Exam (elaborations)
NUR230 / NUR 230 Exam 3 (Latest 2024 / 2025): The Childbearing / Child Caring Family
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NUR230 / NUR 230 Exam 3 (Latest 2024 / 2025): The Childbearing / Child Caring Family
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NUR230 / NUR 230 Exam 3 (Latest ): TheChildbearing / Child Caring Family
What are risk factors for CAD/ACS? - ANSWER -Atherosclerosis!!!
-Metabolic Syndrome (have 3 of these):
-HTN
-DM/increased fasting glucose
-Decreased HDL (and possibly high LDL)
-Increased triglycerides
-Large waist size - central obesity
-70 years old is the greatest risk (women are at less risk when they are younger)
What are "good" fats? - ANSWER -Monounsaturated and polyunsaturated fats
What can monounsaturated and polyunsaturated fats do? - ANSWER Lower bad
cholesterol
Can lower risk of heart disease and stroke
Can provide essential fats that your body needs and can't produce itself
What is the source of Monounsaturated and polyunsaturated fats? - ANSWER
Plant based liquid oils, nuts, seeds and fatty fish
What are examples of Monounsaturated and polyunsaturated fats? - ANSWER Oils
Avocados
Fatty fish
Nuts and seeds
What are "bad" fats? - ANSWER Saturated fats
What can saturated fats do? - ANSWER -raise bad cholesterol levels
-lower good cholesterol levels
-increase risk of heart disease and stroke
What is the source of saturated fats? - ANSWER Most saturated fats come from
animal sources, including meant and diary, tropical oils
What are examples of saturated fats? - ANSWER Beef, pork, chicken fat, milk,
butter, cheese, tropical oil ( coconut oil, palm oil)
What are "ugly" fats? - ANSWER Hydrogenated Oils & Trans Fats
,What can hydrogenated oils and trans fats do? - ANSWER -Can raise bad
cholesterol levels
-Can lower good cholesterol levels
-Can increase risk of heart disease & stroke
-Can increase risk of type 2 diabetes
What is the source of hydrogenated oils and trans fats? - ANSWER Process foods
made with partially hydrogenated oils
What are examples of hydrogenated oils and trans fats? - ANSWER -Partially
Hydrogenated Oils
-Some Baked Goods
-Fried Foods / Stick of Margarine
What to choice when looking at processed foods? - ANSWER Aim for less than 5%
DV in fats and sodium
Aim for higher than 20% DV in fiber, minerals, and vitamins
What are Grocery shopping tips? - ANSWER Shop the perimeter, less
processed/packaged foods, more fresh foods, low-fat options, whole grains, choose
'healthy' fats
5/20 rule
What are Diet and physical activity recommendations to manage cardiac-specific
conditions? - ANSWER -HTN - reduce salt, processed foods, DASH diet
-HF - reduce salt, fluid restriction, encourage Vitamin B and magnesium-rich foods
(can be reduced as side effect of the HF meds)
Which 2 recommendations impact all lipid levels and cardiac conditions? - ANSWER
Lipid level goals:
*LOW LDL (< 100) - choose healthy fats, soluble fiber, vegetables
HIGH HDL (>60) - smoking cessation, limit alcohol, Niacin (ASA to prevent flush)
*TINY Triglyceride levels (< 150) - fish oils, reduce simple carbs, limit alcohol
What food items should a nurse instruct a client to consume with high sodium? -
ANSWER -peas
-nuts
-cauliflower
A client was just diagnosed with atherosclerosis. Which meal would the nurse
recommend? - ANSWER Salmon with rice
What is stress? - ANSWER "...a continual process that starts with an event that is
experienced by the individual, perceived through intact information processing
channels, appraised for scope and meaning, assessed as neutral, manageable, or
threatening within current capacity of coping skills, resources, and abilities, ending
, ideally in a positive outcome of homeostasis and feeling of well-being." (Giddens
2020)
Can positive experiences cause stress? - ANSWER Yes, our body cannot
differentiate between it.
Who experiences stress? - ANSWER everyone
Is stress normal? - ANSWER Yes
What is stress neutral? - ANSWER -event that is easy to manage and easy to
mobilize resources
-coping is effective
What is challenge/manageable stress? - ANSWER -Coping effective; new coping
skills may be needed
What is stress non manageable? - ANSWER -Coping ineffective; exceeds capacity
to manage
-Requires outside assistance
What are physiological stressors? - ANSWER Autoimmune disorders
• Cancer
• Chronic obstructive pulmonary disease
• Dementia
• Diabetes
• Organ failure (such a heart, renal, or respiratory failure)
• Myocardial infarction
• Acute and chronic pain
• Traumatic injury
What are psychological/emotional stressors? - ANSWER Birth of child
• Caregiving
• Change in health status
• Death of close family member or friend
• Diagnosis of terminal illness
• Divorce
• Environmental emergencies
• Failing an examination
• Finances
• National events
• Loss of job
• Marriage
• Moral distress
• Moving
• Parenting
• Politics
• Physical disability
• Relationship problems
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