A client who is transferred to the medical unit following a myocardial infarction has a prescription for a cardiac diet. The client points to the lunch tray and tells the nurse, “This hamburger has no flavor, it makes it hard to eat.” Which selection is best for the nurse to suggest the client use to improve the taste of the hamburger?

Choice A reason:

Keeping a record of food and drinks consumed daily is an effective initial approach to weight loss. This practice helps the client become more aware of their eating habits and identify areas for improvement. Tracking food intake can reveal patterns of overeating, emotional eating, or consumption of high-calorie foods. This awareness is crucial for making informed dietary changes and setting realistic weight loss goals.

Choice B reason:

Participating in a group exercise class 3 times a week is beneficial for weight loss and overall health, but it may not be the best initial step. Exercise is important, but understanding and modifying dietary habits is often more impactful in the early stages of a weight loss plan. Combining dietary changes with regular exercise is ideal, but starting with food tracking can provide a solid foundation.

Choice C reason:

Engaging in strenuous activity for an hour daily can be overwhelming for someone just beginning a weight loss journey. It is important to start with manageable changes to avoid burnout and injury. Gradually increasing physical activity levels is more sustainable and effective in the long term.

Choice D reason:

Planning low carbohydrate and high protein meals can be part of a weight loss strategy, but it should be tailored to the individual’s preferences and needs. Without understanding the client’s current eating habits, it is difficult to recommend specific dietary changes. Starting with food tracking allows for personalized and effective dietary adjustments.

Choice C reason:

Avocado is a low-carbohydrate food that is high in healthy fats, making it an excellent choice for someone with type 2 diabetes. It does not contain refined sugars or high levels of carbohydrates, which can cause blood sugar spikes. Avocados also provide fiber, which helps in managing blood glucose levels. This choice indicates that the client understands the importance of selecting foods that do not adversely affect their blood sugar levels.

Choice A reason:

Grapes contain natural sugars and can raise blood glucose levels, making them less ideal for someone with type 2 diabetes who needs to manage their carbohydrate intake carefully. While they can be consumed in moderation, they are not the best choice for avoiding refined sugars and carbohydrates.

Choice B reason:

Potatoes are high in carbohydrates and can cause significant increases in blood glucose levels. They are not recommended for someone with type 2 diabetes who is trying to avoid refined sugars and high-carbohydrate foods. Choosing potatoes would indicate a misunderstanding of the dietary guidelines provided.

Choice D reason:

Pretzels are typically made from refined flour and contain high levels of carbohydrates, which can lead to blood sugar spikes. They are not suitable for someone with type 2 diabetes who needs to avoid refined sugars and carbohydrates. Selecting pretzels would suggest that the client does not fully understand the dietary recommendations.