Question 1

Explain "sick-day management" for a patient with diabetes.

Accepted Answer

The answer of Explain "sick-day management" for a patient with...

Question 2

Glycosuria generally occurs when blood glucose exceeds _____ milligrams per deciliter.

Accepted Answer

A) 120 
B) 140 
C) 160 
D) 200 
A) 120 
B) 140 
C) 160 
D) 200

Question 3

Case Study 
Gestational Diabetes: Maria Hinojosa is a 24-year-old Hispanic woman who is in the 26th week of her second pregnancy.She is 5'5" tall and weighs 182 pounds.Maria's first baby weighed 9 lb.10 oz.Her family history reveals that her father has type 2 diabetes.After a routine screening for gestational diabetes, Maria was diagnosed with the disease and referred to a registered dietitian for nutrition counseling.
-What are Maria's risk factors for developing gestational diabetes?

Accepted Answer

Hispanic, obese, fam

Question 4

Close monitoring of glucose levels is especially important for the pregnant woman with diabetes.

Accepted Answer

A) True 
 B)False

Question 5

Four months later Mr.Joiner returns to his physician for a follow-up appointment.He has lost 10 pounds, but his fasting blood glucose level is now 131 mg/dL.
-Individuals with hypertriglyceridemia should reduce their intake of:

Accepted Answer

A) desserts. 
B) fruit. 
C) fatty fish. 
D) nuts. 
A) desserts. 
B) fruit. 
C) fatty fish. 
D) nuts.

Question 6

A disadvantage of intensive therapy for type 1 diabetes is:

Accepted Answer

A) a greater risk of severe hypoglycemia. 
B) greater expense due to lack of insurance reimbursement. 
C) fewer incidences of severe hypoglycemia. 
D) more rapid progression of chronic complications. 
A) a greater risk of severe hypoglycemia. 
B) greater expense due to lack of insurance reimbursement. 
C) fewer incidences of severe hypoglycemia. 
D) more rapid progression of chronic complications.

Question 7

Case Study Questions
Use the following case study to answer questions 
Jared Joiner is a 56-year-old African American insurance agent.He is single, eats most meals at restaurants, and leads a sedentary lifestyle.He is 5'9" tall and weighs 204 pounds.Mr.Joiner has been feeling particularly fatigued lately and decided to make an appointment with his physician for a check-up.The results of his laboratory tests include a fasting blood glucose level of 121 mg/dL.
-All of the following are practical recommendations that Mr.Joiner can follow to reduce his risk of developing diabetes except:

Accepted Answer

A) lose weight. 
B) increase physical activity. 
C) learn to make better food choices at restaurants. 
D) learn to cook. 
A) lose weight. 
B) increase physical activity. 
C) learn to make better food choices at restaurants. 
D) learn to cook.

Question 8

patient with diabetes is allowed 60 grams of carbohydrate for lunch.This equals _____ portions of carbohydrate foods.

Accepted Answer

A) 2 
B) 3 
C) 4 
D) 5 
A) 2 
B) 3 
C) 4 
D) 5

Question 9

benefit to using the carbohydrate counting method of education over exchange lists is:

Accepted Answer

A) it is easier to learn. 
B) the portion sizes are larger in the carbohydrate counting method. 
C) a person doesn't have to restrict their fat intake with the carbohydrate counting method. 
D) exchange lists only allow a limited number of foods. 
A) it is easier to learn. 
B) the portion sizes are larger in the carbohydrate counting method. 
C) a person doesn't have to restrict their fat intake with the carbohydrate counting method. 
D) exchange lists only allow a limited number of foods.

Question 10

Intensive insulin therapy can cause:

Accepted Answer

A) hyperglycemia. 
B) a loss of appetite. 
C) weight gain. 
D) low albumin levels. 
A) hyperglycemia. 
B) a loss of appetite. 
C) weight gain. 
D) low albumin levels.

Question 11

patient's diabetic diet prescription is for 1800 kcalories with 50% of kcalories from carbohydrate.How many portions of carbohydrates is the patient allowed each day?

Accepted Answer

A) 15 
B) 60 
C) 12 
D) 23 
A) 15 
B) 60 
C) 12 
D) 23

Question 12

Explain how hypoglycemia should be treated.

Accepted Answer

Hypoglycemia, or low blood sugar, should

Question 13

nurse recognizes that the diabetic patient understands the principles of her diet when she states:

Accepted Answer

A) "I need to restrict my carbohydrate intake and avoid concentrated sweets." 
B) "I need to severely limit my fat intake and choose only complex carbohydrates." 
C) "I need to eat about the same amount of carbohydrate at about the same time each day." 
D) "I need to restrict my carbohydrate and fat intakes, but increase my protein intake." 
A) "I need to restrict my carbohydrate intake and avoid concentrated sweets." 
B) "I need to severely limit my fat intake and choose only complex carbohydrates." 
C) "I need to eat about the same amount of carbohydrate at about the same time each day." 
D) "I need to restrict my carbohydrate and fat intakes, but increase my protein intake."

