The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

The diet stresses high-protein and low-carbohydrate intake, but people adapt to the restrictions.

You will require special foods, but stores now stock a variety of choices for people with diabetes.

Your diet will be a well-balanced, individualized meal plan that is healthy for your whole family.

Sugars and fats need to be avoided, but the dietitian will help you find acceptable alternatives.

Answer and Explanation

The Correct Answer is C

C. Medical nutrition therapy for diabetes involves creating a well-balanced, individualized meal plan that meets the patient's nutritional needs while helping to manage blood glucose levels. This approach can be healthy for the entire family and does not require separate meals or special foods. It promotes overall healthy eating habits that everyone can benefit from.
A. Low-carbohydrate diets may be considered for some patients but the emphasis of a diabetic diet is not necessarily on high-protein intake. Instead, the focus is on balanced meals that include appropriate amounts of carbohydrates, proteins, and fats.
B. People with diabetes do not require special foods; rather, they need to make healthier choices from the foods available. The emphasis is on a balanced diet that can include regular foods, with modifications to portion sizes and meal timing to manage blood glucose levels effectively.
D. It is not necessary to completely avoid sugars and fats; rather, the focus should be on moderating intake and choosing healthier options. For example, limiting added sugars and unhealthy fats (like trans fats and saturated fats) is important, but healthy fats (such as those from nuts, seeds, and avocados) can be part of a balanced diet.

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Correct Answer is D

Explanation

D. Alpha cells, also known as A cells, are a type of pancreatic islet cell (or islet of Langerhans cell) that secretes glucagon. Glucagon plays a crucial role in increasing blood sugar levels by promoting the breakdown of glycogen in the liver and stimulating the release of glucose into the bloodstream.
A. Plasma cells are a type of white blood cell that produces antibodies as part of the immune response. They are not involved in the production of glucagon.
B. Acinar cells are exocrine cells found in the pancreas that secrete digestive enzymes into the pancreatic ducts. These enzymes aid in the digestion of food in the small intestine. Acinar cells are not involved in the production of glucagon.

C. Beta cells are another type of cell in the pancreas, but they secrete insulin, not glucagon. Insulin is responsible for lowering blood sugar levels by promoting the uptake of glucose into cells for energy or storage.

A. "I will hold my breath at least 10 seconds after inhaling the medication." B. "I will wait 10 min between each inhalation." C. "I will hold the inhaler with my non-dominant hand." D. "I will tilt my head forward while inhaling the medication."

Correct Answer is A

Explanation

A. Holding the breath for at least 10 seconds after inhaling the medication allows the medication to settle in the lungs and increases its effectiveness. This ensures maximum delivery of the drug to the respiratory tract.
B. The recommended time to wait between inhalations is typically around 1 to 2 minutes, not 10 minutes. Waiting too long between puffs may reduce the effectiveness of the medication and is not necessary.
C. There is no specific recommendation that the inhaler must be held with the non-dominant hand. The inhaler should be held in the hand that feels most comfortable and provides the best control, which is usually the dominant hand for most people.
D. The correct technique involves tilting the head slightly back to open the airway, making it easier for the medication to reach the lungs. Tilting the head forward could restrict the airflow and reduce the effectiveness of the inhalation.

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The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What type of cells secrete glucagon?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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