Identify important points to be covered in a basic nutrition plan with CHO counting
What will be an ideal response?
Begin by stating that the purpose of a meal plan is to make healthy nutritional choices and maintain
glucose levels within the target range as much as possible. The CHO in her diet should provide 45%
to 65% of the daily calories or 150 to 250 g/day. Patients usually start with 45 to 60 g of CHO per
meal. You need to teach her foods that contain CHOs, how to read food labels, and how to measure
appropriate serving sizes. She should have a fiber intake of 25 g/day. Teach her how to adjust CHO
exchanges based on fiber content of her meals. After providing her with basic nutritional guidelines,
refer her to a dietitian for an individualized meal plan. She also needs to know sick day guidelines
when illness interferes with nutritional intake.
Teach her that one alcoholic beverage can be ingested with the meal plan. However, because of
the risk of hypoglycemia, this should be only with or shortly after meals.
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The nurse who works on the oncology unit understands the importance of nutrition and the disease process. Which patient should the nurse be most concerned about from a nutritional standpoint?
a. A patient with cervical cancer b. A patient with liver cancer c. A patient with prostate cancer d. A patient with colon cancer
Which should the nurse be most concerned about during the treatment of a client experiencing a thyroid storm?
A. The client requires a second dose of propylthiouracil. B. The client develops crackles in both lung bases. C. The client begins to shiver. D. The client becomes hyperglycemic.
Which statement about the hematologic system is accurate?
a. "African Americans have the highest in-cidence of sickle cell disease." b. "Iatrogenic blood disorders are congenital in origin." c. "Folic acid is directly related to synthesis of hemoglobin." d. "Bruising in the older adult patient is of great concern."
An ICU nurse does not follow policy when administering a medication intravenously. Which would be the most appropriate action by the manager to assist the employee?
1. Provide written instructions for administering the medication. 2. Remediate the situation with the ICU staff. 3. Provide a copy of the policy and discuss the rationale for the policy as it relates to client care. 4. Reprimand the ICU nurse for giving the medication.