Exam (elaborations)
Chapter 17 Diet in Diabetes Mellitus and Hypoglycemia
- Course
- Nutrition and Diet Therapy
- Institution
- University Of Pennsylvania
Chapter 17 Diet in Diabetes Mellitus and Hypoglycemia
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Lutz, Nutrition and Diet Therapy 6e ETBChapter 17: Diet in Diabetes Mellitus and Hypoglycemia
1. Which of the following laboratory tests will reflect blood sugar levels over a 3- to 4-month
period?
1. Fasting blood sugar
2. Glucose tolerance test
3. Glycosylated hemoglobin
4. Urinary glucose
Ans: 3
Feedback
1. A fasting blood sugar level provides a result for a one-time reading, that of the
day it was obtained.
2. A glucose tolerance reveals how a client is able to process glucose over a
period of usually 2 hours.
3. Glycolysated hemoglobin levels indicate the level of blood glucose control an
individual has had over approximately 2 to 3 months.
4. Urinary glucose levels would reflect blood glucose greater than 180 mg/dL.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of
Risk Potential | Cognitive Level: Application
2. Which of the following is classified as a starch exchange as opposed to a vegetable exchange?
1. Celery
2. Corn
3. Tomatoes
4. Summer squash
Ans: 2
Feedback
1. Celery is considered a vegetable exchange.
2. Corn is considered a starch exchange, not a vegetable exchange.
3. Tomato is considered a vegetable exchange.
4. Summer squash is considered a vegetable exchange.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Physiological
Adaptation | Cognitive Level: Application Comprehension
3. An exercise program helps in the control of blood glucose levels by:
1. Increasing glycogen stores
2. Increasing insulin requirements
3. Increasing the number of insulin receptors on muscle fibers
4. Stimulating the pancreas to produce more insulin
, Lutz, Nutrition and Diet Therapy 6e ETB
Ans: 3
Feedback
1. Exercise does not increase glycogen stores. It improves cardiovascular fitness
and psychological well-being, and it increases the number and binding
capacity of insulin receptors. It also reduces insulin requirements, aids in
weight control, and improves muscle strength and flexibility.
2. Exercise decreases insulin requirements. It improves cardiovascular fitness
and psychological well-being, and it increases the number and binding
capacity of insulin receptors. It also reduces insulin requirements, aids in
weight control, and improves muscle strength and flexibility.
3. Exercise improves cardiovascular fitness and psychological well-being, and it
increases the number and binding capacity of insulin receptors. It also reduces
insulin requirements, aids in weight control, and improves muscle strength
and flexibility.
4. Exercise does not stimulate the pancreas to produce more insulin. It improves
cardiovascular fitness and psychological well-being, and it increases the
number and binding capacity of insulin receptors. It also reduces insulin
requirements, aids in weight control, and improves muscle strength and
flexibility.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of
Risk Potential | Cognitive Level: Application
4. Hypoglycemia is not caused by:
1. Overconsumption of food
2. Taking too much insulin
3. Greater than usual amounts of exercise
4. Delay in eating a meal.
Ans: 1
Feedback
1. Hyperglycemia would be the result of overconsumption of food, not
hypoglycemia.
2. Hypoglycemia can result from too much insulin.
3. Hypoglycemia can result from exercising more than the usual amount.
4. Hypoglycemia can result from a delay in eating.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Physiological
Adaptation | Cognitive Level: Comprehension
5. Women with gestational diabetes often give birth to larger-than-average infants. Which of the
following explanations is most accurate?
1. The woman’s tissues become insulin resistant, and her insulin crosses the placenta.
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