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Which of the following represents the main, long-term nutritional priorities for post-cardiac transplant patients, except?

  1. Monitoring and managing glucose intolerance

  2. Instituting a high protein diet to prevent catabolism due to steroids

  3. Weight management

  4. Cholesterol management

The correct answer is: Instituting a high protein diet to prevent catabolism due to steroids

The choice regarding instituting a high protein diet to prevent catabolism due to steroids does not represent a primary long-term nutritional priority for post-cardiac transplant patients. While protein intake is important for all patients, including those on steroids, the focus for long-term management generally leans more toward addressing the potential complications associated with medications like steroids and the overall metabolic state of the patient. In post-cardiac transplant care, glucose intolerance often arises as a significant concern due to the impact of immunosuppressants, which can lead to diabetes and necessitate careful monitoring. Similarly, weight management is crucial, as maintaining a healthy weight can influence heart function and overall recovery, especially given the sedentary nature that may accompany recovery after transplant surgery. Cholesterol management is also a critical focus, given the increased risk of cardiovascular events and metabolic syndrome that may occur in these patients due to medication side effects and lifestyle factors post-surgery. Thus, while a high-protein diet has its place in specific circumstances, it is not a broad priority like managing glucose levels, maintaining appropriate weight, or controlling cholesterol, which are all fundamental elements of long-term care in this patient population.