The nurse instructs a client with heart failure on restricting sodium in the diet. Which client statement indicates that teaching was ineffective "I can use as much salt substitute as I want."
Dietary Sodium Intake in Heart Failure:
- Excessive sodium intake is associated with fluid retention. Therefore, all HF management guidelines recommend sodium restriction.
- In 2005, the American College of Cardiology and the American Heart Association HF guidelines recommended 3000 to 4000 mg daily sodium intake and for patients with volume overload, restriction to 2000 mg/d. This recommendation was subsequently updated to moderate sodium restriction.
- The Heart Failure Society of America recommends 2000 to 3000 mg daily. Sodium intake and <2000 mg for patients with moderate to severe HF symptoms.
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Anwser : Lateral vision in the right eye
Answer:
The best answer from the choices given here, for the question: A disorder in which of the following is most likely to be present, would be, D: Pancreatic enzyme secretion.
Explanation:
The process of fat digestion, and especially of absorption, is a pretty complex one, because there are many steps that must take place in order for the body to reduce complex lips into their most basic units, and use them. As such, aside from pH in the stomach, and the contact with lingual lipase, which starts the process of unwinding of the lipidic structures, most of the absorption of these nutrients happens in the small intestine and vital to it is the mixing of pancreatic enzymes, especially lipase, to break down the unions enough that the mycelles are formed and the villi can capture these nutrients to pass them on to the lymphatic system. Usually steatorrhea, which is presence of fats in the stool, happens for several different reasons, but in this patient, given the characteristics, it is evident that he is having problems with the secretion of pancreatic lipase, and the fats are not breaking up so that the small intestines cannot absorb them.
