A nurse is educating a client with type 2 diabetes about self-monitoring of blood glucose. Which statement by the client indicates a need for further teaching?
I should check my blood glucose before and after exercise
I need to monitor my blood glucose only when I feel unwell
I will use a lancet to obtain a small blood sample for testing
I should record my blood glucose readings to share with my provider
The Correct Answer is B
Choice A reason: Checking blood glucose before and after exercise is correct, as physical activity increases glucose uptake, risking hypoglycemia. Monitoring ensures safe exercise and timely interventions, reflecting proper understanding of self-management in type 2 diabetes to maintain glycemic control.
Choice B reason: Monitoring blood glucose only when feeling unwell is incorrect. Regular monitoring, regardless of symptoms, is essential in type 2 diabetes to detect asymptomatic hyperglycemia or hypoglycemia, guide treatment adjustments, and prevent complications, indicating a need for further education on consistent monitoring.
Choice C reason: Using a lancet to obtain a blood sample is standard for glucose monitoring. This technique ensures accurate readings with minimal discomfort, aligning with proper self-monitoring practices in type 2 diabetes, reflecting correct understanding of the procedure and equipment use.
Choice D reason: Recording blood glucose readings is appropriate, as it allows tracking of glycemic patterns and informs provider adjustments to therapy. This practice supports effective diabetes management and complication prevention, indicating the client understands the importance of documentation in self-care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Polycystic is not a recognized symptom of HHS. The term may be confused with polycystic ovary syndrome, unrelated to HHS. HHS involves severe hyperglycemia causing dehydration, not ovarian pathology, making this sign irrelevant to the metabolic and osmotic disturbances characteristic of this condition.
Choice B reason: Polyphagia, increased hunger, is associated with HHS due to cellular glucose starvation from severe hyperglycemia. Without adequate insulin, glucose cannot enter cells, triggering hunger as the body seeks energy, making this a relevant symptom in the hyperosmolar state of HHS.
Choice C reason: Polydipsia, excessive thirst, is a hallmark of HHS. Severe hyperglycemia causes osmotic diuresis, leading to dehydration and increased plasma osmolality, stimulating the thirst center to compensate for fluid loss, making this a common and expected symptom in HHS patients.
Choice D reason: Polyuria, excessive urination, is a classic HHS symptom. High blood glucose exceeds renal reabsorption capacity, causing osmotic diuresis, which increases urine output and leads to dehydration. This is a key feature of HHS, driving fluid and electrolyte imbalances in affected patients.
Correct Answer is A
Explanation
Choice A reason: Excessive alcohol consumption is a leading cause of pancreatic disease, particularly chronic pancreatitis. Alcohol induces oxidative stress and toxic metabolites, damaging pancreatic acinar cells, leading to inflammation, fibrosis, and impaired enzyme secretion, making it a well-established risk factor for pancreatic pathology.
Choice B reason: Excessive vitamin C intake is not associated with pancreatic disease. High doses may cause gastrointestinal upset or kidney stones but do not directly damage the pancreas or contribute to conditions like pancreatitis, making this an unlikely and irrelevant risk factor for pancreatic issues.
Choice C reason: A very low-fat diet is not a common cause of pancreatic disease. While low-fat diets may be recommended for pancreatitis management, they do not contribute to its development. Pancreatic damage is more linked to alcohol or gallstones, not dietary fat restriction.
Choice D reason: A high protein diet is not a primary risk factor for pancreatic disease. Excessive protein may stress the kidneys or liver in certain conditions, but it does not directly cause pancreatitis or other pancreatic disorders, unlike alcohol, which has a direct toxic effect on the pancreas.
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