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NCLEX-RN Exam - Question 75


After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurses appropriate response is:

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Correct Answer: B

Corn and other starchy vegetables are considered to be bread exchanges. For a child with insulin-dependent diabetes mellitus, it is essential to manage carbohydrate intake carefully. Starchy vegetables like corn have carbohydrates that can impact blood sugar levels, similar to bread. Therefore, it is important to treat them as such rather than allowing them as a direct vegetable exchange.

Discussion

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Chiomaemma
Nov 12, 2020

Wrong rationale for the question; this rationale is for the next question; please resolve confusion. Thanks. <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="a1d0d3c0d89899e1ccc4d3c2d88fc4c5d4">[email protected]</a>

Geobel
Apr 13, 2022

I don't think the rationale is appropriate for the question. Thanks

BelachinOption: B
Mar 15, 2024

B; This response acknowledges the child's request while guiding on suitable alternatives based on dietary considerations, particularly for someone with insulin-dependent diabetes mellitus. Starchy vegetables like corn can affect blood sugar levels differently than non-starchy vegetables like broccoli, so it's important to provide appropriate substitutes that won't significantly impact the child's condition.