Author Question: A patient informs the nurse that he has the type of diabetes that does not require insulin. The ... (Read 38 times)

khang · **on:** Jul 22, 2018

A patient informs the nurse that he has the type of diabetes that does not require insulin. The nurse advises the patient to make which dietary change?

a. Drink plenty of fluids throughout the day to stay hydrated.
b. Avoid food high in acid to avoid metabolic acidosis.
c. Reduce the quantity of carbohydrates ingested to lower blood sugar.
d. Include a serving of dairy in each meal to elevate calcium levels.

Question 2

Which one of the following cancer survivors is at greatest risk for post-treatment symptoms and poor treatment outcomes?

a. An Asian dishwasher
b. A European truck driver
c. A White factory worker
d. A Black carpenter

Madisongo23 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
The patient is indicating that he has diabetes insipidus, which places him at risk for dehydration and hypernatremia. Dehydration should be prevented by drinking plenty of fluids to replace the extra water excreted in the urine. Foods high in acid should be avoided in a patient with GERD. A reduction in carbohydrates applies to type 2 diabetes mellitus patients. Calcium-rich dairy products would be recommended for a hypocalcemic patient.

Answer to Question 2

A
There is evidence to suggest that disparities in health among ethnic groups are related to a com-plex interplay of economic, social, and cultural factors, with poverty being the key factor (IOM & NRC, 2006). Being able to provide comprehensive care to a cancer survivor begins with rec-ognizing the effects of cancer and its treatment and learning about the survivor's own meaning of health. The Asian dishwasher is both a member of a racial minority and likely the poorest paid of the survivors.
A European truck driver is not likely to be the poorest of the survivors.
The White factory worker has the least risk because he is not a member of an ethnic or racial minority, nor is he likely to be the poorest of the survivors.
While being a member of a racial minority is a risk factor, a Black carpenter is not likely to be the poorest of the survivors.