Nursing Application: Dietary Carbohydrates

Mrs. Smith and Cindy are back in the clinic for a 3-month follow-up appointment. Which cues indicate the clients have been following a healthy lifestyle regarding carbohydrates? Select all that apply.

Cindy's body mass index (BMI) is lower. Mrs. Smith states, "We eat whole grains in the morning."

The nurse observes tooth decay on the lower central incisor of a toddler's mouth whose parents deny giving the child candy. ​The nurse should inquire about which item that promotes tooth decay in young children?

Milk ​

The nurse has completed client education on increasing fiber in the diet. Which statements by Mrs. Smith indicate that the teaching was effective? Select all that apply.

"I will need to drink more water to prevent constipation with all of this fiber." "Sweet potatoes are a good source of fiber." "I will include whole fruit when possible."

The nurse determines that Mrs. Smith understands the risks of a high-carbohydrate diet when she makes which statement?

"I will purchase whole-grain loaves of bread and substitute white rice with quinoa to help keep my blood sugar in check."

Mrs. Smith is concerned about an upcoming block party, which will feature foods prepared by and shared with her neighbors. Which ideas for adhering to her dietary plan demonstrate Mrs. Smith's understanding of carbohydrates? Select all that apply.

"My daughter has agreed to nudge me if I put something on my plate that will increase my blood sugar." "I will start with a salad so I feel fuller and will not overeat things that would increase my blood sugar." "I will select fresh fruits for dessert, rather than the neighbor's yummy chocolate cake." "I will eat a bit less through the day without skipping meals."

The nurse is helping Mrs. Smith plan a diet that helps keep her serum blood glucose levels consistent throughout the day. The nurse determines that Mrs. Smith understands the teaching when she selects which snacks to eat in each situation?

Consume this when you are feeling dizzy or lethargic-Peanut butter crackers Consume this as an afternoon or evening snack-Raspberries Consume this for breakfast-Oatmeal with a pat of butter and blueberries

A client ate two cups of cereal. How many kilocalories (kcal) of fiber did the client consume? Enter only a numeric value rounded to the whole number. Kilocalories (kcal) from fiber: kcal

Each serving is one cup and contains 13 grams of fiber. The client ate two cups, which equals two servings. As a carbohydrate, fiber contains 2 kcal per gram.​ 2 x 13 x 2 = 52 kcal from fiber When calculating fiber intake, use only the dietary fiber value from the food label. If the amount of soluble or insoluble fiber is listed, that amount is included in the dietary fiber value.

Cindy notices some abdominal cramping, generalized weakness, and hard stools after starting a new low-carbohydrate diet. What dietary teaching could help reduce these symptoms?

Educate the client on various nutrient-dense foods that contain fiber.

A client is alert, oriented, and their blood sugar is 50 mg/dL. The nurse anticipates providing the client with which type of carbohydrate?

Glucose

For dinner, a client ate three servings of cereal. How many grams of carbohydrates were consumed? Enter only a numeric value rounded to the nearest whole number. Grams of Carbohydrates: grams

One serving of cereal contains 26 grams of carbohydrates. The client ate 3 servings.​ 3 x 26 = 78 grams of carbohydrates​ This total reflects only carbohydrates contained in the cereal. If the client added milk and sugar, the total carbohydrate intake for that meal is higher. This is well within the recommended daily intake of carbohydrates for a healthy adult, which is 225-325 grams per day.​

Which factors affect the glycemic index of fresh food? Select all that apply.

Physical Form, Fiber content, Ripness

Mrs. Smith was educated on the importance of consuming high-fiber foods to maintain good health. The nurse determines that Mrs. Smith can identify high-fiber fruits when she selects which item as an afternoon snack?

Raspberries

Mrs. Smith asks the nurse about sugar substitutes she can use to sweeten her iced tea without impacting her serum glucose. The nurse should recommend a sugar substitute containing which sweeteners? Select all that apply.

Sucralose, Stevia

A client ate one and a half (1.5) servings of cereal. What percentage of the recommended daily intake of dietary fiber has the client consumed? Enter only a numeric value rounded to the nearest tenth decimal.

The cereal provides 25% fiber per serving. In other words, each serving provides 25% of the recommended intake of dietary fiber.​ The client ate 1.5 servings, so 1.5 x 25 = 37.5% of the recommended daily intake of dietary fiber​.

The nurse is preparing evening snacks for the residents that live in the community center. The nurse is concerned about diabetic clients becoming hypoglycemic at night. Which food item will the nurse provide for diabetic clients?

Unpeeled apple