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Practice Question

A nurse is providing teaching for a client who has a recent diagnosis of type 2 diabetes mellitus. Which of the following information should the nurse prioritize in the teaching for a diabetic diet?

Answer Choices:

Correct Answer:

"You should follow a balanced intake of carbohydrates, fats, and proteins."

Rationale:

🍎 In type 2 diabetes, the priority is to maintain stable blood glucose levels, and this is best achieved with a balanced intake of carbohydrates, fats, and proteins.

🍎 A balanced diet helps prevent large glucose spikes by distributing carbohydrate intake throughout the day rather than overloading at one meal.

🍎 Including healthy fats and lean protein slows gastric emptying and glucose absorption, which supports better glycemic control.

🍎 Teaching balance also allows individualization—clients can incorporate foods they enjoy while still controlling total carbohydrate load and portion sizes.

🍎 Because this principle underpins safe, long-term dietary self-management for diabetes, emphasizing a balanced macronutrient intake is the priority teaching point.

“You should follow a diet high in vegetables, fiber, and uncooked fruit.”

🍎 A diet high in vegetables and fiber is beneficial in diabetes because fiber slows glucose absorption and improves satiety and bowel health.

🍎 However, the phrase “uncooked fruit” can be misleading because all fruits contain natural sugars, and intake must still be controlled and counted as carbohydrates.

🍎 Focusing only on “high vegetables, fiber, and uncooked fruit” does not address overall carbohydrate balance, portion control, or the role of proteins and fats.

🍎 This teaching is helpful, but it is more specific and secondary compared with the broader, foundational principle of a balanced macronutrient diet.

🍎 Therefore, while this statement contains partially correct information, it is not the priority teaching compared with balanced intake of carbohydrates, fats, and proteins.

“You should follow a low sodium diet.”

🍎 A low sodium diet is generally important for clients with hypertension, heart failure, or renal disease, and many people with diabetes do have comorbid hypertension.

🍎 However, sodium intake does not directly regulate blood glucose, which is the primary concern in new-onset type 2 diabetes diet education.

🍎 Prioritizing low sodium may distract from more critical concepts such as carbohydrate counting, balanced meals, and glycemic control.

🍎 While low sodium may be part of an overall healthy lifestyle, it is not specific enough to diabetes management to be the priority teaching point.

🍎 Thus, this advice is helpful but secondary and does not replace the need to teach balanced macronutrient intake related to diabetes.

“You should follow a low cholesterol diet.”

🍎 Clients with type 2 diabetes are at increased risk for cardiovascular disease, so managing cholesterol is important for long-term health.

🍎 However, focusing mainly on a low cholesterol diet does not directly address blood glucose control, which is the central goal of diabetes diet teaching.

🍎 This recommendation also ignores carbohydrate distribution and quality, which are the primary dietary factors impacting post-meal glucose levels.

🍎 A low cholesterol diet may help reduce atherosclerotic risk, but it is not the first or most critical diet concept to teach in new-onset diabetes.

🍎 Therefore, while beneficial, this statement is not the priority teaching compared with the need for a balanced intake of carbohydrates, fats, and proteins.

Want to practice more questions like this?

This question is from RN Fundamentals 2023 EXAM 8 which contains 68 questions.

More Questions from This Exam
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Answer Choices:

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F. Perform a skin risk assessment weekly.
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Answer Choices:

A. Request a prescription for an antiemetic medication.
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E. Place the client on contact precautions.
F. Recommend increasing the dose of metoprolol.
Patient's data.

Answer Choices:

A. Administer supplemental oxygen.
B. Ambulate the client 30 min after administering analgesia.
C. Encourage the client to cough and breathe deeply.
D. Administer acetaminophen.
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From Exam
RN Fundamentals 2023 EXAM 8

68 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Fundamentals of Nursing
  • Answer Choices: 4
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