A client with DKA is being treated in a healthcare facility.
The client asks the nurse about the reason for frequent monitoring of blood glucose and electrolyte levels.
Which of the following responses should the nurse give?
“Frequent monitoring helps us adjust your diet plan.”.
“It helps us guide insulin and electrolyte replacement therapy.”.
“It is done to check for any allergic reactions to insulin.”.
“It is a standard procedure for all patients, regardless of their condition.”
The Correct Answer is B
Choice A rationale:
Frequent monitoring is not primarily done to adjust the diet plan.
While monitoring can provide information about the patient's nutritional needs, the primary purpose of monitoring in DKA is to assess the effectiveness of insulin therapy and to guide electrolyte replacement.
Choice B rationale:
Monitoring blood glucose and electrolyte levels helps guide insulin and electrolyte replacement therapy in DKA.
It allows healthcare providers to make necessary adjustments in insulin dosing and electrolyte replacement to ensure the patient's safety and a successful recovery.
Choice C rationale:
Frequent monitoring is not primarily aimed at checking for allergic reactions to insulin.
Allergic reactions to insulin are relatively rare, and monitoring is mainly done to assess treatment effectiveness and the patient's response to therapy.
Choice D rationale:
Monitoring is not a standard procedure for all patients regardless of their condition.
It is essential in DKA management, but it is not universally applicable to all patients.
Monitoring is performed based on the patient's specific condition and treatment needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Children with diabetes should never use insulin pumps.”.
This statement is not accurate.
Insulin pumps can be a valuable tool in the management of diabetes in children.
Insulin pumps provide continuous subcutaneous insulin delivery, offering a more flexible and precise way to administer insulin.
They can be particularly beneficial for children who require multiple daily injections or have difficulty with insulin injections.
Choice B rationale:
"Insulin therapy is not a significant part of diabetes management in children.”.
Insulin therapy is a significant and often essential part of diabetes management in children, especially for those with type 1 diabetes.
Children with type 1 diabetes do not produce insulin and require lifelong insulin therapy to survive.
It plays a crucial role in maintaining glycemic control and preventing complications.
Choice C rationale:
"There are different types of insulin, including rapid-acting and long-acting.”.
This statement is accurate.
Children with diabetes may require different types of insulin to manage their blood sugar effectively.
Rapid-acting insulin is used to cover meals and correct high blood sugar levels, while long-acting insulin provides basal insulin to keep blood sugar stable between meals and overnight.
Understanding the different types of insulin and their respective roles is essential for proper diabetes management.
Choice D rationale:
"Children with diabetes only need short-acting insulin.”.
This statement is not accurate.
While short-acting insulin (rapid-acting) is necessary for mealtime coverage, it is not the only type of insulin children may need.
Long-acting insulin is crucial for providing a basal level of insulin throughout the day and night.
Children with diabetes often require both short-acting and long-acting insulin to achieve optimal glycemic control.
Correct Answer is ["A","B","C","D","E"]
Explanation
The correct answers are: A. Genetic factors, B. Autoimmune destruction of beta cells, C. Insulin resistance, D. Lack of physical activity, E. Environmental factors.
Choice A rationale: Genetic factors can increase the risk of diabetes in children due to hereditary predisposition. If a family member has diabetes, the child's risk is higher.
Choice B rationale: Autoimmune destruction of beta cells is a primary mechanism in type 1 diabetes, where the body's immune system attacks insulin-producing cells in the pancreas.
Choice C rationale: Insulin resistance, where the body's cells don't respond effectively to insulin, is a key factor in the development of type 2 diabetes.
Choice D rationale: Lack of physical activity can contribute to obesity and insulin resistance, increasing the risk of developing type 2 diabetes.
Choice E rationale: Environmental factors, such as diet and exposure to certain viruses, can influence the risk of diabetes in children.
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