Nokea
Careful attention to carbohydrate consumption can improve metabolic control of diabetes. The nurse teaches a meal planning approach that focuses on the total amount of carbohydrates eaten at a meal. What is this meal planning approach called?
- A. Carbohydrate splitting
- B. Reduced caloric intake
- C. Carbohydrate counting
- D. Carbohydrate balancing
Correct Answer: C
Rationale: Carbohydrate counting is a meal planning approach that focuses on the total amount of carbohydrates eaten.
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The body mass index (BMI) of a man 6 ft tall weighing 250 lb is __.
Correct Answer: 33.9
Rationale: The BMI is calculated by dividing the pounds expressed as kilograms by the height in meters squared. 6 ft = 72 in ÷ 39.37 = 1.83 m, 250 lb ÷ 2.2 = 113.6 kg, 113.6 ÷ (1.83 ? 1.83) = 33.9
The patient complains to the nurse that he feels terrible since he has been taking several different kinds of vitamin preparations. What should the nurse assess for indications of vitamin toxicity?
- A. Edema
- B. Hypertension
- C. Fatigue
- D. Diarrhea
Correct Answer: C
Rationale: Toxicity usually occurs from the use of large supplemental doses of vitamins and minerals and presents as fatigue, nausea, vomiting, and headache.
What has replaced the USDA's Recommended Dietary Allowance (RDA)?
- A. Nutrition Recommended Allowance (NRA)
- B. National Bionutritional Allowance (NBA)
- C. Dietary Reference Intake (DRI)
- D. Dietary Guidelines for Americans (DGA)
Correct Answer: C
Rationale: The Dietary Reference Intake (DRI) has replaced the Recommended Dietary Allowance (RDA).
The nurse has assessed a patient's body mass index (BMI) to be 19.6. This assessment of weight versus height indicates that this patient's weight category is in which category?
- A. Low health risk
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: A
Rationale: A BMI between 18.5 and 24.9 is associated with the lowest health risk. Those with BMIs between 25 and 29.9 are considered overweight, and those with BMIs of 30 or greater are considered obese. A BMI of less than 18.5 is considered underweight and is also associated with health risks.
The nurse makes nutrition a focus in the care plan. Where does nutrition play the most important role?
- A. Weight control
- B. Sustained appetite
- C. Building strong bones
- D. Health maintenance
Correct Answer: D
Rationale: Nutrition is the total of all processes involved in taking in and using food substances for proper growth, functioning, and maintenance of health.