The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?

Legumes

Grilled chicken

Root vegetables

Mashed potatoes

Answer and Explanation

The Correct Answer is D

A. Legumes (such as beans, lentils, and peas) have a low glycemic index. They are high in fiber and protein, which helps slow the absorption of carbohydrates and keep blood sugar levels stable.
B. Grilled chicken is a protein source and does not significantly affect the glycemic index since proteins do not cause a rise in blood sugar.
C. Root vegetables like carrots, sweet potatoes, and beets generally have a moderate glycemic index. While they do impact blood sugar, they do not cause as significant an increase as high-glycemic foods.
D. Mashed potatoes, especially if prepared without the skin, have a high glycemic index. The processing of potatoes into a mashed form increases their rate of digestion and absorption, causing a more rapid increase in blood sugar levels

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Correct Answer is D

Explanation

A. A 75-year-old female client who has diabetes mellitus type 1: While older age and gender (female) may slightly increase the risk of thyroid cancer, diabetes mellitus type 1 is not a known significant risk factor for thyroid cancer.
B. A 68-year-old male client who has testicular cancer: Testicular cancer itself is not strongly associated with an increased risk of thyroid cancer. While cancer survivors may face a higher risk for secondary cancers, testicular cancer is not typically linked to thyroid cancer.
C. A 48-year-old male client with a history of hyperthyroidism: Hyperthyroidism does not increase the risk for thyroid cancer. In fact, hyperthyroidism is more commonly associated with conditions like Graves' disease and toxic goiter, not thyroid cancer.
D. A 40-year-old female client who received radiation treatment for breast cancer 8 years ago: Previous radiation treatment, particularly at a young age, is a well-established risk factor for developing thyroid cancer. Radiation exposure can damage the DNA in thyroid cells, leading to an increased risk of cancer later in life.

A. fosphenytoin (Cerebyx) B. lorazepam (Ativan) C. phenobarbital (Luminol) D. diazepam (Valium)

Correct Answer is A

Explanation

A. Fosphenytoin (Cerebyx) is correct to question as an initial treatment in status epilepticus. While fosphenytoin is used to prevent further seizures once initial control is achieved, it does not act quickly enough to stop active seizures. Therefore, it is not the first-line medication during the acute phase and should be questioned if ordered as the initial intervention.
B. Lorazepam is a benzodiazepine and is one of the first-line treatments for status epilepticus due to its rapid onset of action.
C. Phenobarbital can be used if benzodiazepines and phenytoin/fosphenytoin fail to control seizures, making it an appropriate option in refractory cases.
D. Diazepam is also a benzodiazepine effective for the acute management of status epilepticus, typically administered intravenously or rectally for rapid effect.

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The nurse is assisting a patient with Type 2 diabetes to choose foods for the next day's meals. Which of the following food choices would have the highest glycemic index?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is screening clients for an increased risk of thyroid cancer. Which of the following client's would have the highest risk?

Correct Answer is D

Explanation

The nurse is administering prescribed medication to a client experiencing status epilepticus. Which of the following medications should the nurse question?

Correct Answer is A

Explanation

The nurse attended a staff education conference about insulin therapy for diabetic management. Which of the following statements by the nurse would indicate that more education is needed?

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