A diabetes nurse educator is discussing "sick day rules" with a client newly diagnosed with diabetes mellitus type 1. Which statement by the client indicates a need for further teaching?

"I will consult with my healthcare provider before taking over-the-counter medications."

"I will not take my insulin on the days when I am sick, but I will certainly check my blood sugar every 2 hours."

"I will call the doctor if my illness lasts longer than 2 days."

"I will call the doctor if my blood sugar is over 250 mg/dL or if I have protein in my urine."

Answer and Explanation

The Correct Answer is B

A. Consulting with a healthcare provider before taking over-the-counter medications is appropriate, as some medications can affect blood glucose levels or interact with diabetes medications.
B. It is crucial for clients with diabetes to continue taking insulin during illness, even if they are unable to eat. Insulin needs may increase due to stress or infection, and not taking insulin could lead to hyperglycemia or diabetic ketoacidosis. Checking blood sugar every 2 hours is correct, but insulin should not be omitted.
C. Calling the doctor if the illness lasts longer than 2 days is a good practice, as prolonged illness can affect diabetes management and may require medical intervention.
D. Calling the doctor if blood sugar is over 250 mg/dL or if there is protein in the urine is appropriate, as these conditions can indicate complications that need medical attention.

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Free Nursing Study Resources

Correct Answer is D

Explanation

D. Bradykinesia, or slowness of movement, is a hallmark symptom of Parkinson's disease. It is characterized by a gradual reduction in the speed of voluntary movements and is one of the primary motor symptoms associated with the disease.
A. Chorea, characterized by involuntary, irregular movements, is more commonly associated with Huntington's disease rather than Parkinson's disease.
B. Pruritus (itching) is not a characteristic symptom of Parkinson's disease.
C. Xerostomia (dry mouth) is not a primary symptom of Parkinson's disease, though it may occur as a secondary effect.

A. Wear a face shield. B. Wear clean gloves. C. Wear sterile gloves. D. Wear an N95 respirator mask.

Correct Answer is B

Explanation

A. A face shield is necessary when there is a risk of splashes, but not required for simply checking a pulse.
B. Clean gloves are appropriate for contact with the client or the wound, as MRSA is transmitted through direct contact. This prevents contamination while assessing the client.
C. Sterile gloves are not required for checking a pulse unless performing a sterile procedure.
D. An N95 respirator mask is used for airborne precautions, not necessary for MRSA, which is contact-transmitted.

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A diabetes nurse educator is discussing "sick day rules" with a client newly diagnosed with diabetes mellitus type 1. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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