What recommendations for dietary intervention would you give Mrs. R? Would you use the Carbohydrate Counting method or would you follow the standard Exchange Lists for Meal Planning? Explain your answer
(1.) Instead of weight loss as the primary goal, we should aim for near normal blood sugar levels and optimal lipid levels. (2.) In place of trying to reach an "ideal weight," which may be unobtainable, settle for a "reasonable weight" with the optimal blood levels mentioned above. (3.) Individualize diet plans based on preferences, lifestyle, and medication and do not rely on preprinted diet plans. (4.) The carbohydrate counting method is popular and recommended because it allows more flexibility in that 15 g of sugar would be one carbohydrate and can be substituted for other carbohydrate foods, not just added to the diet. However, this method may be difficult to teach to Mrs. R. If she could comprehend the method, I would use it.
You might also like to view...
In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this difference is true,
probably because Mexican-Americans: a. Have less efficient immune systems and are often ill. b. Consider these symptoms part of normal living, not symptoms of ill health. c. Come from Mexico, and coughing is normal and healthy there. d. Are usually in a lower socioeconomic group and are more likely to be sick.
The nurse notes a colleague making an inappropriate remark about the patient's weight when the patient is unconscious. The nurse should:
A) Ignore the comment because the patient is unconscious. B) Discourage the comments. C) Report the comment to the supervisor. D) Realize humor is needed in the workplace.
A small business owner has noted an increase in back injuries at his company in recent years. During a discussion with an occupational health nurse, knowledge of statistical information re-garding this trend throughout the country is exchanged
The occupational health nurse explains that the most common back injury is caused by a strain to which of the following muscle groups? a. Lumbar b. Cervical c. Thoracic d. Trapezius
The nurse is leading a seminar for parents on the changes that happen during puberty. Which is an accurate list of the sequence of changes that would be experienced?
A) Menarche, breast budding, appearance of pubic hair in girls B) Deepening of the voice, appearance of facial hair, appearance of pubic hair in boys C) Breast budding, appearance of pubic hair, menarche in girls D) Appearance of pubic hair, breast budding, menarche in girls