A nurse is teaching a client diagnosed with diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?
"Most of my calories each day should be from fats."
"Protein should be my main source of calories."
"I should eat more calories from complex carbohydrates than anything else."
"Simple sugars are needed more than other calorie sources."
The Correct Answer is C
A. While fats are an essential part of the diet, they should not provide the majority of calories, especially in a diabetic diet.
B. While protein is important, it should not be the main source of calories in the diet for someone with diabetes.
C. Complex carbohydrates, such as whole grains, fruits, and vegetables, should provide the majority of calories in a diabetic diet as they have a lesser impact on blood sugar levels compared to simple sugars.
D. Simple sugars should be limited in a diabetic diet as they can cause rapid spikes in blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Testing the client's emesis for blood is important but may not provide immediate information about the client's current status. Assessment of orthostatic blood pressure takes precedence as it can indicate significant blood loss and the need for immediate intervention.
B. Assessing orthostatic blood pressure is the priority action because it provides information about the client's volume status and potential hypovolemia due to gastrointestinal bleeding.
C. Explaining the procedure for an upper gastrointestinal series is important for diagnostic purposes but is not the priority in the acute management of gastrointestinal bleeding.
D. Administering pain medication may be necessary but is not the priority action. Assessing and stabilizing the client's condition take precedence.
Correct Answer is D
Explanation
A. Hepatotoxic medications can contribute to liver damage but are not a primary cause of biliary cirrhosis. However, they can contribute to cirrhosis through other mechanisms.
B. Hepatitis C is a viral infection that primarily affects the liver and can lead to cirrhosis, but it is not specifically classified as a cause of biliary cirrhosis.
C. Excessive alcohol consumption can cause alcoholic liver disease, which may progress to
cirrhosis, but it is not directly related to biliary cirrhosis, which is characterized by damage to the bile ducts.
D. Biliary cirrhosis, also known as primary biliary cirrhosis (PBC) or primary biliary cholangitis (PBC), is a chronic liver disease characterized by progressive destruction of the bile ducts in the liver. Obstruction of the bile ducts contributes to the development of biliary cirrhosis.
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