NCLEX practice questions nutrition for diabetes and metabolic stress

NCLEX practice questions (nutrition for diabetes and metabolic stress) ScienceMedicineNursing jrippetoe81 Save Nutrition NCLEX questions 121 terms Alexis_Pottock Preview NCLEX-RN Exam Preview 113 terms lalaitsdestinee Preview Vital Signs Practice for NCLEX Ques...15 terms lizzyohmesPreview

T2DM S

66 terms har A patient with Type 2 Diabetes Mellitus is admitted to the hospital. Which of the following dietary interventions is most appropriate for glucose management?

• Avoiding all carbohydrates
• Implementing carbohydrate counting
• Increasing protein intake to 50% of total calories
• Consuming a high-fat, low-carb diet

B A nurse is educating a patient with Type 1 Diabetes Mellitus on the signs of hypoglycemia. Which of the following symptoms should the patient be aware of?

• Excessive thirst and frequent urination
• Tremors, sweating, and confusion
• Slow heart rate and dry skin
• High blood pressure and blurred vision

B Which of the following foods would have the highest glycemic index and should be limited in a diabetic diet?

• Whole grain bread
• Brown rice
• White rice
• Leafy green vegetables

C

In patients with metabolic syndrome, which lifestyle modification is recommended as a priority to reduce cardiovascular risk?

• High-protein diet
• Regular aerobic exercise
• Increased sodium intake
• Avoiding all carbohydrates

B A pregnant woman with gestational diabetes is seeking dietary advice. Which recommendation should the nurse prioritize?

• Avoid all forms of carbohydrates
• Maintain consistent carbohydrate intake throughout the day
• Increase calorie intake by 500 calories per day
• Follow a high-protein, high-fat diet

B A patient with burns is admitted to the hospital. Which of the following nutrition strategies is essential in the management of this patient’s care?

• High-fat diet to promote healing
• Low-protein diet to prevent nitrogen loss
• Increased protein and calorie intake
• Low-calorie diet to prevent weight gain

C Which of the following nursing interventions would be most appropriate for a patient with metabolic stress from a major surgery?

• High-calorie, high-protein diet to promote healing
• Fluid restriction to reduce edema
• Low-protein diet to prevent metabolic acidosis
• High-fiber diet to prevent constipation

A For a patient undergoing Roux-en-Y Gastric Bypass, which dietary modification is essential post-surgery?

• Eating one large meal per day
• Consuming liquid supplements for protein intake
• Following a high-fiber, high-fat diet
• Avoiding all carbohydrate intake

B A nurse is counseling a patient with obesity about dietary changes. Which recommendation is the most effective for long-term weight management?

• Rapidly reducing calorie intake
• Choosing a diet high in protein and fat only
• Gradual calorie reduction and increased physical activity
• Avoiding all carbohydrates and sugars

C

Which of the following is an appropriate intervention for a patient experiencing hypoglycemia due to diabetes management?

• Administering 1 mg of glucagon
• Giving a 5% dextrose IV solution
• Providing a high-protein snack
• Advising the patient to exercise immediately

A A patient with Type 1 Diabetes Mellitus presents with dizziness and sweating. The nurse suspects hypoglycemia. Which of the following is the priority intervention?

• Administer 15 grams of fast-acting carbohydrates.
• Call the healthcare provider immediately.
• Prepare to administer insulin.
• Encourage the patient to take deep breaths.

A A nurse is providing education on carbohydrate counting to a patient with Type 2 Diabetes Mellitus. Which statement by the patient indicates a need for further teaching?

• "I can have sugary drinks as long as I count the carbs."
• "Carbohydrate counting helps me control my blood sugar levels."
• "I should focus on complex carbohydrates instead of simple sugars."
• "Each carbohydrate choice should be approximately 15 grams."

A The nurse is caring for a patient after bariatric surgery. What is the most important intervention in the immediate postoperative period?

• Encourage the patient to eat high-protein meals.
• Assess for signs of infection at the incision site.
• Monitor for signs of dumping syndrome.
• Educate the patient on the benefits of weight loss.

B A patient with diabetes is learning about exercise as part of their diabetes management. Which statement by the patient shows they understand exercise guidelines?

• "I can exercise on an empty stomach for the best results."
• "If my blood sugar is below 70 mg/dL, I should eat a snack before exercising."
• "Exercise does not affect my insulin requirements."
• "I should avoid exercising if my blood glucose is above 250 mg/dL."

B A nurse is educating a patient with metabolic syndrome on lifestyle modifications. Which statement by the patient would require further education?

• "I will reduce my saturated fat intake to help lower cholesterol."
• "Increasing my physical activity can help lower my blood pressure."
• "It is okay to drink alcohol in moderation to manage my stress."
• "I will try to include more fruits and vegetables in my diet."

C

A patient with Type 2 Diabetes Mellitus is prescribed metformin. What is the priority intervention for the nurse when educating the patient about this medication?

• Monitor blood glucose levels daily.
• Avoid excessive alcohol intake.
• Take the medication on an empty stomach.
• Check for signs of hypoglycemia daily.

B A patient with severe burns is admitted to the hospital. Which nursing intervention is most important to promote nutritional balance during the metabolic stress response?

• Encourage high-protein meals to support tissue repair.
• Limit fluid intake to prevent edema.
• Provide low-calorie meals to prevent weight gain.
• Encourage carbohydrate-only meals for energy.

A The nurse is providing education to a patient with obesity and metabolic syndrome about diet. Which statement indicates the patient understands the teaching?

• "Skipping meals can help me reduce my calorie intake."
• "Adding fiber to my diet can help me feel fuller longer."
• "I should avoid all fats, as they are harmful."
• "Increasing my protein intake is unnecessary."

B A pregnant patient with gestational diabetes is concerned about her blood glucose levels. Which intervention should the nurse include in the patient's care plan?

• Encourage eating three large meals each day.
• Schedule regular blood glucose monitoring throughout the day.
• Instruct the patient to avoid all carbohydrates.
• Advise minimal physical activity to prevent hypoglycemia.

B A nurse is caring for a patient with sepsis who is receiving nutritional therapy. What is the primary focus of the nurse’s intervention?

• Encouraging low-carbohydrate intake to control blood sugar.
• Monitoring for signs of dehydration.
• Providing nutrient-dense meals to meet increased metabolic needs.
• Reducing protein intake to prevent renal stress.

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