Exhibits
The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals.
Which 3 responses should the diabetic nurse educator provide?
Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
Eliminate the bedtime snack if heartburn develops after eating.
Choose complex carbohydrates that are high in fiber content.
Increase the percentage of protein in the diet if anemia develops.
Avoid foods high in refined sugars.
Correct Answer : A,C,E
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily: Staying hydrated is important, especially for a pregnant woman with gestational diabetes. Adequate fluid intake helps manage blood glucose levels and prevents dehydration.
B. Eliminate the bedtime snack if heartburn develops after eating: While heartburn is a common issue during pregnancy, it’s not specifically related to gestational diabetes. Instead of eliminating the bedtime snack, the client could be advised to choose lighter, non-acidic snacks.
C. Choose complex carbohydrates that are high in fiber content: Complex carbohydrates, such as whole grains, legumes, and vegetables, have a lower glycemic index compared to refined carbs. They are digested more slowly and help regulate blood sugar levels.
D. Increase the percentage of protein in the diet if anemia develops: If anemia develops, increasing iron-rich foods (not just protein) is essential. Iron-rich foods like leafy greens, red meat, and legumes should be emphasized, as protein alone may not address iron deficiencies.
E. Avoid foods high in refined sugars: Refined sugars cause rapid spikes in blood glucose levels, which can worsen gestational diabetes. It's important to limit these foods to help maintain stable blood sugar levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tell the wife that her husband's neurologist would know more about alternative treatments to cure Parkinsonism: There are no cures for Parkinson's disease, and suggesting that alternative treatments could cure it could create unrealistic expectations.
B. Explain that there are no known conventional, alternative, or complimentary therapies that cure Parkinson's disease: This response provides accurate information while being honest about the limitations of current treatments for Parkinson's disease.
C. Compile a list of alternative medications that are effective in curing Parkinson's disease: No alternative or conventional medications currently cure Parkinson’s disease. The nurse should avoid suggesting potential cures that are not based on scientific evidence.
D. Encourage the wife to voice her feelings about having a husband with Parkinson's disease: While this may be supportive for the wife, it does not directly address her question about treatment options. The focus should be on providing accurate information regarding the disease and treatment options.
Correct Answer is D
Explanation
A. Only when a client presents with an unexplained injury: Waiting for physical signs misses many victims, especially those experiencing emotional or sexual abuse without visible injuries.
B. As soon as the clinician suspects a problem: While suspicion should prompt further evaluation, relying on suspicion alone delays early detection and intervention for many at-risk individuals.
C. Once the clinician confirms a history of abuse: Screening is a preventive tool used to detect abuse early; waiting for confirmation defeats the purpose and allows ongoing harm.
D. As a routine part of each health care encounter: Routine screening normalizes the process, reduces stigma, and increases the likelihood of identifying and helping those experiencing IPV.
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