Patient Data

Exhibits

Review H and P, nurse's note, and laboratory results.

What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.

Take a cinnamon supplement

Eliminate sugary beverages and juices from the diet

Increase the amount of dietary fiber

Only select food items with no fat

Double the usual amount of protein in the diet

Minimize the number of refined grains in the diet

Answer and Explanation

Correct Answer : B,C,F

B. Sugary beverages and juices are major sources of added sugars and can contribute to weight gain, insulin resistance, and an increased risk of type 2 diabetes mellitus. By eliminating these beverages from the diet, the client can reduce their intake of empty calories and excess sugars, which may help improve blood sugar control and reduce the risk of diabetes.
C. Fiber-rich foods, such as fruits, vegetables, whole grains, and legumes, can help improve blood sugar control, promote satiety, and support weight management. Fiber also helps regulate bowel movements and may reduce the risk of developing type 2 diabetes mellitus.
F. Refined grains, such as white bread, white rice, and sugary cereals, have been stripped of their fiber and nutrients during processing, leading to rapid spikes in blood sugar levels. Minimizing the intake of refined grains and opting for whole grains instead can help stabilize blood sugar levels, improve insulin sensitivity, and reduce the risk of type 2 diabetes mellitus.
A. While some studies have suggested that cinnamon may have beneficial effects on blood sugar control, the evidence is limited and inconsistent. Additionally, taking high doses of cinnamon supplements may not be safe for everyone, particularly those with liver disease or taking certain medications.
D. While reducing intake of unhealthy fats, such as saturated and trans fats, is important for overall health and reducing the risk of heart disease, eliminating all fats from the diet is unnecessary and potentially harmful. Healthy fats, such as those found in nuts, seeds, avocados, and olive oil, are essential for nutrient absorption, hormone production, and overall well-being.
E. Increasing protein intake significantly may not be necessary or advisable for this client, especially without knowing their specific dietary needs and preferences. While protein is an important macronutrient for muscle repair and maintenance, doubling the usual amount of protein in the diet may not offer additional benefits and could potentially lead to imbalances in other nutrients.

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Correct Answer is ["A","C","G"]

Explanation

A. Regular physical activity is a cornerstone of prediabetes management. Exercise helps improve insulin sensitivity, promotes weight loss, and reduces the risk of progression to type 2 diabetes.
C. Weight reduction is an essential component of prediabetes management, especially for individuals who are overweight or obese. Losing as little as 5-10% of body weight can significantly improve insulin sensitivity and reduce the risk of developing type 2 diabetes.
G. Nutrition education: Nutrition education is a crucial component of prediabetes management. Providing education on healthy eating habits, portion control, carbohydrate counting, and making nutritious food choices can empower individuals with prediabetes to make positive dietary changes that support blood sugar control and overall health.
B. Short-acting insulin is not typically used in the treatment of prediabetes. Insulin therapy is usually reserved for individuals with type 1 diabetes or advanced type 2 diabetes who cannot adequately control blood sugar levels with oral medications or lifestyle interventions.
D. While oral antidiabetic medications may be prescribed for individuals with type 2 diabetes, they are not typically used as first-line therapy for prediabetes. Lifestyle modifications, such as diet and exercise, are usually the primary approach for managing prediabetes.
E. Individuals with prediabetes should generally aim to moderate their carbohydrate intake, particularly refined carbohydrates and added sugars, to help improve blood sugar control and reduce the risk of developing type 2 diabetes.
F. Similar to short-acting insulin, long-acting insulin is not typically used in the treatment of prediabetes. Insulin therapy is generally reserved for individuals with type 1 diabetes or advanced type 2 diabetes who require insulin to control blood sugar levels.

A. Sputum culture positive for Mycobacterium tuberculosis. B. Hemoccult test on sputum collected from hemoptysis. C. Chest x-ray or computed tomography (CT). D. Positive purified protein derivative (PPD) skin test.

Correct Answer is A

Explanation

A. This choice involves culturing a sputum sample collected from the patient to identify the presence of Mycobacterium tuberculosis, the bacterium that causes tuberculosis. A positive result confirms the diagnosis of TB.
B. Hemoccult tests are used to detect hidden (occult) blood in stool samples. While hemoptysis (coughing up blood) can be a symptom of TB, a hemoccult test is not specific for TB diagnosis. It is more commonly used in detecting gastrointestinal bleeding.
C. Imaging studies like chest x-ray or CT scans can reveal abnormalities in the lungs suggestive of TB, such as infiltrates, cavitations, or lymph node enlargement. While these tests can support the diagnosis, they are not definitive on their own.
D. The PPD skin test is a common screening tool for TB exposure. It detects the presence of a delayed hypersensitivity reaction to proteins derived from Mycobacterium tuberculosis. A positive PPD indicates exposure to TB but does not confirm active disease.

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Patient Data Exhibits Review H and P, nurse's note, and laboratory results. What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Review Hand P and laboratory results Exhibits What item(s) should be included in the treatment regimen for this client? Select all that apply.

Correct Answer is ["A","C","G"]

Explanation

The nurse is admitting a client with possible tuberculosis (TB). The client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis of TB?

Correct Answer is A

Explanation

A client with draining skin lesions of the lower extremity is admitted with possible methicillin resistant Staphylococcus aureus (MRSA). What nursing intervention (s) should the nurse include in the plan of care? Select all that apply.

The healthcare provider prescribes regular insulin 10 units/hr IV. The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)

The nurse is caring for a client receiving thrombolytic therapy following an acute myocardial infarction (MI). Which nursing problem should the nurse identify as priority for this client?

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?

After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?

A client with a cervical spinal injury (C7) is experiencing autonomic dysreflexia. The nurse should first assess the client for which precipitating factor?

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?

Patient Data

Exhibits

Review H and P, nurse's note, and laboratory results.

What other nutritional recommendation(s) would be helpful for this client in reducing risk for type 2 diabetes mellitus? Select all that apply.