A 55-year-old patient with newly diagnosed Type II Diabetes Mellitus is being educated on lifestyle modifications to manage their condition. Which of the following dietary recommendations would be most effective in controlling their blood glucose levels?

Drink fruit juices instead of whole fruits to avoid fiber.

Eliminate all carbohydrates from the diet.

Increase intake of high-per foods such as vegetables and whole grains.

Consume high-protein, high-fat meals to maintain satiety.

Answer and Explanation

The Correct Answer is C

A.   Drinking fruit juices instead of whole fruits may increase blood sugar levels due to the lack of fiber in juices. Whole fruits are better for blood glucose control.
B.   Eliminating all carbohydrates is not advisable, as carbohydrates are necessary for energy. A balanced diet with controlled carbohydrates is recommended.
C.   Increasing the intake of high-fiber foods like vegetables and whole grains helps regulate blood glucose levels by slowing digestion and improving insulin sensitivity.
D.   Consuming high-protein, high-fat meals could negatively affect blood sugar levels and cardiovascular health, which is a concern for diabetics.

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Correct Answer is B

Explanation

A. Staring spells with a brief loss of awareness are characteristic of absence seizures, not myoclonic seizures.
B. Myoclonic seizures involve sudden, brief, involuntary muscle jerks that typically occur on both sides of the body, which is the key characteristic for this type of seizure.
C. Loss of consciousness followed by confusion is characteristic of tonic-clonic or focal seizures, not myoclonic seizures.
D. Prolonged muscle contractions lasting several minutes describe a tonic seizure, which is distinct from myoclonic seizures.

A. Peptic ulcer disease B. Acute gastritis due to NSAID use C. Functional dyspepsia D. Chronic gastritis due to Helicobacter pylori infection

Correct Answer is D

Explanation

A. Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B. Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C. Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D. Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

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A 55-year-old patient with newly diagnosed Type II Diabetes Mellitus is being educated on lifestyle modifications to manage their condition. Which of the following dietary recommendations would be most effective in controlling their blood glucose levels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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