A client with diabetes mellitus who has been taught about the food exchange system of dietary management of the disease wishes to have 8 oz (240 mL) of nonfat yogurt with breakfast. The nurse determines that the client understands diet management when the client states which action will be taken after eating the nonfat yogurt?
A. Not eating ice cream for 2 days
B. Omitting 8 oz (240 mL) of skim milk from that meal
C. Omitting salad dressing and butter at lunchtime
D. Eating only half of an allowed meat product at supper
A nurse is caring for a client with cirrhosis. As part of the teaching regarding dietary means of minimizing the effects of the disorder, the nurse educates the client about foods that are high in thiamine. The nurse determines that the client has the best understanding of the material if the client states to increase the intake of which foods? Select all that apply.
A. Milk
B. Peanuts
C. Chicken
D. Broccoli
E. Asparagus
F. Whole-grain cereals
Answer (2)
The best action after eating nonfat yogurt for a client with diabetes is to omit 8 oz of skim milk from that meal. For a client with cirrhosis, increasing the intake of peanuts, chicken, and whole-grain cereals would demonstrate understanding of thiamine-rich foods. These choices help manage carbohydrate intake and provide necessary nutrients, respectively.
;
For the question regarding the food exchange system and the client with diabetes mellitus, the correct action to take after eating 8 oz (240 mL) of nonfat yogurt would be:
B. Omitting 8 oz (240 mL) of skim milk from that meal
This choice reflects an understanding of the food exchange system, which involves balancing the intake of food groups and nutrients. Nonfat yogurt is often considered an exchange for milk in diabetes meal planning because it provides similar nutrients and carbohydrate content. Therefore, if the client consumes nonfat yogurt, they should omit the same amount of another similar dairy product, like skim milk, to maintain their dietary balance and manage their carbohydrate intake effectively.
For the question about foods high in thiamine for a client with cirrhosis, the foods that should be increased in intake are:
B. Peanuts E. Asparagus F. Whole-grain cereals
These foods contain higher levels of thiamine, an essential B-vitamin important for metabolic functions. Thiamine is important for people with cirrhosis because liver damage can affect nutrient absorption and metabolism. Increasing foods high in thiamine helps prevent deficiencies that can exacerbate the symptoms of cirrhosis. Chicken, broccoli, and milk also contain thiamine but not in as high amounts as peanuts, asparagus, and whole-grain cereals.
