When working with overweight clients with diabetes the nurses should suggest the following strategies for weight loss:
1. Low-carbohydrate diet, increased exercise, and surgery.
2. Increased exercise, reduction of daily calories, and ways to avoid behaviors that have been barriers in the past for weight loss.
3. Low-protein diet, coping strategies to avoid overeating, and exercise.
4. High-fiber diet, surgery, and exercise.
2
Rationale: Low-carbohydrate diets should be avoided in clients with diabetes to avoid increases in LDL cholesterol since they are already at risk for cardiac disease. The best initial strategy for clients with or without diabetes is increased exercise, reduction of daily calories, and developing ways to avoid behaviors that have been barriers to past attempts at weight loss. Clients wanting to lose weight should continue to eat a balanced diet that includes the recommended calories for each food group rather than restricting calories from specific food groups. High-fiber diets are recommended for diabetics based on the metabolism rate for fiber, but surgical intervention should be reserved for clients who have repeatedly been unsuccessful at weight loss attempts and are morbidly obese.
You might also like to view...
The nurse is assigned to care for an elderly woman from India. As the nurse attempts to obtain vital signs, the client pulls away, gathers covers to the chin, and speaks in a language unintelligible to the nurse
What is the best action for the nurse to take? A) Talk slowly and explain what he is doing. B) Use gesturing and pictures to explain his actions. C) Smile and take the vital signs anyway. D) Attempt to retrieve an interpreter.
What is the best response to a parent who asks the nurse whether her 5-month-old infant can have cow's milk?
a. "You need to wait until she is 8 months old and eating solids well.". b. "Yes, if you think that she will eat enough meat to get the iron she needs.". c. "Infants younger than 12 months need iron-rich formula to get the iron they need.". d. "Try it and see how she tolerates it.".
Which statement best explains why newborns who are delivered by cesarean birth are at greater risk for respiratory complications than newborns delivered vaginally?
a. In most cases, newborns delivered by cesarean are already in fetal distress before birth. b. A newborn delivered by cesarean does not have the compressions of the birth canal on the chest, which forces fluid from the lungs. c. Without going through the normal birth process, the newborn delivered by cesarean does not produce surfactant. d. Newborns delivered by cesarean do not develop the temporary hypoxia that normally stimulates respirations.
What is involved in naturalistic qualitative research?
A) Involves deductive processes B) Takes places in the field. C) Focuses on the idiosyncrasies of those being studied. D) Attempts to control the research context to better understand the phenomenon being studied.