A diagnosed type 2 diabetes Patient was recommended to follow a 1200-calorie diet and exercise plan. The patient tells the nurse, “I hate to exercise! Can't I just follow the diet to keep my glucose under control?” The nurse teaches the patient that the major purpose of exercise for diabetics is to?

facilitate weight loss, which will decrease peripheral insulin resistance.

improve cardiovascular endurance, which Is important for diabetics.

set a successful patern, which will help in making other needed changes.

increase energy and sense of well-being, which will help with body image.

Answer and Explanation

The Correct Answer is A

Exercise can help to lower blood glucose levels by improving insulin sensitivity and glucose uptake by muscles. It also helps with weight loss, which is important for managing type 2 diabetes since excess weight can make it harder for insulin to work properly. The nurse can also discuss with the patient other ways to make exercise more enjoyable, such as finding a physical activity that they enjoy, like dancing, swimming, or walking with a friend or family member.

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Correct Answer is A

Explanation

Broccoli and kale are good sources of calcium, and by adding them to their diet, the client can increase their calcium intake without consuming milk. It is important to note that some calcium supplements may irritate the stomach but stopping them altogether is not advisable without consulting a healthcare provider. Vitamin D is not a milk product, and it is essential for calcium absorption. Avoiding foods with vitamin D can worsen the low calcium levels. Cheese is a milk product and may not be suitable for someone with a milk allergy.

A. These injections will increase the hydrochloric acid in my stomach: B. The cobalamin injections need to be taken until my inﬂamed stomach heals. C. The cobalamin injections will prevent me from becoming anemic. D. These injections will decrease my risk for developing Stomach cancer.

Correct Answer is C

Explanation

The correct answer is choicec. The cobalamin injections will prevent me from becoming anemic.

Choice A rationale:

Cobalamin (B12) injections do not increase hydrochloric acid production in the stomach.Chronic atrophic gastritis often leads to decreased production of hydrochloric acid due to the loss of parietal cells, but B12 injections do not reverse this condition.

Choice B rationale:

The need for cobalamin injections is typically lifelong in patients with chronic atrophic gastritis because the condition leads to a permanent loss of intrinsic factor, which is necessary for B12 absorption. The injections are not just until the stomach heals.

Choice C rationale:

Chronic atrophic gastritis can lead to vitamin B12 deficiency due to the loss of intrinsic factor, which is essential for B12 absorption.This deficiency can cause pernicious anemia, and B12 injections are necessary to prevent this condition.

Choice D rationale:

While chronic atrophic gastritis does increase the risk of stomach cancer, B12 injections are not specifically aimed at reducing this risk.The primary purpose of B12 injections is to prevent anemia.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching nutritional strategies to a client who has a low calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A patient with chronic atrophic gastritis was prescribed monthly Cobalamin (B12) injections The determines that teaching regarding the injections has been eﬀective when the patient States:

Correct Answer is C

Explanation

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