A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

"Be sure to drink sugar-free cranberry juice."

"Excess cranberry juice can be constipating."

"Drinking cranberry juice does not prevent infection."

"Cranberries may increase the effect of insulin."

Answer and Explanation

The Correct Answer is A

A. "Be sure to drink sugar-free cranberry juice." This is important advice for a client with diabetes because regular cranberry juice often contains high levels of added sugars, which can cause blood sugar levels to spike. Choosing sugar-free options helps manage blood glucose
levels more effectively.

B.   "Excess cranberry juice can be constipating." Cranberry juice is not typically associated with causing constipation. This statement is less relevant to the client's concern about preventing urinary tract infections.
C.   "Drinking cranberry juice does not prevent infection." While cranberry juice is not a guaranteed method to prevent UTIs, it is believed to help reduce the risk of infections by preventing bacteria from adhering to the urinary tract. Thus, this statement is partially incorrect.
D.   "Cranberries may increase the effect of insulin." There is no substantial evidence to suggest that cranberries significantly alter the effect of insulin. This statement is not a typical concern associated with cranberry juice consumption.

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Correct Answer is C

Explanation

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B. Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C. An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D. Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

A. Broccoli. B. Ground sirloin. C. Cottage cheese. D. Bananas.

Correct Answer is C

Explanation

A. Broccoli. Broccoli is a low-sodium vegetable and is a good choice for a low-sodium diet.

B. Ground sirloin. While not completely free of sodium, fresh meat like ground sirloin has relatively low sodium content compared to processed or cured meats.
C. Cottage cheese. Cottage cheese is high in sodium, especially processed varieties, and should be limited on a low-sodium diet.
D. Bananas. Bananas are very low in sodium and are safe for a low-sodium diet.

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A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?

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