Patient Data
The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals. Which 3 responses should the diabetic nurse educator provide?
Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
Avoid foods high in refined sugars.
Eliminate the bedtime snack if heartburn develops after eating.
Increase the percentage of protein in the diet if anemia develops.
Choose complex carbohydrates that are high in fiber content.
Correct Answer : A,B,E
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying well-hydrated is important for overall health and can help manage blood sugar levels. Adequate fluid intake also supports kidney function and helps flush excess glucose from the body.
B. Avoid foods high in refined sugars: Foods high in refined sugars can cause rapid spikes in blood glucose levels. Avoiding these foods helps maintain better blood sugar control and prevents hyperglycemia.
C. Eliminate the bedtime snack if heartburn develops after eating: While avoiding bedtime snacks may help with heartburn, it is essential to manage blood sugar levels effectively. A bedtime snack may be necessary for maintaining stable glucose levels overnight, and alternatives or adjustments should be considered.
D. Increase the percentage of protein in the diet if anemia develops: While protein is important, increasing it solely to address anemia may not be the best approach. Anemia requires a balanced diet with adequate iron and other nutrients. Specific dietary recommendations should be tailored based on comprehensive assessment and guidance from a healthcare provider.
E. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, especially those high in fiber, are digested more slowly and have a more gradual effect on blood sugar levels. Fiber helps with glucose control and provides sustained energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.
B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.
C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.
D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.
Correct Answer is B
Explanation
A. The UAP should not make medication decisions; only a nurse or healthcare provider should do this after assessment.
B. The nurse should evaluate the client’s heart rhythm to determine the effectiveness of the amiodarone and to assess for any arrhythmias or side effects of the medication.
C. Checking the regularity of peripheral pulses is important but secondary to assessing the heart rhythm directly.
D. Restarting the IV infusion might be necessary if there are issues with the IV site, but the primary concern is the client's cardiac status.
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