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:

Choice A rationale:

Administering diuretics to reduce fluid accumulation is incorrect. Severe dyspnea, absent breath sounds, and jugular venous distension indicate a potential tension pneumothorax or hemothorax, which requires prompt action, and diuretics would not address the underlying issue.

Choice B rationale:

Preparing for needle decompression or chest tube insertion is the appropriate nursing action. The client's symptoms of severe dyspnea, absent breath sounds, jugular venous distension, and increased intrathoracic pressure suggest a possible tension pneumothorax or hemothorax. Immediate decompression with a large-bore needle or insertion of a chest tube is necessary to relieve pressure and restore lung function.

Choice C rationale:

Positioning the client in a Trendelenburg position to facilitate breathing is incorrect. In the case of increased intrathoracic pressure, this position can further compromise respiratory function and is not recommended.

Choice D rationale:

Instructing the client to take slow, deep breaths to prevent further complications is incorrect. The client's condition requires urgent medical intervention, and slow, deep breaths would not address the acute issue of increased intrathoracic pressure and compromised lung function.

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.