An adult client with type 2 diabetes mellitus (DM2) is to be admitted within the next hour to the medical unit from the emergency department. The client's laboratory findings indicate that the serum glucose is 175 mg/dL (9.63 mmol/L) and the A1c is 9%. When requesting a dinner tray for the client, which menu should the nurse select? Reference Ranges: Blood glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] HbA1C [Good diabetic control: less than 7%]
Explanation & Rationale
A. Vegetarian lasagna with cheese and spinach, tossed green salad with ranch dressing, and fresh fruit. This meal option contains carbohydrates from the lasagna, salad dressing, and fruit, which can raise blood glucose levels. B. Lean hamburger with cheese, tomato, and lettuce on a whole-wheat bun, and angel food cake. This meal option contains carbohydrates from the bun and angel food cake, which can raise blood glucose levels. C. Fried chicken breast, mashed potatoes, green beans, sliced tomatoes, and fresh apple pie. This meal option contains significant amounts of carbohydrates from mashed potatoes and apple pie, which can raise blood glucose levels. D. Grilled fish with whole-grain brown rice, steamed broccoli, and pear poached in red wine. This meal option is lower in carbohydrates and contains healthier choices for a client with diabetes, helping to control blood glucose levels more effectively.