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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a client who is newly diagnosed with diabetes mellitus and is prescribed an 1800 calorie ADA diet. The client is refusing to eat the provided meals. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Discuss the client's food preferences with the hospital's dietitian: Collaborating with the dietitian allows for personalization of the prescribed diet while maintaining its nutritional and therapeutic goals. This approach respects the client’s preferences and promotes adherence to the diabetes management plan. B. Allow the client's family to bring food from home for the client: While family involvement is valuable, food from home may not comply with dietary restrictions and could interfere with blood glucose control unless reviewed by a dietitian or provider. C. Request the provider change the client's prescribed diet: The issue is not the suitability of the prescribed diet but rather the client’s acceptance of it. Changing the prescription without first exploring preferences is premature. D. Offer the client's meals on a different schedule: Changing meal timing alone does not address the client’s refusal to eat. Understanding and integrating food preferences is more effective in encouraging intake and supporting glycemic control.

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