The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?

Legumes

Grilled chicken

Root vegetables

Mashed potatoes

Answer and Explanation

The Correct Answer is D

A. Legumes (such as beans, lentils, and peas) have a low glycemic index. They are high in fiber and protein, which helps slow the absorption of carbohydrates and keep blood sugar levels stable.
B. Grilled chicken is a protein source and does not significantly affect the glycemic index since proteins do not cause a rise in blood sugar.
C. Root vegetables like carrots, sweet potatoes, and beets generally have a moderate glycemic index. While they do impact blood sugar, they do not cause as significant an increase as high-glycemic foods.
D. Mashed potatoes, especially if prepared without the skin, have a high glycemic index. The processing of potatoes into a mashed form increases their rate of digestion and absorption, causing a more rapid increase in blood sugar levels

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Correct Answer is D

Explanation

A. Gestational diabetes (GDM) is indeed characterized by insulin resistance, which often worsens as the pregnancy progresses. However, the problem is not always a decrease in endogenous insulin but more of a relative insulin resistance in response to the hormones produced during pregnancy.
B. This description is more fitting for other types of diabetes, such as type 2 diabetes, where certain medications or conditions (like pancreatic disease or hormonal issues) can affect insulin production or action. Gestational diabetes is not typically caused by these factors.
C. Gestational diabetes is not caused by antibodies to insulin. It is a form of diabetes that develops during pregnancy due to hormonal changes that lead to insulin resistance. Some women may need insulin therapy to manage it, but this is not due to antibodies to insulin.
D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory. Gestational diabetes typically develops during pregnancy and often resolves after childbirth. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life, even though the condition may resolve postpartum.

A. Active rewarming may increase oxygen demands. B. Electric cords from heating pads can be a choking hazard. C. Heating pads could cause tissue burns. D. Warm blankets are more comforting for the client.

Correct Answer is C

Explanation

A. The statement active rewarming may increase oxygen demands is true for some conditions, like hypothermia, but it is not the primary reason to avoid heating pads for a client with myxedema. While rewarming can increase oxygen demands, the primary concern with heating pads is the risk of burns due to impaired thermoregulation in myxedema.
B. This is not relevant to the scenario. The concern with heating pads is not about choking hazards but about burns and safe rewarming.
C. In myxedema, the body’s ability to regulate temperature and respond to thermal stimuli is impaired due to severe hypothyroidism. This puts the client at a higher risk for burns if heating pads are used. Using warm blankets instead of heating pads ensures a safer, more gradual rewarming process.
D. While warm blankets may indeed be more comforting, the primary reason for using them instead of heating pads is to avoid the risk of burns due to impaired temperature regulation.

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The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?

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Naxlex Comprehensive Predictor Exams

The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

Correct Answer is D

Explanation

The nurse is caring for a client receiving treatment for myxedema. The nurse should explain that warm blankets are used to warm the client instead of heating pads for which of the following reasons?

Correct Answer is C

Explanation

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The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?