A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

Encourage the client to talk about reasons for desiring to lose weight.

Ask if using the glycemic index has helped the client stay on track with weight loss goals.

Advise the client to seek medical supervision before using the glycemic index.

Discuss the benefits and limitations of using the glycemic index.

Answer and Explanation

The Correct Answer is D

Choice D reason:

Discussing the benefits and limitations of using the glycemic index is important because it provides the client with a comprehensive understanding of how this tool can aid in weight loss and overall health. The glycemic index measures how quickly foods raise blood sugar levels, which can help in selecting foods that promote stable blood sugar and sustained energy. However, it is also important to understand that the glycemic index does not account for portion sizes or the nutritional content of foods, so it should be used as part of a broader dietary strategy.

Choice A reason:

Encouraging the client to talk about reasons for desiring to lose weight is supportive and can help in understanding the client’s motivations. However, it does not directly address the client’s plan to use the glycemic index for weight loss. The focus should be on providing specific guidance related to the glycemic index.

Choice B reason:

Asking if using the glycemic index has helped the client stay on track with weight loss goals is a good follow-up question but does not provide the necessary information or guidance about the glycemic index itself. The nurse should first ensure the client understands how to use the glycemic index effectively.

Choice C reason:

Advising the client to seek medical supervision before using the glycemic index is generally good advice, especially for individuals with specific health conditions. However, it is more practical to provide immediate information about the glycemic index and its use, while also recommending medical supervision if needed.

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Correct Answer is A

Explanation

A. High protein soft diet is recommended for clients undergoing chemotherapy, especially those with stomatitis. This diet includes soft foods that are easy to chew and swallow, and it provides the necessary protein to help maintain muscle mass and support healing. Foods such as scrambled eggs, yogurt, and smoothies are good options.

B. Low residue diet is designed to reduce the amount of fiber and residue in the digestive tract, which can be helpful for certain gastrointestinal conditions. However, it is not specifically tailored to address the needs of a client with stomatitis and significant weight loss due to chemotherapy.

C. Pureed regular diet involves blending foods to a smooth consistency, which can be helpful for clients with severe swallowing difficulties. However, it may not provide the necessary protein and nutrients required for a client undergoing chemotherapy and experiencing significant weight loss.

D. Mechanical soft diet includes foods that are easy to chew and swallow but may not be as high in protein as a high protein soft diet. While it can be beneficial for clients with chewing difficulties, it may not fully meet the nutritional needs of a client with significant weight loss and stomatitis.

A. Avoid foods high in potassium. B. Restrict sodium-rich foods and excessive oral fluids. C. Eat a high-protein diet three times a day. D. Follow a low carbohydrate diet with low glycemic index foods.

Correct Answer is B

Explanation

Choice B reason:

Restricting sodium-rich foods and excessive oral fluids is crucial for managing glomerulonephritis. This condition involves inflammation of the glomeruli in the kidneys, which can lead to fluid retention and high blood pressure. Limiting sodium intake helps reduce fluid retention and manage blood pressure, which is essential for protecting kidney function.

Choice A reason:

Avoiding foods high in potassium is important for some kidney conditions, but it is not the primary concern for glomerulonephritis. The focus should be on managing fluid and sodium intake to prevent complications.

Choice C reason:

Eating a high-protein diet three times a day is not recommended for glomerulonephritis, as excessive protein can strain the kidneys. The goal is to protect kidney function by avoiding excessive protein intake.

Choice D reason:

Following a low carbohydrate diet with low glycemic index foods can be beneficial for overall health, but it is not the primary dietary concern for glomerulonephritis. The focus should be on managing sodium and fluid intake to protect kidney function.

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A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving antineoplastic chemotherapy has lost 25% of total body weight and is having difficulty eating because of stomatitis. In planning care for this client, which diet should the nurse recommend?

Correct Answer is A

Explanation

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon return. Which dietary teaching should the nurse include in the discharge instructions?

Correct Answer is B

Explanation

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