The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?

Recommend an increase in caloric intake to avoid excessive weight loss.

Reassure the parents that increased physical activity reduces the risk for diabetes.

Suggest a less strenuous activity to reduce the risk for dehydration.

Instruct the family about the need to adjust the insulin dose before exercise.

Answer and Explanation

The Correct Answer is B

A.   Recommend an increase in caloric intake to avoid excessive weight loss. While regular physical activity can increase caloric expenditure, it is not typically associated with excessive weight loss, especially in children. Prediabetes management focuses on lifestyle changes such as increased physical activity and healthy eating habits rather than increasing caloric intake.
B.   Reassure the parents that increased physical activity reduces the risk for diabetes. Regular physical activity is beneficial for individuals with prediabetes as it improves insulin sensitivity, helps control weight, and reduces the risk of developing type 2 diabetes.
C.   Suggest a less strenuous activity to reduce the risk for dehydration. Soccer can be a physically demanding sport, but proper hydration practices can help prevent dehydration. Encouraging the child to drink plenty of fluids before, during, and after soccer practice or games can help
maintain hydration levels.

D. Instruct the family about the need to adjust the insulin dose before exercise. Prediabetes typically does not require insulin therapy. However, if the child progresses to diabetes and requires insulin, adjustments to insulin doses may be necessary to prevent hypoglycemia during exercise, but this is not relevant to the current scenario.

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Correct Answer is C

Explanation

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B. Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C. An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D. Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

A. Potatoes. B. Pretzels. C. Grapes. D. Avocado.

Correct Answer is D

Explanation

A. Potatoes. Potatoes are high in carbohydrates and can raise blood sugar levels quickly, so they should be eaten in moderation or avoided in a diet aimed at controlling blood sugar.
B. Pretzels. Pretzels are made from refined flour and are high in carbohydrates, making them unsuitable for someone who needs to avoid refined sugars and carbs.
C. Grapes. Grapes, although a natural source of sugar, are high in simple sugars and can impact blood sugar levels significantly.
D. Avocado. Avocado is low in carbohydrates and high in healthy fats and fiber, making it a suitable choice for someone managing their blood sugar levels by avoiding refined sugars and carbohydrates.

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The parents of a child with prediabetes report to the nurse that the child wants to join a soccer team. Which information is best for the nurse to offer the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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