Review H and P, nurse's note, and laboratory results.
Click to mark whether the client statement indicates understanding or no understanding of the education given
"If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits."
"I can never eat sugar again."
"Making these changes will also help me avoid other chronic health conditions."
"If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked."
"If I make the changes we talked about, I will not get type 2 diabetes."
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Understanding;
"Making these changes will also help me avoid other chronic health conditions."
"If I have symptoms like increased thirst and urination, I should come in and get my blood sugar checked."
No understanding;
"If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, I can go back to my usual eating habits."
"I can never eat sugar again."
"If I make the changes we talked about, I will not get type 2 diabetes."
Understanding
Adherence to the DASH diet reduces the risk of diabetes mellitus as well as other conditions such as myocardial infarction, hypertension and stoke
Overt diabetes mellitus presents with polyuria and polydipsia due to osmotic diuresis- the presence of increased glucose excreted in the urine exert an osmotic pressure, drawing water into the urine and increasing its volume.
No understanding
Having a normal fasting blood glucose is a good finding. However, resumption of poor eating habits increases the risk of diabetes mellitus moving forward. Also, there are other diagnostic criteria foe diabetes mellitus apart form fasting blood glucose such as OGTT, HbA1c
It is okay for the client to consume unrefined sugar without increased risk of diabetes mellitus. Refined sugars, however, are not recommended.
Adhering to dietary changes lowers the risk of diabetes but does not eliminate it. Other factors including genetics play a role in the development of diabetes mellitus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This intervention is important for assessing the client's respiratory status during and after the seizure. Apnea can cause cardiac arrest and respiratory failure and hence a priority.
B. This intervention is crucial for assessing potential injury to the client's mouth or tongue, which can occur during a seizure due to involuntary muscle movements. However, before assessing for lacerations, the nurse should prioritize ensuring the client's safety.
C. Documenting details of the seizure activity is important for maintaining accurate medical records and providing information to the healthcare team. However, before documenting details of the seizure, the nurse should prioritize ensuring the client's safety and providing immediate assistance during the seizure. Therefore, while documentation is essential, it may not be the first intervention to implement.
D. While evaluating for incontinence is important for addressing the client's immediate needs and ensuring comfort, it may not be the first intervention to implement. The nurse should prioritize ensuring the client's safety and providing immediate assistance during the seizure.
Correct Answer is ["B","C","F"]
Explanation
B. Sugary beverages and juices are major sources of added sugars and can contribute to weight gain, insulin resistance, and an increased risk of type 2 diabetes mellitus. By eliminating these beverages from the diet, the client can reduce their intake of empty calories and excess sugars, which may help improve blood sugar control and reduce the risk of diabetes.
C. Fiber-rich foods, such as fruits, vegetables, whole grains, and legumes, can help improve blood sugar control, promote satiety, and support weight management. Fiber also helps regulate bowel movements and may reduce the risk of developing type 2 diabetes mellitus.
F. Refined grains, such as white bread, white rice, and sugary cereals, have been stripped of their fiber and nutrients during processing, leading to rapid spikes in blood sugar levels. Minimizing the intake of refined grains and opting for whole grains instead can help stabilize blood sugar levels, improve insulin sensitivity, and reduce the risk of type 2 diabetes mellitus.
A. While some studies have suggested that cinnamon may have beneficial effects on blood sugar control, the evidence is limited and inconsistent. Additionally, taking high doses of cinnamon supplements may not be safe for everyone, particularly those with liver disease or taking certain medications.
D. While reducing intake of unhealthy fats, such as saturated and trans fats, is important for overall health and reducing the risk of heart disease, eliminating all fats from the diet is unnecessary and potentially harmful. Healthy fats, such as those found in nuts, seeds, avocados, and olive oil, are essential for nutrient absorption, hormone production, and overall well-being.
E. Increasing protein intake significantly may not be necessary or advisable for this client, especially without knowing their specific dietary needs and preferences. While protein is an important macronutrient for muscle repair and maintenance, doubling the usual amount of protein in the diet may not offer additional benefits and could potentially lead to imbalances in other nutrients.
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