A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following information resources should the nurse provide to the client?
Personal blogs about managing the adverse effects of diabetes medications.
Food label recommendations from the Institute of Medicine.
Food exchange lists for meal planning from the American Diabetes Association.
Diabetes medication information from the Physicians’ Desk Reference.
The Correct Answer is C
Choice A reason: Personal blogs are unreliable, lacking evidence-based guidance for diabetes management, risking misinformation. ADA food exchange lists are credible. Providing blogs risks client confusion or harmful practices, critical to avoid in ensuring accurate, safe dietary education for type 2 diabetes mellitus management.
Choice B reason: The Institute of Medicine does not provide specific food label recommendations for diabetes; ADA exchange lists are standard. Assuming IOM resources are appropriate risks inadequate dietary guidance, potentially affecting glycemic control, critical to prevent in supporting effective diabetes self-management at discharge.
Choice C reason: ADA food exchange lists provide evidence-based meal planning, helping clients manage type 2 diabetes through balanced carbohydrate intake. This resource is critical for glycemic control, promoting adherence, ensuring nutritional education, and supporting long-term health, essential for effective diabetes management post-discharge.
Choice D reason: The Physicians’ Desk Reference provides medication details but not dietary guidance, unlike ADA exchange lists for diabetes meal planning. Assuming PDR is sufficient risks neglecting nutritional education, critical to avoid in ensuring comprehensive diabetes self-management and glycemic control at discharge.
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Correct Answer is D
Explanation
Choice A reason: Pork is prohibited in Islam (haram), and including it during Ramadan violates dietary laws, disrespecting the client’s faith. Scheduling meals after sundown respects fasting. Offering pork risks cultural insensitivity, potentially causing distress, critical to avoid in ensuring respectful, patient-centered care during Ramadan.
Choice B reason: Avoiding red meat is not a Ramadan or Islamic requirement; Muslims may consume halal red meat after sundown. Scheduling meals post-sundown is key. Assuming red meat avoidance risks unnecessary dietary restriction, potentially affecting nutrition, critical to prevent in supporting client health during fasting periods.
Choice C reason: Waiting 1 hour after dairy to serve poultry is not an Islamic dietary rule; it may reflect kosher practices. Scheduling meals after sundown aligns with Ramadan fasting. This assumption risks cultural confusion, delaying meals, critical to avoid in ensuring timely nutrition for Muslim clients during Ramadan.
Choice D reason: Scheduling meals after sundown respects Ramadan fasting, when Muslims eat during non-daylight hours (iftar). This ensures nutritional needs are met, critical for health, maintaining cultural sensitivity, and supporting client comfort, aligning with patient-centered care principles for devout Muslims observing Ramadan in healthcare settings.
Correct Answer is B
Explanation
Choice A reason: Playing with a jump rope requires advanced coordination, typical of older children, not 30-month-olds, who engage in simpler play like trucks. Assuming jump rope is appropriate risks overestimating development, potentially frustrating the child, critical to avoid in supporting age-appropriate activities for toddlers.
Choice B reason: Playing with a large plastic truck is developmentally appropriate for a 30-month-old, supporting gross motor and imaginative play, critical for cognitive and physical development. This activity aligns with toddler abilities, essential for fostering engagement, creativity, and motor skills in early childhood care settings.
Choice C reason: Imaginary friends typically emerge around 3-4 years, not at 30 months, when simpler play like trucks is common. Assuming imaginary play is expected risks misjudging development, potentially overlooking age-appropriate activities, critical to prevent in supporting toddler engagement and growth.
Choice D reason: Dress-up play is more typical for preschoolers (3-5 years), requiring advanced imagination beyond 30-month-olds, who prefer trucks. Assuming dress-up is appropriate risks developmental mismatch, potentially reducing engagement, critical to avoid in ensuring age-appropriate activities for toddlers in care settings.
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