A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Monitoring blood glucose levels more frequently.

Increasing sodium intake.

Stopping all other diabetes medications.

Skipping meals to prevent hyperglycemia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Monitoring blood glucose levels more frequently is critical when a client with type 1 diabetes is taking prednisone, as corticosteroids can raise blood glucose levels and potentially cause hyperglycemia.

Choice B rationale

Increasing sodium intake is not recommended for clients with type 1 diabetes and is unrelated to the management of prednisone-induced hyperglycemia.

Choice C rationale

Stopping all other diabetes medications is inappropriate and can lead to uncontrolled blood glucose levels. Adjustments may be needed, but discontinuation is not advised without medical supervision.

Choice D rationale

Skipping meals to prevent hyperglycemia is not a safe practice for clients with type 1 diabetes. Maintaining a balanced diet and monitoring blood glucose levels is essential.

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Correct Answer is ["A","B","E"]

Explanation

Choice A rationale

Serum creatinine is assessed annually to evaluate kidney function, as diabetes can lead to nephropathy and renal impairment.

Choice B rationale

Urine for microalbuminuria is important to detect early kidney damage, which can occur in diabetic nephropathy.

Choice C rationale

Hearing (audio) exam is not a standard annual test for diabetic complications. Diabetes primarily affects the vascular system, kidneys, and nerves.

Choice D rationale

Chest x-ray is not routinely performed annually for diabetes management. It is used when there are specific indications such as respiratory symptoms.

Choice E rationale

Monofilament testing of the foot is conducted annually to detect diabetic neuropathy and prevent foot ulcers and infections.

A. Encourage the client to ambulate within 30 min following the procedure. B. Keep the client NPO for at least 2 hr following the procedure. C. Assess pulses in the client's affected arm. D. Apply light pressure to the insertion site.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the client to ambulate within 30 minutes following the procedure is not recommended as it could lead to complications such as bleeding or hematoma at the insertion site.

Choice B rationale

Keeping the client NPO for at least 2 hours following the procedure is not typically necessary and does not relate directly to the care required after a cardiac catheterization.

Choice C rationale

Assessing pulses in the client's affected arm is crucial to ensure that there is adequate blood flow and no compromise in circulation following the procedure.

Choice D rationale

Applying light pressure to the insertion site may help in preventing bleeding initially, but it is more critical to monitor for signs of bleeding or hematoma formation over time. .

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A client diagnosed with type 1 diabetes is prescribed prednisone for acute exacerbation of inflammatory bowel disease.Which intervention should the nurse discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is C

Explanation

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