The major goal of medical nutrition therapy for clients with diabetes mellitus is to:
reduce serum lipid levels
maintain as near-normal a blood glucose level as possible
improve health through optimal nutrition
wean insulin-dependent clients with diabetes from insulin through diet control
The Correct Answer is B
A. Reduce serum lipid levels: While managing lipid levels is important for clients with diabetes, it is not the primary goal of medical nutrition therapy (MNT). The main focus is on blood glucose control rather than just lipid management.
B. Maintain as near-normal a blood glucose level as possible: The primary goal of MNT for clients with diabetes mellitus is to achieve and maintain near-normal blood glucose levels to prevent complications such as retinopathy, neuropathy, and cardiovascular disease.
C. Improve health through optimal nutrition: While optimal nutrition is important for overall health, the main objective of MNT in diabetes is focused on blood glucose control. Proper nutrition contributes to overall health, but it is not the sole goal.
D. Wean insulin-dependent clients with diabetes from insulin through diet control: While diet control can help manage blood glucose, it is unlikely to completely eliminate the need for insulin in insulin-dependent clients with type 1 diabetes.
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Related Questions
Correct Answer is A
Explanation
A. "Iodized salt helps prevent the development of goiters in the United States.": Iodine deficiencyis a primary cause of goiter, and in the United States, the widespread use of iodized salthas significantly reduced the incidence of goiters.
B. "It is because of the screening techniques used in the United States.": While screening for thyroid disorders is important, it is not the primary reason for the lower incidence of goiters. The main reason is the availability of iodinethrough iodized salt.
C. "The medications available in the United States decrease goiters.": Medications like thyroid hormone replacements can help manage thyroid disorders, but they do not directly prevent goiters. The reduction in goiters is mainly due to dietary iodine availability.
D. "It is a genetic predisposition rare in North Americans.": While genetic factors can play a role in thyroid disorders, iodine deficiencyis the primary cause of goiters worldwide. Iodine deficiencyis less common in the United States due to iodized salt, not genetic predisposition.
Correct Answer is D
Explanation
A. Hyperglycemia occurring on "sick days": Glucagon is not used to treat hyperglycemia. During "sick days," clients with diabetes may experience elevated blood glucose levels, but glucagon is not for managing hyperglycemia. Instead, insulin adjustments are made.
B. Diabetic ketoacidosis: Glucagon is not used to treat diabetic ketoacidosis (DKA). DKA is a severe complication of diabetes often caused by insulin deficiency, and it requires insulin therapy and fluid management to correct the underlying issues.
C. Hyperglycemia from insufficient insulin: Glucagon is not used for hyperglycemia due to insufficient insulin. The treatment for this condition is typically insulin therapy to lower blood glucose levels.
D. Hypoglycemia from insulin overdose: Glucagon is used to treat hypoglycemia caused by an insulin overdose, as it helps to raise blood glucose levels quickly by stimulating the liver to release glucose into the bloodstream. It is essential for managing severe hypoglycemia.
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