A client of the Orthodox Jewish faith with a history of type 2 diabetes mellitus is hospitalized, recovering from a total right hip arthroplasty. At noon, the client consumed a lean roast beef sandwich with lettuce and mustard, carrot and celery sticks, and fresh fruit. What would be the most appropriate 2:00 PM snack for this client? A)Angel food cake and fresh strawberries B)Crackers and low-fat cheese C)Hard-boiled egg and blueberries D)Nonfat plain yogurt

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Individuals who practice Orthodox Judaism follow Kosher dietary laws. These regulations are strict regarding the consumption of certain animal products (eg, no pork, shellfish, fish without scales) and the separation of meat/poultry from dairy. When meat or poultry is consumed, at least 3-6 hours must pass before a dairy product is consumed. Certain foods, including fresh fruits and vegetables, grains, tea, and coffee, are considered neutral and can be consumed at any time. Hard-boiled eggs and blueberries are nondairy foods and would be an appropriate snack (Option C). This choice also provides a combination of carbohydrates and protein, which would help in regulating blood glucose. (Option A) This choice might be allowable under Kosher rules; however, it is not the best choice for a client with diabetes due to the high carbohydrate content. (Option B) Low-fat cheese is a dairy product and cannot be consumed within 3-6 hours of a meat/poultry meal. (Option D) Yogurt is a dairy product and may not be consumed within 3-6 hours of meat or poultry. Educational objective: Clients of the Orthodox Jewish faith follow Kosher dietary rules. These include no pork, shellfish, or fish without scales. When meat or poultry is consumed, at least 3-6 hours must pass before a dairy product may be consumed.

A Client of the Orthodox Jewish Faith with a History