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Roth 10e Nclex Chapter 17
Roth 10e Nclex Chapter 17
Chapter 17
MULTIPLE CHOICE
1. A client has recently been diagnosed with Type I diabetes and asks the nurse for help formulating a
nutrition plan. Which of the following recommendations would the nurse make to help the client
increase calorie consumption to offset absorption problems?
b. Eat small meals with two or three snacks d. Skip meals to help lose weight
throughout the day to keep blood glucose
levels steady
ANS: A
Eating small meals with two or three snacks may be more helpful in maintaining blood glucose levels
than three large meals.
a. acidosis c. glycosuria
b. atherosclerosis d. retinopathy
ANS: A
When a client’s carbohydrate consumption is inadequate ketones are produced from the breakdown of
fat. These ketones lower the pH of the blood, potentially causing acidosis that can lead to a diabetic
coma.
a. one c. three
b. two d. four
ANS: D
One exchange is equivalent to one ounce of a bagel (Table 17-3).
a. Oatrim c. sucralose
b. Olestra d. tannin
ANS: C
Aspartame is the generic name for a sweetener composed of two amino acids, phenylalanine and
aspartic acid. Olestra and Oatrim are fat replacers and tannin is an acid found in some foods such as
tea.
MULTIPLE RESPONSE
1. A client comes to the nurse and expresses concern that they may have diabetes. What signs and
symptoms would the nurse, look for in this client? Select all that apply.
a. The client complains of changes in vision d. The client exhibits weight loss despite
excessive hunger and appetite
b. The client complains of frequent e. The client has to go to the bathroom
headaches frequently
c. The client complains of frequent nausea f. The client mentions that they are always
thirsty
ANS: A, B, D, E
The inability to metabolize glucose can lead to weight loss despite an excessive appetite, or
polyphagia. This inability to metabolize glucose will also lead to increased blood levels of glucose.
This excessive blood glucose will pull water out of the cellular fluid leading to polyuria, or excessive
urination, and polydipsia, or excessive thirst. Eventually, these changes can lead to vision problems
know as retinopathy.
Race and ethnicity can predispose one to type 2 diabetes. African Americans, Hispanic and Latino
Americans, Native Americans, some Asian Americans, Native Hawaiians, and other pacific islanders
are at a particularly high risk for type 2 diabetes/
PTS: 1 REF: Classification