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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Decreased blood pressure is not typically associated with contrast-induced nephropathy. In fact, patients may present with normal or elevated blood pressure, especially in those with a history of chronic hypertension.
B. Metabolic acidosis is a common complication of acute kidney injury (AKI), including contrast-induced nephropathy. As kidney function declines, the kidneys' ability to excrete acids diminishes, leading to the accumulation of acids in the blood and resulting in metabolic acidosis.
C. Hypocalcemia is not a common feature of contrast-induced nephropathy. While AKI can cause disturbances in calcium and phosphate balance, hypocalcemia is not typically a predominant finding.
D. Increased urine specific gravity may not be a significant finding in contrast-induced nephropathy. This condition generally leads to impaired kidney function, which may present with urine output changes, but urine specific gravity can vary depending on the stage of AKI.
Correct Answer is C
Explanation
A. A troponin level is used to diagnose cardiac injury, not multiple sclerosis. It does not help in confirming MS.
B. A myelogram is a diagnostic test for spinal cord disorders, but it is not typically used to diagnose multiple sclerosis.
C. A lumbar puncture is commonly performed to help diagnose multiple sclerosis. It can show abnormalities such as oligoclonal bands in the cerebrospinal fluid, which is suggestive of MS.
D. Brain natriuretic peptide (BNP) is a marker for heart failure and is unrelated to the diagnosis of multiple sclerosis.
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