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. Secondary progressive multiple sclerosis involves a steady decline in function with or without relapses, which is different from the relapsing-remitting pattern.
B. Relapsing-remitting multiple sclerosis (RRMS) is the most common type of MS and is characterized by flare-ups of symptoms followed by periods of partial or complete recovery with no symptoms.
C. Primary progressive multiple sclerosis involves a gradual worsening of symptoms without distinct relapses or remissions. This pattern does not match the client's description of periods without symptoms.
D. Clinically isolating syndrome refers to the first episode of neurologic symptoms that lasts for at least24 hours and is indicative of MS, but this is a different stage than relapsing-remitting MS.

A. Administer an anti-diarrheal medication as prescribed to control the symptoms. B. Increase the water flushes to improve hydration and dilute the feeding solution. C. Switch the feeding tube to a bolus feeding method instead of continuous feeding. D. Decrease the feeding rate and consult the dietitian for a fiber-enriched formula.

Correct Answer is D

Explanation

A. Administering an anti-diarrheal medication as prescribed might help control the symptoms, but it is important to address the underlying cause of the diarrhea first, such as adjusting the feeding.
B. Increasing water flushes may help with hydration, but it does not specifically address the diarrhea caused by the enteral feeding. It's more important to manage the feeding itself.
C. Switching the feeding method to bolus feeding could increase the risk of aspiration and discomfort. Continuous feeding is generally safer and better tolerated in this context.
D. Decreasing the feeding rate and consulting the dietitian for a fiber-enriched formula is the most appropriate response. Adjusting the feeding rate can help reduce gastrointestinal upset, and a fiber- enriched formula can help firm up stools.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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