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 D

Explanation

A. Klebsiella pneumoniae is a Gram-negative bacterium and is typically associated with more severe pneumonia, particularly in patients with underlying lung disease, but it does not form clusters.
B. Streptococcus pneumoniae is a common cause of pneumonia but typically appears as Gram-positive cocci in pairs or chains, not clusters.
C. Escherichia coli is a Gram-negative bacterium that generally causes urinary tract infections and is not a common cause of pneumonia with Gram-positive cocci in clusters.
D. Staphylococcus aureus is a Gram-positive bacterium that forms clusters and is a common cause of pneumonia, particularly in young, otherwise healthy individuals, and can present with fever, chills, and productive cough. This fits the presentation and sputum findings in this patient.

A. Persistence of manifestations B. No hypersensitivity to allergens C. Positive response to corticosteroids D. Asthma flare-ups during exercise E. Nasal inflammation F. Asthma flare-ups with NSAID administration

Correct Answer is ["B","D","F"]

Explanation

A. Nonallergic asthma typically persists throughout the year, not just during certain seasons or in response to allergens.
B. Nonallergic asthma occurs in the absence of hypersensitivity to allergens, so the patient will not exhibit typical allergic reactions.
C. Corticosteroids are often effective in managing both allergic and nonallergic asthma, so a positive response to corticosteroids is common.
D. Exercise-induced asthma flare-ups are common in nonallergic asthma, especially with physical activity.
E. Nasal inflammation is more common with allergic asthma than nonallergic asthma.
F. NSAIDs can trigger asthma flare-ups in some people with nonallergic asthma due to the effect on prostaglandins and inflammatory mediators.

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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?

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Naxlex Comprehensive Predictor Exams

A 25-year-old female patient presents with fever, chills, and a productive cough. Sputum culture reveals Gram-positive cocci in clusters. Which of the following bacterial organisms is most likely responsible for this infection?

Correct Answer is D

Explanation

Which of the following common characteristics of nonallergic asthma can the nurse expect to find when assessing an adult client? (Select all that apply.)

Correct Answer is ["B","D","F"]

Explanation

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