A client was diagnosed as having type 2 diabetes mellitus and was ...

[Haya94]

A client was diagnosed as having type 2 diabetes mellitus and was treated with diet and exercise. When assisting the client with diet planning, the nurse's instructions should include:
 
  1. the greatest number of calories should be from the protein group.
  2. no substitutes can be made if using the food exchange plan.
  3. a consistent number of calories are needed each day.
  4. the meal plan can be disregarded if dietetic foods are used.

Question 2

The nurse is evaluating a client with diabetes 3 months after discharge from the hospital. The nurse determines that goals have been met if:
 
  1. the fasting blood sugar is 130.
  2. urine for ketones is positive.
  3. the client is wearing cotton socks.
  4. the client leaves her shoes and socks on.

[Anna]

Answer to Question 1

Answer: 3

1. The largest percentage of calories should come from carbohydrates.
2. Substitutions can be done within exchange lists.
3. A consistent number of calories are needed daily based on the client's ideal weight, activity level, and age.
4. Dietetic foods have calories, and cannot be substituted for a meal plan.

Answer to Question 2

Answer: 3

1. Fasting blood sugars should be 70-110.
2. Ketones should be negative.
3. Cotton socks are preferable, so that moisture is wicked away from the feet.
4. The client should remove shoes and socks when at the physician's office so that the feet can be inspected.