A client is being educated about insulin and is able to repeat the newly acquired information using their own words to the nurse.
Which of the following statements confirm the teaching has been effective?

I should have my hemoglobin A1C checked monthly.

I should always have my breakfast ready to eat before injecting my morning insulin.

If I feel hungry I can eat early and take a little extra insulin next time it is due.

On sick days I don’t have to check my blood sugar or eat, just get plenty of fluids.

Answer and Explanation

The Correct Answer is B

I should always have my breakfast ready to eat before injecting my morning insulin. This statement confirms that the client understands the importance of matching insulin administration with food intake to prevent hypoglycemia.

Choice A is wrong because hemoglobin A1C should be checked every 3 months, not monthly, to monitor long-term glycemic control.

Choice C is wrong because eating early and taking extra insulin later can cause fluctuations in blood glucose levels and increase the risk of complications.

Choice D is wrong because on sick days, the client should check blood sugar more

often and eat small amounts of carbohydrates to prevent hyperglycemia and ketoacidosis.

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Correct Answer is B

Explanation

This is because acute pain is the most urgent and life-threatening problem for a client with myocardial infarction.

Acute pain indicates ongoing ischemia and tissue damage, which can lead to complications such as heart failure, arrhythmias, or cardiogenic shock. Therefore, relieving pain is the priority nursing diagnosis.

Choice A. Anxiety is wrong because anxiety is not a specific symptom of myocardial infarction and anxiety is due to the discomfort that happens due to activation of the sympathetic pathway which is good for survival.

Choice C. Knowledge deficit is wrong because knowledge deficit is not an immediate problem for a client with myocardial infarction.

Knowledge deficit can be addressed after the acute phase of the condition is over and the client is stable.

Choice D. Nausea and vomiting are wrong because nausea and vomiting are common symptoms of myocardial infarction, but they are not as urgent and life-threatening as acute pain.

Nausea and vomiting can be treated with antiemetics and fluids, but they do not affect the outcome of the condition as much as pain does.

A. Decreased blood pressure. B. Increased temperature. C. Impaired physical coordination. D. Nausea and appetite loss. E. Respiratory depression.

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

Explanation

Diazepam is a benzodiazepine that can cause central nervous system depression, which can manifest as decreased blood pressure, impaired physical coordination and respiratory depression. These signs and symptoms are consistent with benzodiazepine intoxication and may require treatment with flumazenil, a benzodiazepine receptor antagonist.

Choice B is wrong because increased temperature is not a sign of benzodiazepine intoxication. Benzodiazepines can cause hypothermia, or low body temperature, due to vasodilation and decreased metabolic rate.

Choice D is wrong because nausea and appetite loss are not signs of benzodiazepine intoxication. Benzodiazepines can cause gastrointestinal effects such as constipation, dry mouth and increased appetite.

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A client is being educated about insulin and is able to repeat the newly acquired information using their own words to the nurse. Which of the following statements confirm the teaching has been effective?

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Naxlex Comprehensive Predictor Exams

A client admitted to the coronary care unit with an inferior wall myocardial infarction is anxious, sweating, tachypneic, and reports midsternal chest discomfort and nausea. Which nursing diagnosis is the priority?

Correct Answer is B

Explanation

The nurse is assessing a client presenting with diazepam intoxication. What signs and symptoms are consistent with benzodiazepine intoxication? Select all that apply.

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

Explanation

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A client is being educated about insulin and is able to repeat the newly acquired information using their own words to the nurse.
Which of the following statements confirm the teaching has been effective?