A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

Encourage the client to talk about reasons for desiring to lose weight.

Ask if using the glycemic index has helped the client stay on track with weight loss goals.

Advise the client to seek medical supervision before using the glycemic index.

Discuss the benefits and limitations of using the glycemic index.

Answer and Explanation

The Correct Answer is D

Choice D reason:

Discussing the benefits and limitations of using the glycemic index is important because it provides the client with a comprehensive understanding of how this tool can aid in weight loss and overall health. The glycemic index measures how quickly foods raise blood sugar levels, which can help in selecting foods that promote stable blood sugar and sustained energy. However, it is also important to understand that the glycemic index does not account for portion sizes or the nutritional content of foods, so it should be used as part of a broader dietary strategy.

Choice A reason:

Encouraging the client to talk about reasons for desiring to lose weight is supportive and can help in understanding the client’s motivations. However, it does not directly address the client’s plan to use the glycemic index for weight loss. The focus should be on providing specific guidance related to the glycemic index.

Choice B reason:

Asking if using the glycemic index has helped the client stay on track with weight loss goals is a good follow-up question but does not provide the necessary information or guidance about the glycemic index itself. The nurse should first ensure the client understands how to use the glycemic index effectively.

Choice C reason:

Advising the client to seek medical supervision before using the glycemic index is generally good advice, especially for individuals with specific health conditions. However, it is more practical to provide immediate information about the glycemic index and its use, while also recommending medical supervision if needed.

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Correct Answer is A

Explanation

Choice A reason:

Informing the client that oatmeal contains gluten is crucial because individuals with celiac disease must avoid gluten to prevent damage to their intestines. Oats are often contaminated with gluten during processing, making them unsafe for those with celiac disease unless they are specifically labeled gluten-free. This information is vital for the client to make safe dietary choices and avoid potential health complications.

Choice B reason:

Encouraging the client to choose decaffeinated coffee is beneficial but not the most critical action. While decaffeinated coffee can reduce caffeine intake, which might be helpful for some individuals, it does not address the immediate concern of gluten consumption. The primary focus should be on ensuring the client avoids gluten-containing foods to manage their celiac disease effectively.

Choice C reason:

Commending the client for selecting fat-free milk is positive reinforcement but not the most important action. Fat-free milk can be a healthy choice, but it does not directly impact the management of celiac disease. The nurse’s priority should be to inform the client about the potential gluten content in their meal to prevent any adverse reactions.

Choice D reason:

Advising the client that too much fruit can irritate the colon is relevant for individuals with certain digestive conditions, but it is not the primary concern for someone with celiac disease. The immediate priority is to ensure the client avoids gluten, which poses a direct risk to their health. Once gluten avoidance is addressed, other dietary considerations can be discussed.

A. Pickles and yellow mustard. B. Tomatoes and fresh horseradish. C. Cheese and ketchup. D. Bacon and mayonnaise.

Correct Answer is B

Explanation

Choice B reason:

Tomatoes and fresh horseradish are the best options to improve the taste of the hamburger while adhering to a cardiac diet. Tomatoes are low in sodium and provide vitamins and antioxidants. Fresh horseradish adds flavor without adding significant amounts of sodium or unhealthy fats. This combination enhances the taste of the hamburger without compromising the dietary restrictions necessary for heart health.

Choice A reason:

Pickles and yellow mustard can add flavor, but pickles are high in sodium, which is not suitable for a cardiac diet. High sodium intake can increase blood pressure and strain the heart, making this option less ideal.

Choice C reason:

Cheese and ketchup can improve the taste, but cheese is high in saturated fats and sodium, which are not recommended for a cardiac diet. Ketchup also contains added sugars and sodium, making this combination less suitable for heart health.

Choice D reason:

Bacon and mayonnaise are high in saturated fats and sodium, which are not appropriate for a cardiac diet. These ingredients can increase cholesterol levels and blood pressure, posing risks to heart health.

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A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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