A nurse is teaching a client diagnosed with diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?
"Most of my calories each day should be from fats."
"Protein should be my main source of calories."
"I should eat more calories from complex carbohydrates than anything else."
"Simple sugars are needed more than other calorie sources."
The Correct Answer is C
A. While fats are an essential part of the diet, they should not provide the majority of calories, especially in a diabetic diet.
B. While protein is important, it should not be the main source of calories in the diet for someone with diabetes.
C. Complex carbohydrates, such as whole grains, fruits, and vegetables, should provide the majority of calories in a diabetic diet as they have a lesser impact on blood sugar levels compared to simple sugars.
D. Simple sugars should be limited in a diabetic diet as they can cause rapid spikes in blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
- Straw-colored urine is a normal finding and does not specifically indicate an obstruction of the common bile duct.
- Tenderness in the left upper abdomen may be associated with conditions such as splenic enlargement or pancreatitis but is not typically associated with an obstruction of the common bile duct.
- Ecchymosis of the extremities may indicate bleeding disorders or trauma but is not specifically associated with an obstruction of the common bile duct.
- Obstruction of the common bile duct can result in impaired excretion of bile into the small intestine, leading to malabsorption of fats. This can manifest as fatty stools, which are often bulky, foul-smelling, and difficult to flush.
Correct Answer is A
Explanation
Stopping the infusion and measuring the circumference of both upper arms will help determine if the edema is localized to the arm with the PICC line or if it is bilateral. This assessment will guide further actions.
Applying a cold pack may provide temporary relief for discomfort but does not address the underlying cause of the edema and may not be the most appropriate initial action.
Removing the PICC line should be considered if there are signs of complications such as infection or phlebitis, but it is not the first action to take in response to edema above the insertion site.
Notifying the provider who inserted the PICC line is important, but it should not delay immediate assessment and intervention to address the edema and potential complications.
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