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. Nutritional meal planning for older adults should only be planned by a dietitian. While a dietitian can provide valuable expertise in meal planning, it is not necessary for them to be the sole planner. Clients and their spouses can also learn and understand nutritional guidelines to plan meals effectively.
B. Socioeconomics should not be an issue in planning nutritional meals for older adults.

Socioeconomic factors can impact access to and affordability of nutritious foods, making them an important consideration in meal planning.
C. Dietary needs for older adults over and under age 70 are different. Nutritional needs may vary depending on factors such as age, health status, activity level, and underlying medical conditions. It's important for clients and their spouses to understand these differences to plan meals that meet individualized needs.

D. Age is not a factor in determining dietary needs for older adults. Age can indeed influence dietary needs, as nutritional requirements may change with aging, including considerations for maintaining muscle mass, bone health, and managing chronic conditions.

A. Potatoes. B. Pretzels. C. Grapes. D. Avocado.

Correct Answer is D

Explanation

A. Potatoes. Potatoes are high in carbohydrates and can raise blood sugar levels quickly, so they should be eaten in moderation or avoided in a diet aimed at controlling blood sugar.
B. Pretzels. Pretzels are made from refined flour and are high in carbohydrates, making them unsuitable for someone who needs to avoid refined sugars and carbs.
C. Grapes. Grapes, although a natural source of sugar, are high in simple sugars and can impact blood sugar levels significantly.
D. Avocado. Avocado is low in carbohydrates and high in healthy fats and fiber, making it a suitable choice for someone managing their blood sugar levels by avoiding refined sugars and carbohydrates.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?

Correct Answer is C

Explanation

The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

Correct Answer is D

Explanation

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