Question 14

Four months later Mr.Joiner returns to his physician for a follow-up appointment.He has lost 10 pounds, but his fasting blood glucose level is now 131 mg/dL.
-Though the exact cause of metabolic syndrome is unknown, it is believed to be associated with:

Accepted Answer

A) poverty. 
B) obesity. 
C) hypoglycemia. 
D) liver disease. 
A) poverty. 
B) obesity. 
C) hypoglycemia. 
D) liver disease.

Question 15

Case Study 
Gestational Diabetes: Maria Hinojosa is a 24-year-old Hispanic woman who is in the 26th week of her second pregnancy.She is 5'5" tall and weighs 182 pounds.Maria's first baby weighed 9 lb.10 oz.Her family history reveals that her father has type 2 diabetes.After a routine screening for gestational diabetes, Maria was diagnosed with the disease and referred to a registered dietitian for nutrition counseling.
-If Maria does not achieve blood glucose control with diet and exercise, what treatment option is available?

Accepted Answer

The answer of Case Study 
Gestational Diabetes: Maria Hinojosa is...

Question 16

Which of the following is not one of the chronic complications of diabetes?

Accepted Answer

A) nephropathy 
B) neuropathy 
C) retinopathy 
D) myopathy 
A) nephropathy 
B) neuropathy 
C) retinopathy 
D) myopathy

Question 17

Compare and contrast the use of carbohydrate counting and exchange lists for meal planning.

Accepted Answer

Carbohydrate counting and exchange lists

Question 18

Diabetes mellitus describes a group of metabolic disorders characterized by:

Accepted Answer

A) elevated blood glucose. 
B) low hemoglobin. 
C) dumping syndrome. 
D) lactose intolerance. 
A) elevated blood glucose. 
B) low hemoglobin. 
C) dumping syndrome. 
D) lactose intolerance.

Question 19

glycemic control requires:

Accepted Answer

A) eating small amounts of food. 
B) restricting carbohydrate in the diet. 
C) self-monitoring of blood glucose. 
D) frequent visits to the doctor. 
A) eating small amounts of food. 
B) restricting carbohydrate in the diet. 
C) self-monitoring of blood glucose. 
D) frequent visits to the doctor.

Question 20

Which of the following receives a high priority in the treatment of type 2 diabetes because of its beneficial effects in improving blood glucose control, improving blood lipids, and reducing blood pressure?

Accepted Answer

A) physical activity 
B) a low-fat diet 
C) sulfonylureas 
D) a sodium-controlled diet 
A) physical activity 
B) a low-fat diet 
C) sulfonylureas 
D) a sodium-controlled diet

Exam 21: Carbohydrate-Controlled Diets for Diabetes Mellitus

Explain "sick-day management" for a patient with diabetes.

Glycosuria generally occurs when blood glucose exceeds _____ milligrams per deciliter.

Close monitoring of glucose levels is especially important for the pregnant woman with diabetes.

Four months later Mr.Joiner returns to his physician for a follow-up appointment.He has lost 10 pounds, but his fasting blood glucose level is now 131 mg/dL. -Individuals with hypertriglyceridemia should reduce their intake of:

A disadvantage of intensive therapy for type 1 diabetes is:

patient with diabetes is allowed 60 grams of carbohydrate for lunch.This equals _____ portions of carbohydrate foods.

benefit to using the carbohydrate counting method of education over exchange lists is:

Intensive insulin therapy can cause:

patient's diabetic diet prescription is for 1800 kcalories with 50% of kcalories from carbohydrate.How many portions of carbohydrates is the patient allowed each day?

Explain how hypoglycemia should be treated.

nurse recognizes that the diabetic patient understands the principles of her diet when she states:

Four months later Mr.Joiner returns to his physician for a follow-up appointment.He has lost 10 pounds, but his fasting blood glucose level is now 131 mg/dL. -Though the exact cause of metabolic syndrome is unknown, it is believed to be associated with:

Which of the following is not one of the chronic complications of diabetes?

Compare and contrast the use of carbohydrate counting and exchange lists for meal planning.

Diabetes mellitus describes a group of metabolic disorders characterized by:

glycemic control requires:

Which of the following receives a high priority in the treatment of type 2 diabetes because of its beneficial effects in improving blood glucose control, improving blood lipids, and reducing blood pressure?

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism, Energy Balance, and Body Composition

Weight Management: Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Illness and Nutrition Care

Medications, Diet-Drug Interactions, and Herbal Supplements

Specialized Nutrition Support: Enteral and Parenteral Nutrition

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

Nutrition Therapy for Liver and Gallbladder Diseases

Fat-Controlled, Mineral-Modified Diets for Cardiovascular Diseases

Protein-, Mineral-, and Fluid-Modified Diets for Kidney Diseases

Energy- and Protein-Modified Diets for Metabolic and Respiratory Stress

Energy- and Protein-Modified Diets for Cancer and Hiv Infection

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