A client diagnosed with diabetes asks the nurse about dietary recommendations. The nurse should advise the client to limit the intake of which of the following foods? Select all that apply:

Whole grains.

Fruits.

Green leafy vegetables.

Saturated fats.

Lean protein.

Answer and Explanation

Correct Answer : B,D

Choice A rationale:

Whole grains are generally recommended for individuals with diabetes as they provide a steady source of energy and contain fiber, which can help manage blood sugar levels.

Choice B rationale:

Fruits should be limited because they contain natural sugars, which can raise blood sugar levels. While fruits are a healthy choice, it's essential for people with diabetes to monitor their intake and choose lower-sugar options.

Choice C rationale:

Green leafy vegetables are generally encouraged for individuals with diabetes as they are low in calories and carbohydrates and have a positive impact on blood sugar levels.

Choice D rationale:

Saturated fats should be limited because they can contribute to insulin resistance and increase the risk of heart disease, which is already elevated in people with diabetes.

Choice E rationale:

Lean protein is a good choice for individuals with diabetes as it can help stabilize blood sugar levels and promote satiety without contributing to significant fluctuations in glucose.

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Correct Answer is C

Explanation

Choice A rationale:

Increased insulin production is not the primary cause of elevated blood sugar levels and excessive thirst in a client with diabetes. In fact, in type 1 diabetes, there is a lack of insulin production, while in type 2 diabetes, there is insulin resistance, both leading to inadequate cellular uptake of glucose.

Choice B rationale:

Decreased glucose production by the liver is also not the primary cause of the symptoms. In diabetes, the liver can overproduce glucose, especially in the fasting state, contributing to hyperglycemia.

Choice C rationale:

Inadequate cellular uptake of glucose is the correct choice. In diabetes, the body's cells do not effectively utilize glucose due to either insufficient insulin or insulin resistance, leading to high blood sugar levels in the blood.

Choice D rationale:

Overproduction of glucagon by the pancreas is not the primary cause of elevated blood sugar levels and excessive thirst. Glucagon, a hormone produced by the pancreas, raises blood sugar levels when necessary, but it is not the main culprit in diabetes.

A. "I haven't been eating much lately.". B. "I've been drinking a lot of water recently.". C. "I feel tired and lethargic all the time.". D. "My heart has been racing throughout the day.".

Correct Answer is A

Explanation

Choice A rationale:

The client's statement, "I haven't been eating much lately,”. supports the suspicion of hypoglycemia. When a person with diabetes does not eat enough, especially if they are taking insulin or certain oral medications, their blood sugar levels can drop, leading to hypoglycemia. The symptoms reported by the client, including feeling shaky, weak, and dizzy, are typical manifestations of low blood sugar.

Choice B rationale:

"I've been drinking a lot of water recently”. does not support the suspicion of hypoglycemia. This statement could indicate hyperglycemia instead, as excessive thirst (polydipsia) is a common symptom of high blood sugar in diabetes.

Choice C rationale:

"I feel tired and lethargic all the time”. is a non-specific symptom and does not directly indicate hypoglycemia. Fatigue can be caused by various factors, and in this case, there is no clear link to low blood sugar.

Choice D rationale:

"My heart has been racing throughout the day”. is also not indicative of hypoglycemia. Rapid heart rate (tachycardia) can have multiple underlying causes, and it is not a primary symptom of low blood sugar.

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A client diagnosed with diabetes asks the nurse about dietary recommendations. The nurse should advise the client to limit the intake of which of the following foods? Select all that apply:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with diabetes who presents with elevated blood sugar levels and excessive thirst. The nurse understands that these symptoms are primarily caused by:

Correct Answer is C

Explanation

A client with diabetes reports feeling shaky, weak, and dizzy. The nurse suspects hypoglycemia. Which statement by the client supports this suspicion?

Correct Answer is A

Explanation

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