extrinsic pathway of coagulation and may be normal or prolonged in DIC.

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