The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

The diet stresses high-protein and low-carbohydrate intake, but people adapt to the restrictions.

You will require special foods, but stores now stock a variety of choices for people with diabetes.

Your diet will be a well-balanced, individualized meal plan that is healthy for your whole family.

Sugars and fats need to be avoided, but the dietitian will help you find acceptable alternatives.

Answer and Explanation

The Correct Answer is C

C. Medical nutrition therapy for diabetes involves creating a well-balanced, individualized meal plan that meets the patient's nutritional needs while helping to manage blood glucose levels. This approach can be healthy for the entire family and does not require separate meals or special foods. It promotes overall healthy eating habits that everyone can benefit from.
A. Low-carbohydrate diets may be considered for some patients but the emphasis of a diabetic diet is not necessarily on high-protein intake. Instead, the focus is on balanced meals that include appropriate amounts of carbohydrates, proteins, and fats.
B. People with diabetes do not require special foods; rather, they need to make healthier choices from the foods available. The emphasis is on a balanced diet that can include regular foods, with modifications to portion sizes and meal timing to manage blood glucose levels effectively.
D. It is not necessary to completely avoid sugars and fats; rather, the focus should be on moderating intake and choosing healthier options. For example, limiting added sugars and unhealthy fats (like trans fats and saturated fats) is important, but healthy fats (such as those from nuts, seeds, and avocados) can be part of a balanced diet.

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Correct Answer is A

Explanation

A. Lean proteins like baked turkey breast are generally well-tolerated by individuals with GERD. Turkey is low in fat, which reduces the likelihood of triggering reflux symptoms.
B. Spaghetti with red sauce can be problematic for individuals with GERD due to the acidity of the tomato sauce, which can exacerbate reflux symptoms. Tomato-based foods are often best avoided or consumed in moderation by those with GERD.
C. Corned beef brisket is high in fat, which can increase the risk of reflux symptoms. Fatty foods, especially those high in saturated fat like corned beef, are known triggers for GERD.
D. Citrus flavors, including lemon, can trigger reflux symptoms in some individuals. However, if the dish is prepared with a small amount of lemon pepper seasoning and does not cause symptoms for the individual, it may be acceptable.

A. Most complications involve either the large or tiny vessels of the body. B. Type 1 diabetics are at greatest risk for complications even with tight control. C. Patients with HbA1c levels below 6.9% are less likely to experience complications. D. Chronic hypoglycemia causes a variety of serious complications.

Correct Answer is A

Explanation

A. Diabetes can lead to damage of blood vessels throughout the body, both large and small. Complications can affect various organs and systems, including the heart, kidneys, eyes, and nerves. Damage to both large vessels (macrovascular complications) and tiny vessels (microvascular complications) contributes to the diverse range of complications associated with diabetes.
B. Both type 1 and type 2 diabetes increase the risk of long-term complications, but the specific risks and patterns of complications may differ between the two types. While individuals with type 1 diabetes may face challenges in achieving tight glycemic control due to the complete absence of endogenous insulin production, tight control can significantly reduce the risk of complications in both type 1 and type 2 diabetes.
C. Lower HbA1c levels indicate better overall glycemic control and are associated with reduced risk of long-term complications. However, achieving tight glycemic control should be balanced with the risk of hypoglycemia and individual patient factors.
D. Hypoglycemia can also lead to increased risk of cardiovascular events and mortality in individuals with diabetes. Therefore, it is important to balance glycemic control to minimize the risk of hypoglycemia while also reducing the risk of hyperglycemia-related complications.

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The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

The nurse is preparing to teach about the long-term complications for patients diagnosed with diabetes. Which finding is accurate?

Correct Answer is A

Explanation

The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?

After change of shift, the nurse has the following patients on her assignment. Which one should she see first?

The patient with emphysema comes to the emergency department with difficulty breathing. What finding should the nurse anticipate during data collection? Select all that apply

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?

Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply. (Select All that Apply.)

What type of cells secrete glucagon?