A client with Cushing's syndrome is receiving education about dietary changes from the nurse. Which statement by the patient demonstrates the need for further teaching?
"I can eat a salad with oil and vinegar dressing"
"I can cook soup using canned vegetables"
"I can eat dried fruit for breakfast with my oatmeal"
"I can eat baked chicken with green beans for dinner"
The Correct Answer is C
A. "I can eat a salad with oil and vinegar dressing":
Explanation: This statement is correct. A salad with oil and vinegar dressing is a healthy option, and the patient does not need to avoid this.
B. "I can cook soup using canned vegetables":
Explanation: This statement is generally acceptable. However, the patient should be aware of the sodium content in canned vegetables and choose low-sodium options to manage fluid retention, which can be a concern in Cushing's syndrome.
C. "I can eat dried fruit for breakfast with my oatmeal":
Explanation: This statement is questionable. Dried fruits may have higher sugar content and can contribute to an increase in calorie intake. In Cushing's syndrome, where there may be weight gain, it's advisable to choose fresh fruits over dried ones.
D. "I can eat baked chicken with green beans for dinner":
Explanation: This statement is correct. Baked chicken with green beans is a healthy and balanced option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. With the meal:
Insulin Lispro is a rapid-acting insulin that is designed to be taken just before or with meals.
It helps control the rise in blood sugar that occurs after eating.
B. Post-prandial:
"Post-prandial" refers to after a meal. Insulin Lispro is usually administered before or with a meal to cover the increase in blood glucose that happens after eating.
C. Pre-prandial:
"Pre-prandial" refers to before a meal. This is accurate for Insulin Lispro, as it is given shortly before or with meals.
D. AC/HS:
"AC" stands for "ante cibum," which means before meals, and "HS" stands for "hora somni," which means at bedtime. This terminology is more commonly associated with the timing of oral medications rather than insulin.
Correct Answer is B
Explanation
A. To prevent post-prandial hypoglycemia:
This statement is not accurate. Insulin Lispro is a rapid-acting insulin used for mealtime coverage to manage post-prandial glucose levels, but it is not given to prevent hypoglycemia.
B. To treat the carbohydrates the client ate:
This statement is more accurate. Insulin Lispro is used to cover the rise in blood sugar that occurs after meals. It helps regulate glucose levels by managing the effect of ingested carbohydrates.
C. To treat the client's blood glucose level:
This statement is generally correct. Insulin Lispro is administered to manage and lower elevated blood glucose levels, especially in response to meals.
D. As a basal dose to prevent hyperglycemia for up to 24 hours:
This statement is incorrect. Insulin Lispro is a rapid-acting insulin and is not used for basal (long-acting) coverage. Basal insulin is usually provided by long-acting insulin formulations.
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