A 50-year-old woman was recently diagnosed with type 2 diabetes mellitus and wants to start a healthy lifestyle to control her disease. What initial recommendation should you make?
Select one:
Maintain adequate glucose control.
Lose 10 to 15 pounds.
Develop an exercise schedule.
Engage in brisk walking.
The Correct Answer is D
A. Maintaining glucose control is a goal, not a specific actionable recommendation to begin a healthy lifestyle.
B. Weight loss is beneficial, but suggesting a specific number of pounds may not be realistic or immediately actionable as an initial step.
C. Developing an exercise schedule is a good long-term strategy, but it can be overwhelming for someone just starting out.
D. Engaging in brisk walking is a simple, accessible, and effective way to begin increasing physical activity, improve insulin sensitivity, and help control blood glucose levels — making it an ideal initial recommendation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cholecystitis – Cholecystitis involves inflammation of the gallbladder, typically presenting with right upper quadrant pain and is often triggered by fatty meals, not directly by alcohol, spicy foods, or aspirin.
B. Gastritis – Gastritis is inflammation of the stomach lining, commonly caused by irritants such as alcohol, spicy foods, and NSAIDs (like aspirin). Symptoms include abdominal pain, nausea, and anorexia—all present in this client.
C. Appendicitis – Appendicitis usually presents with right lower quadrant pain, often accompanied by fever and localized tenderness, which are not indicated here.
D. Esophageal cancer – Esophageal cancer typically presents with progressive dysphagia and weight loss over time, not acute abdominal pain or symptoms linked with recent behavior like binge drinking.
Correct Answer is C
Explanation
A. Stomatitis (inflammation of the mouth) can occur with chemotherapy or radiation but is not directly related to thrombocytopenia.
B. This is typically associated with neurologic disorders or electrolyte imbalances, not low platelet counts.
C. Thrombocytopenia is a low platelet count, which impairs the blood’s ability to clot. This puts the patient at high risk for bruising, prolonged bleeding, spontaneous bleeding, and internal hemorrhage.
D. While a headache may occur for various reasons, it is not a hallmark symptom or direct consequence of thrombocytopenia.
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