A nurse is teaching a client who is receiving enteral nutrition via bolus feedings. Which of the following statements by the client indicates an understanding of the teaching?

A. "This lab measures your average blood glucose over a 3-month period." The hemoglobin A1c test reflects the average blood glucose levels over the past 2 to 3 months by measuring the percentage of glucose attached to hemoglobin in red blood cells. Since red blood cells have a lifespan of about 120 days, this test provides a long-term view of glycemic control.
B. "An increase in your hemoglobin A1c level indicates glycemic control." An increase in hemoglobin A1c levels actually indicates poor glycemic control, not improvement. Higher values mean blood glucose has been elevated over time, which can lead to complications such as neuropathy, nephropathy, and retinopathy in diabetic patients.
C. "This lab value is a good indicator of short-term nutritional status." The hemoglobin A1c test is not used to assess short-term nutritional status. Instead, it measures long-term blood glucose trends. For evaluating short-term changes in nutrition, blood glucose logs or postprandial glucose readings are better tools to use.
D. "You will need to fast before getting this test." Fasting is not required for the hemoglobin A1c test. The result is not affected by recent food intake, making it convenient for patients. This feature makes it more practical than fasting plasma glucose or oral glucose tolerance tests when assessing overall glycemic control in diabetes management.

A. "I will eat something when I feel hungry." Responding to true physical hunger is a principle of mindful eating, which supports weight loss by preventing overeating due to emotional or external cues. Recognizing and honoring hunger promotes better portion control and sustainable eating habits.
B. "I will peel apples before I eat them." Apple peels contain fiber, which increases satiety and supports digestive health. Removing the peel reduces fiber content, which may make the snack less filling and hinder weight management efforts.
C. "I will eliminate carbohydrates from my diet." Eliminating carbohydrates completely is not recommended for healthy weight loss. Balanced diets that include whole grains, fruits, and vegetables support long-term weight management and provide essential nutrients.
D. "I will use corn oil when frying foods." Frying foods, regardless of the type of oil, increases calorie density and may not support weight loss. Healthier cooking methods like baking, steaming, or grilling are preferred for reducing fat intake and promoting weight control.