The nurse has been teaching a client with type 2 diabetes menu ...

[londonang]

The nurse has been teaching a client with type 2 diabetes menu planning using the exchange list based on a 2000-calorie diet. The nurse asked the client to plan several dinner menus.
 
  Which of the following menus demonstrates the client's understanding of the exchange diet? A) 1 cup of spaghetti noodles, 4 meatballs, 1/2 cup of spaghetti sauce; coleslaw, 1 slice of buttered garlic bread, and 1 cup of milk
  B) 4 oz of broiled hamburger patty, 1 cup of mashed potatoes with butter, 1 cup of green beans, and 1 cup of low-fat vanilla ice cream
  C) 1 1/2 cups of chicken noodle soup (1/2 cup of chicken breast, 1 cup of egg noodles, chopped carrots, onions, celery, and broth), 1 oz of saltine crackers, 1 cup of hot tea with 1 teaspoon of honey
  D) 1 taco shell, 3 oz of taco meat; 1 1/2 cups combined chopped lettuce, tomato, onion; 1/3 cup of rice; and 1 cup of papaya

Question 2

The clinic nurse expects to meet with an elderly couple, one of whom is diabetic. Without knowing any other details, what should the nurse do to prepare?
 
  1. Assemble a folder of materials that is given to all new diabetics
   2. Ask other staff what they know about this couple
   3. Review a list of questions that can be asked to assess learning needs
   4. Develop a teaching plan

[alvinum]

Answer to Question 1

D
Feedback:
The exchange list allows four carbohydrate choices each meal with each choice containing 15 g carbohydrate. The taco, rice, and papaya meal contains four carbohydrate choices. The other choices contain more than four.

Answer to Question 2

3
Rationale: The nurse must know about the learning needs of individuals, families, and groups to develop plans for individualized needs. The nurse cannot assume this is a new diabetic, nor is it appropriate to seek information from other staff. The nurse cannot develop a teaching plan until the learning needs are carefully assessed.

[londonang]

Thanks

[alvinum]

Welcome