Certified Dietary Manager (CDM) Practice Exam

The CDM completes a nutrition progress note for a client who has congestive heart failure, an elevated BUN level, and pitting edema in the lower extremities. When the physician orders a regular diet, the CDM should:

1. Proceed without any consultation

2. Consult the dietitian about the diet concerns

3. Change the diet based on their discretion

4. Refer the client to the social worker

The correct answer is: Consult the dietitian about the diet concerns

The correct answer is B. Consult the dietitian about the diet concerns. In this scenario, the client has congestive heart failure, an elevated BUN level, and pitting edema in the lower extremities, which are all conditions that require specific dietary considerations. Consulting the dietitian is essential to ensure that the client's dietary needs are appropriately addressed based on their health conditions. The dietitian can provide expert guidance on modifying the regular diet to accommodate the client's specific medical requirements and help prevent exacerbation of the existing conditions. Consulting the dietitian in such cases is essential to optimize the client's nutritional intake while managing their health conditions effectively. Option A, proceeding without any consultation, is not ideal in this situation as the client's medical conditions necessitate specialized dietary attention. Option C, changing the diet based on discretion, can pose risks as dietary modifications should be based on professional recommendations. Option D, referring the client to the social worker, is not appropriate in this scenario as the client's dietary needs require expertise from a dietitian.