The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?

The consumption of dairy-based products should be eliminated from the diet.

The consumption of protein products should come from lean meats, nuts, and dried beans.

The consumption of bread products should be gluten-free.

The consumption of fruit and/or vegetables should total between 4 to 6 servings

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

Explanation

Choice A

Low residue diet is incorrect. A low residue diet is typically recommended for individuals with gastrointestinal conditions like inflammatory bowel disease or diverticulitis. This diet limits high-fibre foods to reduce bowel movements and ease digestive stress. However, it might not be the best option for a client with stomatitis who is struggling to eat due to mouth pain.

Choice B

While soft,it doesn't specifically prioritize the high protein content necessary for someone who has lost a quarter of their body weight.

Choice C

While easy to swallow, a regularpureed diet may still include acidic or spicy foods (like citrus or pepper) that would be excruciating for a client with stomatitis.

Choice D

A weight loss of 25% is critical and indicates a state of severe catabolism (muscle wasting). The client requires high protein and high calories to promote tissue repair and counteract the effects of chemotherapy. Stomatitis causes painful open sores in the mouth. A soft diet consists of foods that are easy to chew and swallow, minimizing mechanical trauma to the sensitive mucous membranes.

A. Protein. B. Carbohydrates. C. Dairy. D. Fats

Correct Answer is B

Explanation

Choice A

Protein is not essential. While protein can influence blood sugar levels to some extent, its effect is much smaller compared to carbohydrates. Protein is not typically counted as a primary factor in insulin dosing.

Choice B

Carbohydrates are essential. For a client with type 1 diabetes mellitus who uses both short-acting (mealtime) and long-acting (basal) insulin, counting carbohydrates is essential for meal planning and insulin dosing. Carbohydrates have the most direct and significant impact on blood sugar levels. When carbohydrates are consumed, they are broken down into glucose, which enters the bloodstream and can lead to increased blood sugar levels

Choice C

Dairy is not essential. Dairy products can contain carbohydrates (such as lactose), but the carbohydrate content varies and is not as significant as in foods like grains, fruits, and starchy vegetables.

Choice D

Fats are not essential. Fats have minimal direct impact on blood sugar levels. However, they can affect the overall rate of digestion and absorption of carbohydrates, potentially influencing the timing of insulin administration. But carbohydrate counting remains the primary focus for insulin adjustment.

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The nurse is reviewing a nutrition plan with a client newly diagnosed with hypertension. Which statement by the client indicates an understanding of the Dietary Approaches to Stop Hypertension (DASH) diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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