A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing?
Insulin injections daily
Peritoneal dialysis therapy
Oral hypoglycemic medications
Fluid restrictions
The Correct Answer is C
Secondary prevention aims to detect and treat a disease in its early stages to prevent complications and progression. In the case of a client with new onset diabetes mellitus experiencing uncontrolled blood glucose levels, secondary prevention actions might involve interventions to manage blood glucose levels and prevent complications.
A. The decision to initiate insulin therapy as a secondary prevention measure would depend on various factors, including the severity of the client's condition, the effectiveness of other treatments, and the individualized treatment plan developed by the healthcare provider.
B. Peritoneal dialysis is a treatment for end-stage kidney disease (ESKD) when the kidneys are no longer able to function effectively. Uncontrolled diabetes can lead to kidney damage over time
Fluid restrictions are more commonly prescribed for conditions such as heart failure or kidney disease, where fluid overload can exacerbate symptoms and lead to complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Compassion is an essential quality that nurses should demonstrate when communicating with clients. It involves showing empathy, understanding, and sensitivity to the client's feelings, concerns, and needs. Compassionate communication can help build trust, rapport, and a therapeutic relationship between the nurse and the client, ultimately improving client outcomes.
A. Judgment implies forming opinions or making decisions about clients, which can negatively affect the therapeutic relationship. Instead, nurses should aim to communicate with empathy, understanding, and without judgment, to establish trust and facilitate effective communication.
B. Ambiguity refers to being unclear or having multiple interpretations. In communication with clients, clarity is crucial to ensure that information is conveyed accurately and effectively. Ambiguity can lead to misunderstandings or confusion, which may compromise client outcomes.
D. Indirect communication involves conveying messages in a roundabout or unclear manner, which can lead to misunderstandings or misinterpretations. In healthcare settings, direct and clear communication is essential to ensure that information is understood correctly and that clients can make informed decisions about their care.
Correct Answer is D
Explanation
Social determinants of health are the conditions in which people are born, grow, live, work, and age, and they are shaped by the distribution of money, power, and resources at global, national, and local levels. Living in a rural, isolated community can significantly impact a child's health due to limited access to healthcare services, transportation barriers, economic challenges, and social isolation, among other factors.
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