a nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments which of th
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Nursing Elites

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ATI Nutrition

1. A client with nephropathy secondary to diabetes mellitus is receiving dietary teaching from a nurse and plans to make dietary adjustments. Which of the following instructions should the nurse include?

Correct answer: D

Rationale: For a client with nephropathy secondary to diabetes mellitus, increasing fiber intake is essential as it can help manage blood sugar levels and improve overall bowel health. Choice A is incorrect because carbohydrates should be controlled but not limited to less than 45% of total calories. Choice B is incorrect as the recommended daily cholesterol intake for individuals with diabetes is less than 200 mg. Choice C is incorrect as protein intake should be individualized based on the client's condition and should not be limited to less than 0.8 g/kg of body weight per day.

2. What is the main function of dietary fiber in managing cholesterol levels?

Correct answer: D

Rationale: Dietary fiber helps lower cholesterol levels by binding to bile acids and reducing cholesterol absorption.

3. The counting of sponges is done by the Surgeon together with the:

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

4. You are an ostomy nurse and you know that colostomy is defined as:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

5. Generally, patients who wear dentures have reduced masticatory efficiency. Mandibular implant-supported dentures can have positive effects on the clinical aspects of mastication and swallowing.

Correct answer: A

Rationale: Both statements are true. Patients who wear dentures typically experience reduced masticatory efficiency. Mandibular implant-supported dentures are known to have positive effects on the clinical aspects of mastication and swallowing, significantly improving chewing function. Option A is correct because both statements align with these facts. Option B is incorrect as both statements are true. Option C is incorrect as the second statement is also true. Option D is incorrect as the first statement is true.

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